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迈向终结对妇女的暴力行为:喀麦隆曾婚妇女中亲密伴侣暴力与粮食安全状况的关联

Toward Ending Violence Against Women: The Association of Intimate Partner Violence With Food Security Status Among Ever-Married Women in Cameroon.

作者信息

Amoak Daniel, Antabe Roger, Sano Yujiro

机构信息

Western University, London, ON, Canada.

University of Toronto Scarborough, Canada.

出版信息

J Interpers Violence. 2025 Feb;40(3-4):955-973. doi: 10.1177/08862605241255731. Epub 2024 May 29.

DOI:10.1177/08862605241255731
PMID:38808963
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11673310/
Abstract

Despite an extensive body of literature that explores potential mechanisms explaining the factors associated with intimate partner violence (IPV) experienced by women, very few studies have studied the association of food security status with women's experience of IPV in sub-Saharan Africa countries, including Cameroon. Using data from the 2018 Cameroon Demographic and Health Survey ( = 4,690), we explore the association between food security status and three distinct forms of IPV (i.e., emotional, sexual, and physical IPV) among ever-married women in Cameroon. Adjusting for socioeconomic, demographic, and attitudinal and behavioral characteristics, we found that women with severe (odds ratio [] = 2.09,  < .01), moderate ( = 1.88,  < .05), and mild ( = 1.76,  < .05) food insecurity were more likely to experience sexual IPV, compared to those without any food insecurity, whereas women with severe food insecurity were more likely to experience physical IPV ( = 1.89,  < .001). Although women with severe ( = 1.51,  < .01) and moderate ( = 1.67,  < .001) food insecurity had a higher likelihood of experiencing emotional IPV at a bivariate level, we found that these associations became no longer significant in our adjusted model. These findings suggest that food insecurity is a critical risk factor for IPV among ever-married women in Cameroon. Addressing IPV requires a comprehensive strategy that places special emphasis on households experiencing food insecurity. There is also an urgent need to implement educational programs to increase awareness of the interconnection between food insecurity and IPV and to allocate resources to community-based initiatives that empower women both economically and socially.

摘要

尽管有大量文献探讨了解释女性遭受亲密伴侣暴力(IPV)相关因素的潜在机制,但在撒哈拉以南非洲国家,包括喀麦隆,很少有研究探讨粮食安全状况与女性遭受IPV之间的关联。利用2018年喀麦隆人口与健康调查(n = 4690)的数据,我们探讨了喀麦隆已婚女性的粮食安全状况与三种不同形式的IPV(即情感、性和身体暴力)之间的关联。在对社会经济、人口以及态度和行为特征进行调整后,我们发现,与没有任何粮食不安全问题的女性相比,患有严重(优势比[OR] = 2.09,P <.01)、中度(OR = 1.88,P <.05)和轻度(OR = 1.76,P <.05)粮食不安全问题的女性更有可能遭受性暴力,而患有严重粮食不安全问题的女性更有可能遭受身体暴力(OR = 1.89,P <.001)。尽管在双变量分析中,患有严重(OR = 1.51,P <.01)和中度(OR = 1.67,P <.001)粮食不安全问题的女性遭受情感暴力的可能性更高,但我们发现,在调整后的模型中,这些关联不再显著。这些发现表明,粮食不安全是喀麦隆已婚女性遭受IPV的一个关键风险因素。解决IPV需要一项全面战略,特别强调那些面临粮食不安全问题的家庭。此外,迫切需要实施教育项目,以提高人们对粮食不安全与IPV之间相互联系的认识,并为在经济和社会方面增强妇女权能的社区倡议分配资源。

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本文引用的文献

1
Polygamy and safe sex negotiation among married women: evidence from Cameroon.一夫多妻制与已婚妇女的安全性行为协商:来自喀麦隆的证据。
BMC Infect Dis. 2023 Nov 22;23(1):817. doi: 10.1186/s12879-023-08826-4.
2
Understanding the Link between Household Food Insecurity and Self-Rated Oral Health in Ghana.理解加纳家庭食物不安全与自评口腔健康之间的联系。
Int J Environ Res Public Health. 2022 Dec 22;20(1):121. doi: 10.3390/ijerph20010121.
3
Assessment of domestic violence and its associated factors among ever-married reproductive-age women in Cameroon: a cross-sectional survey.喀麦隆已婚育龄妇女中家庭暴力及其相关因素评估:一项横断面调查。
BMC Womens Health. 2022 Oct 1;22(1):397. doi: 10.1186/s12905-022-01907-7.
4
Exposure to interparental violence and justification of intimate partner violence among women in sexual unions in sub-Saharan Africa.撒哈拉以南非洲地区处于性伴侣关系中的女性遭受父母间暴力及对亲密伴侣暴力的正当化情况。
Arch Public Health. 2021 Sep 9;79(1):162. doi: 10.1186/s13690-021-00684-3.
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Physical, sexual and psychological intimate partner violence and non-partner sexual violence against women and girls: a systematic review protocol for producing global, regional and country estimates.身体、性和心理亲密伴侣暴力以及针对妇女和女孩的非伴侣性暴力:生成全球、区域和国家估计数的系统评价方案。
BMJ Open. 2021 Aug 19;11(8):e045574. doi: 10.1136/bmjopen-2020-045574.
6
Community perceptions of gendered alcohol misuse in a food insecure context: The case of northwestern Benin.社区对粮食不安全背景下性别化酒精滥用的看法:以贝宁西北部为例。
Soc Sci Med. 2021 Jul;280:114016. doi: 10.1016/j.socscimed.2021.114016. Epub 2021 May 11.
7
The impact of food insecurity on mental health in Africa: A systematic review.非洲食物不安全对心理健康的影响:系统评价。
Soc Sci Med. 2021 Jun;278:113953. doi: 10.1016/j.socscimed.2021.113953. Epub 2021 Apr 20.
8
Effects  of rural-urban residence and education on intimate partner violence among women in Sub-Saharan Africa: a meta-analysis of health survey data.城乡居住和教育对撒哈拉以南非洲妇女亲密伴侣暴力的影响:健康调查数据的荟萃分析。
BMC Womens Health. 2021 Apr 13;21(1):149. doi: 10.1186/s12905-021-01286-5.
9
Household food insecurity and its association with self-reported male perpetration of intimate partner violence: a survey of two districts in central and western Uganda.家庭食物不安全及其与男性自我报告的亲密伴侣暴力行为的关联:乌干达中部和西部地区两个地区的调查。
BMJ Open. 2021 Mar 31;11(3):e045427. doi: 10.1136/bmjopen-2020-045427.
10
Correlates of intimate partner violence among married women in Uganda: a cross-sectional survey.乌干达已婚妇女亲密伴侣暴力的相关因素:一项横断面调查。
BMC Public Health. 2020 Jun 26;20(1):1008. doi: 10.1186/s12889-020-09123-4.