Karamitanha Farzaneh, Ahmadi Farzane, Fallah Abadi Vahid
Department of Community Medicine, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.
Department of Biostatistics and Epidemiology, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.
Front Psychol. 2024 Apr 18;15:1347077. doi: 10.3389/fpsyg.2024.1347077. eCollection 2024.
Intimate partner violence (IPV) against women is a serious public health issue and refers to physically, sexually and psychologically harmful behaviors as well as emotionally controlling behaviors and financial abuse that occur in the form of marriage or cohabitation. Knowing the current situation of the IPV prevalence against women and high-risk areas in the Zanjan city, Iran, can help policymakers to establish better health programs for risk reduction.
This population-based cross-sectional study consisted of married women aged 18-55 years living in Zanjan city in 2021. 760 married women covered by 19 urban comprehensive health service centers (UCHSCs) were selected by the stratified systematic random sampling method. The prevalence of IPV against women was measured in four types: psychological, physical, sexual, and economic.
Mean (SD) age of the women was 35.49 (8.76) years. 606 women (79.7%) experienced one type of IPV. The highest and lowest IPV prevalence against women were psychological (76.6%) and economic (12%), respectively. The highest and lowest prevalence of psychological violence were observed in CUHSCs 2 and 17, physical violence in CUHSCs 1 and 14, sexual violence in CUHSCs 2 and 17, and economic violence in CUHSCs 2 and 8, respectively. The severity of violence was higher among self-employment or workers husbands, with low monthly household income, and among younger women.
The IPV rate in the target population is high, and the highest rate is related to psychological violence. These results highlight the need to intervention in the society and high-risk women for policymakers of the health system.
针对女性的亲密伴侣暴力（IPV）是一个严重的公共卫生问题，指在婚姻或同居关系中发生的身体、性和心理上的有害行为，以及情感控制行为和经济虐待。了解伊朗赞詹市针对女性的亲密伴侣暴力流行现状和高危地区，有助于政策制定者制定更好的降低风险的健康项目。
这项基于人群的横断面研究包括2021年居住在赞詹市的18至55岁已婚女性。通过分层系统随机抽样方法，从19个城市综合卫生服务中心（UCHSCs）覆盖的760名已婚女性中进行选择。针对女性的亲密伴侣暴力流行率通过心理、身体、性和经济四种类型进行测量。
女性的平均（标准差）年龄为35.49（8.76）岁。606名女性（79.7%）经历过一种类型的亲密伴侣暴力。针对女性的亲密伴侣暴力流行率最高和最低的分别是心理暴力（76.6%）和经济暴力（12%）。心理暴力流行率最高和最低的分别出现在城市综合卫生服务中心2和17，身体暴力出现在城市综合卫生服务中心1和14，性暴力出现在城市综合卫生服务中心2和17，经济暴力出现在城市综合卫生服务中心2和8。在自营职业者或丈夫为工人、家庭月收入较低以及年轻女性中，暴力的严重程度更高。
目标人群中的亲密伴侣暴力发生率很高，最高发生率与心理暴力有关。这些结果凸显了卫生系统政策制定者对社会和高危女性进行干预的必要性。
