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将亲密伴侣暴力规范的误解作为个人亲密伴侣暴力态度和实施行为的驱动因素:乌干达农村男性的一项基于人群的研究。

Misperception of Norms About Intimate Partner Violence as a Driver of Personal IPV Attitudes and Perpetration: A Population-Based Study of Men in Rural Uganda.

作者信息

Perkins Jessica M, Nyakato Viola, Kakuhikire Bernard, Sriken Julie, Schember Cassandra O, Baguma Charles, Namara Elizabeth B, Ahereza Phionah, Ninsiima Immaculate, Comfort Alison B, Audet Carolyn M, Tsai Alexander C

机构信息

Vanderbilt University, Nashville, TN, USA.

Vanderbilt University Medical Center, Nashville, TN, USA.

出版信息

J Interpers Violence. 2025 Feb;40(3-4):803-827. doi: 10.1177/08862605241254143. Epub 2024 Jun 6.

Abstract

Intimate partner violence (IPV) against women is a global public health problem. Conceptual frameworks suggest misperceived norms around IPV might drive perpetration of violence against women in southern and eastern Africa. We conducted a cross-sectional, population-based survey of all men residing in a rural parish in southwest Uganda, eliciting their endorsement of IPV in five hypothetical scenarios and their reported frequency of perpetration of violence against their wife/main partner. They also reported their perceptions about the extent to which most other men in their villages endorsed and/or perpetrated IPV, which we compared against the population data to measure the primary explanatory variable of interest: whether individuals misperceived norms around IPV. We fitted multivariable Poisson regression models specifying personal IPV endorsement and IPV perpetration as the outcomes. Overall, 765 men participated in the study (90% response rate): 182 (24%) personally endorsed IPV, and 78 of 456 partnered men (17%) reported perpetrating one or more acts of IPV at least once per month. Although most men neither endorsed nor reported perpetrating IPV, 342 (45%) men mistakenly thought that most other men in their villages endorsed IPV and 365 (48%) men mistakenly thought that most other men perpetrate IPV at least monthly. In multivariable regression models, men who misperceived most men to endorse IPV were more likely to endorse IPV themselves (adjusted relative risk [aRR] = 2.44; 95% CI [1.66, 3.59];  < .001). Among partnered men, those who misperceived IPV perpetration to be normative were more likely to perpetrate IPV themselves (aRR = 4.38; [2.53, 7.59];  < .001). Interventions to correct misperceived norms about IPV may be a promising method for reducing violence against women in rural Uganda.

摘要

针对妇女的亲密伴侣暴力行为是一个全球性的公共卫生问题。概念框架表明,围绕亲密伴侣暴力行为的错误认知规范可能会促使撒哈拉以南非洲地区针对妇女的暴力行为的发生。我们对居住在乌干达西南部一个乡村教区的所有男性进行了一项基于人群的横断面调查,了解他们在五种假设情景下对亲密伴侣暴力行为的认可程度以及他们报告的对妻子/主要伴侣实施暴力行为的频率。他们还报告了自己对所在村庄中大多数其他男性认可和/或实施亲密伴侣暴力行为程度的看法,我们将这些看法与总体数据进行比较,以衡量感兴趣的主要解释变量:个人是否对亲密伴侣暴力行为的规范存在错误认知。我们拟合了多变量泊松回归模型,将个人对亲密伴侣暴力行为的认可和实施亲密伴侣暴力行为作为结果变量。总体而言,765名男性参与了该研究(应答率为90%):182人(24%)个人认可亲密伴侣暴力行为,在456名有伴侣的男性中,78人(17%)报告每月至少实施一次或多次亲密伴侣暴力行为。尽管大多数男性既不认可也未报告实施亲密伴侣暴力行为,但342名男性(45%)错误地认为所在村庄中的大多数其他男性认可亲密伴侣暴力行为,365名男性(48%)错误地认为大多数其他男性每月至少实施一次亲密伴侣暴力行为。在多变量回归模型中,那些错误地认为大多数男性认可亲密伴侣暴力行为的男性自己更有可能认可亲密伴侣暴力行为(调整后相对风险[aRR]=2.44;95%置信区间[1.66, 3.59];P<0.001)。在有伴侣的男性中,那些错误地认为实施亲密伴侣暴力行为是正常现象的男性自己更有可能实施亲密伴侣暴力行为(aRR=4.38;[2.53, 7.59];P<0.001)。纠正对亲密伴侣暴力行为错误认知规范的干预措施可能是减少乌干达农村地区针对妇女暴力行为的一种有前景的方法。

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