尼日利亚伊巴丹城市贫民窟和非贫民窟社区年轻女性的亲密伴侣暴力与生活质量
Intimate partner violence and quality of life of young women in urban slum and non-slum communities, Ibadan, Nigeria.
作者信息
Okedare Omowumi O, Salawu Mobolaji M, Fawole Olufunmilayo I
机构信息
Department of Epidemiology and Medical Statistics, Faculty of Public Health, University of Ibadan, Oyo state, Nigeria.
出版信息
BMC Public Health. 2025 Mar 29;25(1):1199. doi: 10.1186/s12889-025-22385-0.
BACKGROUND
Intimate partner violence (IPV) is a prevalent public health problem and a significant contributor to morbidity and mortality among women and girls. IPV significantly interferes with individual's quality of life (QoL). This study examined and compared the relationship between experience of IPV and QoL of young women in urban slums and non-slums communities of Ibadan, Nigeria.
METHODS
The study was conducted in the five Local Government Areas (LGAs) of Ibadan municipal, Oyo State, and employed a cross-sectional design. The study population were 1,050 young women aged between 18 and 24 years, who had ever been or currently was in a relationship. Data were collected using semi-structured and close-ended 97-items questionnaire, adapted from standardized instruments of the WHO VAW study (WHO, 2013) and WHOQOL BREF. Data were analysed using STATA 16. hierarchical multiple regression model was used to describe relationship between the outcome and independent variables.
RESULTS
The age (21.0 ± 2.1 years) of respondents was the same in both communities. Prevalence of physical (31.4%, 13.4%), psychological (58.6%, 31.5%) and sexual IPV (37.1%, 18.3%) were (p < 0.05) higher in the slums than non-slums, respectively. Overall QoL score was lower among IPV victims than non-victims in both non-slum (67.3 ± 23.4; 72.2 ± 19.8) and slum communities (67.3 ± 23.1 versus 72.4 ± 21.1). Physical and psychological QoL scores were lower (p < 0.05) among IPV victims in both settings. The predictors of overall QoL were experience of any IPV, perceived social support, partner's age, while experience of sexual IPV and partner's age were predictors of psychological QoL. Lastly, the predictors of physical QoL were experience at sexual debut and perceived social support.
CONCLUSION
Experience of IPV was common in both communities, with a consequential reduction in the QoL of young women. Measures to improve the QoL of young women need to target reduction of IPV and available social support in both settings.
背景
亲密伴侣暴力（IPV）是一个普遍存在的公共卫生问题，也是导致妇女和女孩发病和死亡的重要因素。亲密伴侣暴力严重干扰个人生活质量（QoL）。本研究调查并比较了尼日利亚伊巴丹城市贫民窟和非贫民窟社区年轻女性的亲密伴侣暴力经历与生活质量之间的关系。
方法
该研究在奥约州伊巴丹市的五个地方政府辖区（LGAs）进行，采用横断面设计。研究对象为1050名年龄在18至24岁之间、曾经或目前处于恋爱关系中的年轻女性。数据通过改编自世界卫生组织暴力侵害妇女问题研究（世界卫生组织，2013年）和世界卫生组织生活质量简表（WHOQOL BREF）的标准化工具的半结构化和封闭式97项问卷收集。数据使用STATA 16进行分析。分层多元回归模型用于描述结果变量与自变量之间的关系。
结果
两个社区受访者的年龄（21.0±2.1岁）相同。贫民窟身体暴力（31.4%，13.4%）、心理暴力（58.6%，31.5%）和性暴力（37.1%，18.3%）的发生率分别高于非贫民窟（p<0.05）。在非贫民窟（67.3±23.4；72.2±19.8）和贫民窟社区，亲密伴侣暴力受害者的总体生活质量得分均低于非受害者（67.3±23.1对72.4±21.1）。在两种环境下，亲密伴侣暴力受害者的身体和心理生活质量得分均较低（p<0.05）。总体生活质量的预测因素是任何亲密伴侣暴力经历、感知到的社会支持、伴侣年龄，而性暴力经历和伴侣年龄是心理生活质量的预测因素。最后，身体生活质量的预测因素是初次性行为经历和感知到的社会支持。
结论
亲密伴侣暴力经历在两个社区都很常见，导致年轻女性的生活质量下降。改善年轻女性生活质量的措施需要针对减少亲密伴侣暴力和两种环境下现有的社会支持。
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