Luoga Pankras, Abihudi Siri A, Adam Jovinary, Mwakilasa Magreth Thadei
Department of Development Studies, Muhimbili University of Health and Allied Sciences, Box 65001, Dar es Salaam, Tanzania.
Institute of Traditional Medicine, Muhimbili University of Health and Allied Sciences, P. O. Box 65001, Dar es Salaam, Tanzania.
BMC Womens Health. 2025 May 19;25(1):235. doi: 10.1186/s12905-025-03760-w.
Intimate partner violence (IPV) remains a pervasive issue in Tanzania, impacting the physical, mental, and emotional well-being of women across the country. Despite the existence of legal frameworks aimed at protecting women's rights, IPV persists in Tanzania. Understanding the magnitude and factors associated with IPV among women provides valuable insights that can be used to shape policies and interventions targeted at preventing and addressing IPV in the country. However, there is a paucity of evidence on the prevalence and factors associated with IPV nationwide. Therefore, this study is timely for addressing this gap in Tanzania.
The study used a nationally representative secondary data that employed a cross-sectional design. Data for the current study were extracted from the 2022 Tanzania Demographic and Health Survey for women aged 15-49 years. A weighted sample of 4503 ever married or ever partnered women aged 15-49 years was used. The outcome variable was IPV status categorized into binary responses yes/no, while independent variables were socio-demographic and health related characteristics. Data were analysed using descriptive analysis, bivariable and multivariable logistic regression models. A threshold of p-value < 0.05 was used to determine statistically significant factor. The strength of the association was assessed using the adjusted odds ratio (aOR) along with its corresponding 95% confidence interval (CI).
The overall prevalence of IPV among women of reproductive age 15-49 years in Tanzania was 38.9%. The multivariable logistic regression results revealed that women who are working (aOR = 1.4,95%CI:1.2,1.7) and those whose husband/partner drinks alcohol (aOR = 2.9,95%CI: 2.4, 3.5) had higher odds of experiencing IPV compared to their counterparts. Conversely, protective factors include women's secondary and higher education level (aOR = 0.7,95%CI:0.5,0.9) and residing in the Southern zones (aOR = 0.4,95%CI:1.5,3.9).
The prevalence of IPV among women in Tanzania remains high compared to the global average of 30%. This was mostly associated with women's employment status, and women married/cohabiting with alcohol consumers. The government should implement community-based educational programs to raise awareness about IPV and dedicate more efforts like raising the tax on all alcoholic beverages to controlling alcohol consumption among men as a strategy to combat IPV in society.
亲密伴侣暴力(IPV)在坦桑尼亚仍然是一个普遍存在的问题,影响着全国妇女的身心健康。尽管存在旨在保护妇女权利的法律框架,但IPV在坦桑尼亚依然存在。了解妇女中IPV的严重程度及其相关因素,可为制定旨在预防和应对该国IPV的政策和干预措施提供宝贵见解。然而,关于全国范围内IPV的患病率及其相关因素的证据却很匮乏。因此,本研究对于填补坦桑尼亚的这一空白而言恰逢其时。
该研究使用了具有全国代表性的二手数据,并采用横断面设计。本研究的数据取自2022年坦桑尼亚15至49岁妇女的人口与健康调查。采用了4503名年龄在15至49岁之间曾结婚或有伴侣的妇女的加权样本。结果变量为IPV状况,分为“是/否”二元回答,而自变量为社会人口学和健康相关特征。数据采用描述性分析、双变量和多变量逻辑回归模型进行分析。使用p值<0.05的阈值来确定具有统计学意义的因素。使用调整后的比值比(aOR)及其相应的95%置信区间(CI)评估关联强度。
坦桑尼亚15至49岁育龄妇女中IPV的总体患病率为38.9%。多变量逻辑回归结果显示,与未工作的妇女相比,有工作的妇女(aOR = 1.4,95%CI:1.2,1.7)以及丈夫/伴侣饮酒的妇女(aOR = 2.9,95%CI:2.4,3.5)遭受IPV的几率更高。相反,保护因素包括妇女的中等和高等教育水平(aOR = 0.7,95%CI:0.5,0.9)以及居住在南部地区(aOR = 0.4,95%CI:1.5,3.9)。
与全球30%的平均水平相比,坦桑尼亚妇女中IPV的患病率仍然很高。这主要与妇女的就业状况以及与饮酒者结婚/同居的妇女有关。政府应实施基于社区的教育项目,以提高对IPV的认识,并加大力度,如提高所有酒精饮料的税收,以控制男性的酒精消费,作为打击社会中IPV的一项战略。