Williams Anaise, Heise Lori, Perrin Nancy, Stuart Colleen, Decker Michele R
Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Prevention Collaborative, Antigua, Guatemala.
Glob Health Res Policy. 2024 Dec 26;9(1):53. doi: 10.1186/s41256-024-00399-2.
Women's economic empowerment (WEE) is believed to reduce the risk of intimate partner violence (IPV), yet the relationship between WEE and IPV has proven to be highly variable. Little attention has been given to how the normative WEE environment may influence this relationship across different settings. This study tests whether IPV is associated with Vanguard WEE, defined as individual economic participation that deviates from community norms.
This cross-sectional study draws on Demographic and Health Surveys conducted in 44 low- and middle-income countries. The analytic sample was partnered women who participated in the domestic violence module, living in communities with sufficient data to construct WEE norms (n = 186,968). The relationship between Vanguard WEE-measured by the number of WEE activities a woman engaged in that were non-normative in her community-and the incidence of past-year physical IPV, sexual IPV, and partner control was evaluated using a mixed-effects multilevel logistic model. The study also explored interactions between Vanguard WEE and household wealth.
Women who did not deviate from the community norm had an adjusted probability of 0.15 for experiencing physical IPV in the past year. However, this probability increased to 0.17 (marginal effect (ME): 0.014; 95% CI 0.007,0.021), 0.17 (ME: 0.020; 95% CI 0.010,0.030), and 0.19 (ME: 0.037; 95% CI 0.022,0.051) for women with one, two, and three or more vanguard WEE items, respectively. Physical IPV associated with vanguard WEE was higher among poorer women (p = 0.021). Additionally, the probability of past-year sexual IPV and current partner control increased from 0.05 to 0.08 (p < 0.001) and from 0.38 to 0.44 (p < 0.001), respectively, for women with three or more vanguard WEE items.
The study provides evidence of partner backlash in the form of IPV among vanguard women-those whose economic activities contradicted local norms. Programs designed to economically empower women in contexts where such participation is non-normative should include mechanisms to monitor and mitigate potential backlash.
女性经济赋权(WEE)被认为可以降低亲密伴侣暴力(IPV)的风险,但事实证明,WEE与IPV之间的关系存在很大差异。对于规范性的WEE环境如何在不同环境中影响这种关系,人们关注甚少。本研究检验IPV是否与先锋型WEE相关,先锋型WEE定义为偏离社区规范的个人经济参与。
这项横断面研究利用了在44个低收入和中等收入国家进行的人口与健康调查。分析样本为参与家庭暴力模块调查的已婚女性,她们生活在有足够数据来构建WEE规范的社区中(n = 186,968)。通过女性参与的在其社区中不规范的WEE活动数量来衡量先锋型WEE,并使用混合效应多级逻辑模型评估其与过去一年身体暴力型IPV、性暴力型IPV及伴侣控制发生率之间的关系。该研究还探讨了先锋型WEE与家庭财富之间的相互作用。
未偏离社区规范的女性在过去一年遭受身体暴力型IPV的调整后概率为0.15。然而,对于有一项、两项以及三项或更多先锋型WEE项目的女性,这一概率分别增至0.17(边际效应(ME):0.014;95%置信区间0.007,0.021)、0.17(ME:0.020;95%置信区间0.010,0.030)和0.19(ME:0.037;95%置信区间0.022,0.051)。在较贫困女性中,与先锋型WEE相关的身体暴力型IPV发生率更高(p = 0.021)。此外,对于有三项或更多先锋型WEE项目的女性,过去一年性暴力型IPV的概率从0.05增至0.08(p < 0.001),当前伴侣控制的概率从0.38增至0.44(p < 0.001)。
该研究证明了先锋型女性(即经济活动与当地规范相悖的女性)会遭受以IPV形式出现的伴侣反击。在经济参与不规范的背景下旨在增强女性经济权能的项目应包括监测和减轻潜在反击的机制。