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基于近期人口与健康调查数据的东非遭受亲密伴侣暴力妇女的求助行为及决定因素:一项多层次分析

Help-seeking behaviors and determinant factors among women exposed to intimate partner violence in East Africa based on recent demographic and health survey data: a multilevel analysis.

作者信息

Melkam Mamaru, Asnake Angwach Abrham, Mekuria Negussie Yohannes, Bezie Meklit Melaku, Asmare Zufan Alamrie, Asebe Hiwot Altaye, Seifu Beminate Lemma, Fente Bezawit Melak

机构信息

Department of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.

Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Wolaita Sodo University, Wolaita Sodo, Ethiopia.

出版信息

Front Psychiatry. 2024 Sep 26;15:1402704. doi: 10.3389/fpsyt.2024.1402704. eCollection 2024.

DOI:10.3389/fpsyt.2024.1402704
PMID:39391082
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11464300/
Abstract

INTRODUCTION

Human rights violations and violence against women are serious public health issues that have numerous detrimental repercussions on one's physical, emotional, sexual, and reproductive health. According to studies, women's perceptions and traits of violence are highly predictive of their likelihood of seeking help against violence. Even though intimate partner violence is a huge challenge nowadays in Africa, there is a low level of help-seeking behavior. Conducting this study at the East African level on help-seeking behavior can provide a clue for policy-makers. Therefore, this study aimed to reveal the prevalence of help-seeking behavior against intimate partner violence and determinant factors among women in East Africa.

METHOD

Multilevel logistic regression analysis was carried out among East Africans using recent demographic and health survey data. A total of 7,387 participants aged 15 to 49 years were included in this study from East African countries. Individual- and community-level variables were considered to determine the associated factors with help-seeking behaviors against intimate partner violence with 95% CI and AOR.

RESULTS

The prevalence of help-seeking behavior against intimate partner violence among women was 38.07% with 95% CI (36.96%, 39.18%). Husbands drink alcohol [AOR = 1.46: 95% CI (1.33, 1.61)], women who have work [AOR = 1.33: 95% CI (1.19, 1.50)], and women with higher educational status [AOR = 1.36: 95% CI (1.16, 1.59)] were factors associated with help-seeking behavior against intimate partner violence.

CONCLUSION

Approximately four out of 10 women were seeking help for intimate partner violence in East Africa. Husbands drinking alcohol, women's high educational status, and women having occupations were the factors that were associated with help-seeking behaviors against intimate partner violence.

摘要

引言

侵犯人权和针对妇女的暴力行为是严重的公共卫生问题,会对人的身体、情感、性健康和生殖健康产生诸多不利影响。研究表明,女性对暴力的认知和特征能高度预测她们寻求反暴力帮助的可能性。尽管如今在非洲,亲密伴侣暴力是一个巨大挑战,但寻求帮助的行为水平较低。在东非地区开展这项关于寻求帮助行为的研究可为政策制定者提供线索。因此,本研究旨在揭示东非地区妇女针对亲密伴侣暴力寻求帮助行为的患病率及决定因素。

方法

利用近期的人口与健康调查数据,对东非人进行多水平逻辑回归分析。本研究纳入了来自东非国家的7387名年龄在15至49岁的参与者。考虑个体和社区层面的变量,以确定与针对亲密伴侣暴力寻求帮助行为相关的因素,并计算95%置信区间和调整后的比值比。

结果

女性针对亲密伴侣暴力寻求帮助行为的患病率为38.07%,95%置信区间为(36.96%,39.18%)。丈夫饮酒[AOR = 1.46:95%置信区间(1.33,1.61)]、有工作的女性[AOR = 1.33:95%置信区间(1.19,1.50)]以及教育程度较高的女性[AOR = 1.36:95%置信区间(1.16,1.59)]是与针对亲密伴侣暴力寻求帮助行为相关的因素。

结论

在东非,约十分之四的女性会为亲密伴侣暴力寻求帮助。丈夫饮酒、女性的高教育程度以及有职业是与针对亲密伴侣暴力寻求帮助行为相关的因素。

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本文引用的文献

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PLoS One. 2023 Oct 5;18(10):e0291913. doi: 10.1371/journal.pone.0291913. eCollection 2023.
2
Multilevel analysis of intimate partner violence and associated factors among pregnant women in East Africa: Evidence from recent (2012-2018) demographic and health surveys.东非孕妇亲密伴侣暴力行为及其相关因素的多水平分析:基于近期(2012 - 2018年)人口与健康调查的证据
Arch Public Health. 2023 Apr 23;81(1):67. doi: 10.1186/s13690-023-01065-8.
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Magnitude and determinants of intimate partner violence against women in East Africa: multilevel analysis of recent demographic and health survey.东非地区针对妇女的亲密伴侣暴力的程度和决定因素:近期人口与健康调查的多层次分析。
BMC Womens Health. 2022 Mar 17;22(1):74. doi: 10.1186/s12905-022-01656-7.
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Individual and community-level risk factors of women's acceptance of intimate partner violence in Ethiopia: multilevel analysis of 2011 Ethiopian Demographic Health Survey.埃塞俄比亚女性接受亲密伴侣暴力的个体和社区层面风险因素:2011 年埃塞俄比亚人口健康调查的多水平分析。
BMC Womens Health. 2021 Aug 4;21(1):283. doi: 10.1186/s12905-021-01427-w.
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Geographic variation and determinants of help seeking behaviour among married women subjected to intimate partner violence: evidence from national population survey.遭受亲密伴侣暴力的已婚妇女寻求帮助行为的地理差异及决定因素:来自全国人口调查的证据
Int J Equity Health. 2021 Jan 6;20(1):13. doi: 10.1186/s12939-020-01355-5.
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Prevalence and Risk Factors for Women's Reports of Past-Year Intimate Partner Violence: A Comparative Analysis of Six East African National Surveys.过去一年女性亲密伴侣暴力报告的患病率及风险因素:六项东非国家调查的比较分析
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Gender Inequality and the Sexual and Reproductive Health Status of Young and Older Women in the Afar Region of Ethiopia.埃塞俄比亚阿法尔地区的性别不平等与青年和老年女性的性与生殖健康状况
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Prevalence of intimate partner violence against women and associated factors in Ethiopia.埃塞俄比亚针对妇女的亲密伴侣暴力行为的患病率及相关因素
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Gender Based Violence against Women in Sub-Saharan Africa: A Systematic Review and Meta-Analysis of Cross-Sectional Studies.撒哈拉以南非洲地区针对妇女的基于性别的暴力:横断面研究的系统评价和荟萃分析。
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