埃塞俄比亚中部杰尔杜地区已婚女性中的亲密伴侣暴力及其相关因素：一项基于社区的混合横断面研究。
Intimate partner violence and its associated factors among married women at Jeldu district, Central Ethiopia: A community-based mixed cross-sectional study.
作者信息
Yadesa Geremew, Bala Elias Teferi, Kolola Tufa, Solbana Lencho Kajela
机构信息
West Shoa Zonal Health Department Oromia Health Bureau Oromia Ethiopia.
Department of Public Health, College of Medicine and Health Sciences Ambo University Ambo Ethiopia.
出版信息
Health Sci Rep. 2024 May 29;7(6):e2099. doi: 10.1002/hsr2.2099. eCollection 2024 Jun.
BACKGROUND AND AIMS
Intimate partner violence is a global threat, regardless of any religious, cultural, or economic differences. Few studies have been conducted before in rural areas of Ethiopia. Therefore, this study aimed to assess the prevalence and associated factors of intimate partner violence among married women in Jeldu district.
METHODS
A community-based mixed cross-sectional study was conducted among 620 married women in Jeldu district, west Ethiopia. A systematic random sampling technique was employed to select study participants. The quantitative data were checked and entered into Epidata and STATA version 15.0 for analysis. Univariate and multivariate logistic regression was used to identify the associated factors of intimate partner violence. The finding of the quantitative study was triangulated with the findings of focused group discussion.
RESULTS
Six hundred seven married women participated in the study making a response rate of 97.43%. The lifetime and past 12 months prevalence of intimate partner violence was 57.7% (95% confidence interval [CI]: 53.78%-61.62%) and 53.20% (95% CI: 49.28%-57.12%) respectively. Partner with lower education (adjusted odd ratio [AOR] = 3.64 (95% CI: 1.07-12.38), alcohol intake by partner (AOR = 1.92, 95% CI: 1.31-2.81), equal dominance on family affairs (AOR = 0.30, 95% CI: 0.18-0.51), and family size >5 (AOR = 4.54, 95% CI: 1.89-10.91) were factors significantly associated with intimate partner violence.
CONCLUSION
The prevalence of intimate partner violence was relatively higher among married women study area. Partner's lower educational status, alcohol intake of the partner, dominance on family issues, and family size were factors associated with intimate partner violence. So, gender offices, and district and regional educational sectors should design appropriate strategies and work hard to tackle the problem.
背景与目的
亲密伴侣暴力是一个全球性威胁，不受任何宗教、文化或经济差异的影响。此前在埃塞俄比亚农村地区开展的研究较少。因此，本研究旨在评估杰尔杜地区已婚妇女中亲密伴侣暴力的患病率及相关因素。
方法
在埃塞俄比亚西部杰尔杜地区的620名已婚妇女中开展了一项基于社区的混合横断面研究。采用系统随机抽样技术选取研究参与者。定量数据经检查后录入Epidata和STATA 15.0版本进行分析。采用单因素和多因素逻辑回归来确定亲密伴侣暴力的相关因素。定量研究的结果与焦点小组讨论的结果进行了三角互证。
结果
607名已婚妇女参与了研究，应答率为97.43%。亲密伴侣暴力的终生患病率和过去12个月患病率分别为57.7%（95%置信区间[CI]：53.78%-61.62%）和53.20%（95%CI：49.28%-57.12%）。伴侣教育程度较低（调整后的优势比[AOR]=3.64（95%CI：1.07-12.38））、伴侣饮酒（AOR=1.92，95%CI：1.31-2.81）、在家庭事务上的平等主导地位（AOR=0.30，95%CI：0.18-0.51）以及家庭规模>5（AOR=4.54，95%CI：1.89-10.91）是与亲密伴侣暴力显著相关的因素。
结论
在研究区域的已婚妇女中，亲密伴侣暴力的患病率相对较高。伴侣的低教育程度、伴侣饮酒、在家庭问题上的主导地位以及家庭规模是与亲密伴侣暴力相关的因素。因此，性别事务办公室以及地区和区域教育部门应制定适当策略并努力解决这一问题。
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