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。