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柬埔寨亲密伴侣暴力的空间分布:2021 - 2022年人口与健康调查结果

Spatial distribution of intimate partner violence in Cambodia: results from the 2021-22 Demographic and Health Survey.

作者信息

Shaikh Masood Ali

机构信息

College of Medicine, Korea University, Seoul, Republic of Korea.

出版信息

Front Public Health. 2025 May 9;13:1509076. doi: 10.3389/fpubh.2025.1509076. eCollection 2025.

Abstract

BACKGROUND

Male-perpetrated Intimate Partner Violence (IPV) against women is recognized as a global public health and human rights issue. In Cambodia, the spatial aspects of IPV have not previously been explored.

METHODS

Using data from the latest Demographic and Health Survey (2021-22), an analysis of IPV's spatial distribution was conducted.

RESULTS

The analysis revealed clustering, with a Global Moran's I Index of 0.223079 and a statistically highly significant -value of <0.0001. Distinct hot and cold spots of IPV prevalence emerged, supported by kriging analysis. The southeastern part of Mondul Kiri province exhibited the highest IPV proportions, ranging from over 50 to 100%, while the western parts of Koh Kong and Preah Sihanouk provinces had the lowest IPV proportions, ranging from 0 to 5%. Large areas in the northern half of the country, as well as smaller regions in the southern provinces of Kampot, Takeo, Kandal, and Prey Veng, showed IPV prevalence proportions ranging from greater than 25 to 50%. In contrast, the lower half of the country had comparatively lower IPV prevalence, with proportions between greater than 5 and 25%.

CONCLUSION

The observed spatial clustering of IPV and the identification of high-prevalence areas, underscore the importance of incorporating spatial analysis into IPV research. These findings can guide geographically targeted public health policies and health education programs aimed at mitigating IPV in the most affected regions.

摘要

背景

男性对女性实施的亲密伴侣暴力(IPV)被公认为是一个全球公共卫生和人权问题。在柬埔寨,此前尚未对亲密伴侣暴力的空间方面进行过探索。

方法

利用最新的人口与健康调查(2021 - 22年)的数据,对亲密伴侣暴力的空间分布进行了分析。

结果

分析显示存在聚集现象,全局莫兰指数为0.223079,p值在统计学上极显著,小于0.0001。克里金分析支持了亲密伴侣暴力患病率明显的热点和冷点区域的出现。蒙多基里省东南部的亲密伴侣暴力比例最高,范围从50%以上到100%,而国公省和西哈努克省西部的亲密伴侣暴力比例最低,范围从0到5%。该国北部一半的大片地区,以及贡布、茶胶、干丹和磅湛等南部省份的较小区域,亲密伴侣暴力患病率范围从大于25%到50%。相比之下,该国下半部分的亲密伴侣暴力患病率相对较低,比例在大于5%到25%之间。

结论

观察到的亲密伴侣暴力空间聚集现象以及高患病率地区的确定,凸显了将空间分析纳入亲密伴侣暴力研究的重要性。这些发现可以指导针对地理位置的公共卫生政策和健康教育项目,旨在减轻受影响最严重地区的亲密伴侣暴力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ba9/12098268/65fa300ccc12/fpubh-13-1509076-g001.jpg

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