Agde Zeleke Dutamo, Magnus Jeanette H, Assefa Nega, Wordofa Muluemebet Abera
Department of Population and Family Health, Institute of Health, Jimma University, Jimma, Ethiopia.
Department of Reproductive Health, College of Medicine and Health Sciences, Wachemo University, Hosaina, Ethiopia.
Front Public Health. 2024 Nov 20;12:1467299. doi: 10.3389/fpubh.2024.1467299. eCollection 2024.
Intimate partner violence (IPV) continues to be a major public health issue in Ethiopia. Studies have shown that knowledge and attitudes play a crucial role in predicting IPV. There is a lack of comprehensive evidence on the extent and factors associated with knowledge and attitudes toward IPV in many developing countries, particularly in rural Ethiopia. The objective of this study was to assess the level of knowledge and attitudes toward IPV and associated factors among couples in Central Ethiopia.
A baseline survey involving 432 couples (432 pregnant women and 432 husbands) was conducted in July, 2023, in Hadiya Zone, Central Ethiopia. Data were collected using face-to-face interviewer-administered questionnaires. Multivariable logistic regression analysis was performed, and adjusted odds ratios with 95% confidence intervals were reported.
The findings revealed that 53.0% of women and 58.4% of men had good knowledge of IPV, while 56.0% of women and 65.6% of men held supportive attitudes toward IPV. Women's knowledge of IPV was significantly associated with age (25-34 years), educational attainment (secondary and higher/college education), antenatal care (ANC) visits, and husbands' alcohol consumption. Men's knowledge of IPV was associated with age at marriage <20, educational attainment (secondary and college/ higher education), monogamous marriage, and alcohol consumption. Predictors of women's attitudes toward IPV included marrying before the age of 20, partner smoking, and poor knowledge of IPV. Moreover, predictors of men's attitudes toward IPV included younger age (15-24), monogamous marriage, alcohol consumption, and poor knowledge of IPV.
The study found that more than half of couples had good knowledge of IPV, with a notable percentage also holding supportive attitudes toward it. Enhancing women's education, changing attitudes, ANC visits, and addressing male substance use would help in increasing couples' awareness of IPV and its consequences.
亲密伴侣暴力（IPV）仍是埃塞俄比亚的一个主要公共卫生问题。研究表明，知识和态度在预测亲密伴侣暴力方面起着关键作用。在许多发展中国家，尤其是埃塞俄比亚农村地区，缺乏关于亲密伴侣暴力知识和态度的程度及相关因素的全面证据。本研究的目的是评估埃塞俄比亚中部夫妇对亲密伴侣暴力的知识水平和态度以及相关因素。
2023年7月，在埃塞俄比亚中部的哈迪亚地区对432对夫妇（432名孕妇和432名丈夫）进行了基线调查。通过面对面访谈由调查员管理问卷来收集数据。进行了多变量逻辑回归分析，并报告了调整后的优势比及95%置信区间。
研究结果显示，53.0%的女性和58.4%的男性对亲密伴侣暴力有良好的认知，而56.0%的女性和65.6%的男性对亲密伴侣暴力持支持态度。女性对亲密伴侣暴力的认知与年龄（25 - 34岁）、教育程度（中等及高中/大专学历）、产前检查（ANC）次数以及丈夫饮酒情况显著相关。男性对亲密伴侣暴力的认知与结婚年龄<20岁、教育程度（中等及大专/高中学历）、一夫一妻制婚姻以及饮酒情况有关。女性对亲密伴侣暴力态度的预测因素包括20岁之前结婚、伴侣吸烟以及对亲密伴侣暴力的认知不足。此外，男性对亲密伴侣暴力态度的预测因素包括年龄较小（15 - 24岁）、一夫一妻制婚姻、饮酒以及对亲密伴侣暴力的认知不足。
研究发现，超过一半的夫妇对亲密伴侣暴力有良好的认知，且有相当比例的人对其持支持态度。提高女性教育水平、改变态度、增加产前检查次数以及解决男性物质使用问题将有助于提高夫妇对亲密伴侣暴力及其后果的认识。
