Institute of Health Science Education, Georgetown Public Hospital Corporation, Georgetown, Guyana.
College of Medical Sciences, University of Guyana, Georgetown, Guyana.
PLoS One. 2024 May 30;19(5):e0303902. doi: 10.1371/journal.pone.0303902. eCollection 2024.
To assess the attitudes of women towards intimate partner violence (IPV) in Guyana.
We used national data from the publicly available Multiple Indicator Cluster Survey (MICS) conducted in Guyana in 2019 for women aged 15 to 49 years. The prevalence of women who agreed that a husband is justified in beating his wife was analyzed. Respondent reasons included if she: "goes out without telling him", "neglects the children", "argues with him", "refuses sex with him", "burns the food", "has another partner", "stays out late/partying", "refuses to cook or clean", "overspends", and/or "he doesn't have access to her cellphone". Descriptive analyses were carried for all the variables. Logistic regression was used to identify factors associated with these 10 respondent reasons, separately and in combination.
The overall prevalence of women's attitudes justifying IPV against women if there was a 'yes' response to any of the 10 reasons was 17.9% (95%CI: 16.6-19.3%), and varied from 2.7% if she "goes out without telling him", "burns the food", or "overspends" to 10.0% if she "has another partner". This prevalence ranged from 10.2% in urban areas to 19.3% in rural areas (p<0.001), and from 16.1% in coastal to 30.1% in interior areas (p<0.001). Similarly, 25.9% of women from the poorest household agreed that a husband has the right in beating his wife for any of the 10 reasons compared to 11.6% of the richest women (11.6%) (p<0.001). Rural place of residence, ethnicity, geographic region, level of education, wealth quintile, ever used of a computer, and frequency of listening to the radio were significant factors associated with women's attitudes justifying IPV against women (p<0.05).
Over one-sixth of the respondents agreed that a husband was justified in committing IPV against women in Guyana. Public health programs focusing on geographic locations, ethnicity, and economic status must be implemented to change attitudes justifying IPV and reduce this significant public health challenge.
评估圭亚那女性对亲密伴侣暴力（IPV）的态度。
我们使用了 2019 年在圭亚那进行的公开的多指标类集调查（MICS）的国家数据，该调查对象为 15 至 49 岁的女性。分析了同意丈夫打妻子是合理的女性的比例。受访者的理由包括：“不告诉他就出门”、“忽视孩子”、“与他争吵”、“拒绝与他发生性关系”、“把食物烧焦”、“有另一个伴侣”、“深夜外出/聚会”、“拒绝做饭或打扫卫生”、“超支”以及/或者“他无法使用她的手机”。对所有变量进行了描述性分析。使用逻辑回归分别和组合分析了与这 10 个受访者理由相关的因素。
如果对这 10 个理由中的任何一个回答“是”，那么女性对 IPV 的态度的总比例为 17.9%（95%置信区间：16.6-19.3%），从“不告诉他就出门”、“把食物烧焦”或“超支”的 2.7%到“有另一个伴侣”的 10.0%不等。这一比例从城市地区的 10.2%到农村地区的 19.3%不等（p<0.001），从沿海地区的 16.1%到内陆地区的 30.1%不等（p<0.001）。同样，在最贫困家庭中，有 25.9%的女性同意丈夫有权利因为这 10 个理由中的任何一个打妻子，而最富有家庭中只有 11.6%的女性（p<0.001）。农村居住地、族裔、地理位置、教育水平、财富五分位数、是否使用过计算机以及听广播的频率是与女性对 IPV 的态度相关的重要因素（p<0.05）。
超过六分之一的受访者同意丈夫在圭亚那对妻子实施 IPV 是合理的。必须实施针对地理位置、族裔和经济地位的公共卫生计划，以改变对 IPV 的态度，并减少这一重大公共卫生挑战。
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