Aboagye Richard Gyan, Dzirasah King David, Essuman Mainprice Akuoko, Adnani Qorinah Estiningtyas Sakilah, Ahinkorah Bright Opoku
Department of Family and Community Health, Fred N. Binka School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
Department of Population and Health, University of Cape Coast, Cape Coast, Ghana.
BMC Womens Health. 2025 Aug 2;25(1):382. doi: 10.1186/s12905-025-03902-0.
BACKGROUND: Sub-Saharan Africa is noted for its high prevalence of intimate partner violence (IPV), affecting approximately 33% of women over their lifetime. However, little research has focused on the association between women’s experience of controlling behaviour and IPV. This study investigates the controlling behaviours exhibited by partners and their association with IPV among women in sub-Saharan Africa. METHODS: We performed a cross-sectional analysis of secondary data obtained from nineteen Demographic and Health Surveys in sub-Saharan Africa conducted from 2015 to 2021, using a weighted sample of 85,166 women in sexual unions. Multivariate logistic regression analyses were used to examine the association between controlling behaviour and past-year experience of IPV against women. RESULTS: The pooled prevalence of physical violence, emotional violence, sexual violence, and any IPV was 18.0% (17.5–18.5), 24.3% (23.8–24.9), 8.9% (8.6–9.2), and 32.1% (31.5–32.6), respectively. Regarding partner controlling behaviour, the prevalence of low, moderate, and high levels was 42.1%, 29.0%, and 28.9%, respectively. The odds of experiencing physical violence were higher among women who experienced medium [adjusted odds ratio (aOR) = 2.31; 95% confidence interval (CI) = 2.13–2.51] and high [aOR = 5.45; 95% CI = 5.04–5.89] levels of controlling behaviour. Also, women who experienced medium [aOR = 2.90; 95% CI = 2.70–3.11] and high [aOR = 6.96; 95% CI = 6.49-7.46] levels of controlling behaviour had higher odds of experiencing emotional violence compared to those who encountered low controlling behaviour. Similarly, women who experienced medium [aOR = 2.00; 95% CI = 1.81–2.22] and high [aOR = 5.01; 95% CI = 4.58–5.47] partner controlling behaviour had higher odds of sexual violence relative to those who were subjected to low controlling behaviour. Additionally, the likelihood of experiencing any IPV was higher among women who were subjected to medium [aOR = 2.61; 95% CI = 2.46–2.78] and high [aOR = 6.20; 95% CI = 5.82–6.60] levels of controlling behaviours relative to those who encountered low controlling behaviours. CONCLUSION: Our study has shown that women’s experience of an act or form of controlling behaviour is associated with their subsequent experience of IPV. To reduce IPV among women in sub-Saharan Africa, policymakers and stakeholders must implement proactive measures that address various forms of controlling behaviours. Women and girls should be empowered to recognize and respond to any form of controlling behaviour in their intimate relationships, as it may later influence their experience of IPV. Existing policies and legislation on IPV should include and prioritise coercive controls as forms of abuse within relationships. Additionally, acts demonstrating controlling behaviours should be incorporated into IPV screening tools to help identify those at risk of experiencing coercive controls.
背景:撒哈拉以南非洲地区因亲密伴侣暴力(IPV)高发而闻名,约33%的女性在其一生中会受到影响。然而,很少有研究关注女性所经历的控制行为与亲密伴侣暴力之间的关联。本研究调查了撒哈拉以南非洲地区女性伴侣表现出的控制行为及其与亲密伴侣暴力的关联。 方法:我们对2015年至2021年在撒哈拉以南非洲地区进行的19次人口与健康调查所获得的二手数据进行了横断面分析,使用了85166名处于性结合关系中的女性的加权样本。采用多变量逻辑回归分析来检验控制行为与过去一年中针对女性的亲密伴侣暴力经历之间的关联。 结果:身体暴力、情感暴力、性暴力以及任何形式的亲密伴侣暴力的合并患病率分别为18.0%(17.5 - 18.5)、24.3%(23.8 - 24.9)、8.9%(8.6 - 9.2)和32.1%(31.5 - 32.6)。关于伴侣的控制行为,低、中、高水平的患病率分别为42.1%、29.0%和28.9%。经历中等程度[调整后的优势比(aOR)= 2.31;95%置信区间(CI)= 2.13 - 2.51]和高度[ aOR = 5.45;95% CI = 5.04 - 5.89]控制行为的女性遭受身体暴力的几率更高。此外,经历中等程度[ aOR = 2.90;95% CI = 2.70 - 3.11]和高度[ aOR = 6.96;95% CI = 6.49 - 7.46]控制行为的女性与经历低水平控制行为的女性相比,遭受情感暴力的几率更高。同样,经历中等程度[ aOR = 2.00;95% CI = 1.81 - 2.22]和高度[ aOR = 5.01;95% CI = 4.58 - 5.47]伴侣控制行为的女性与遭受低水平控制行为的女性相比,遭受性暴力的几率更高。此外,遭受中等程度[ aOR = 2.61;95% CI = 2.46 - 2.78]和高度[ aOR = 6.20;95% CI = 5.82 - 6.60]控制行为的女性与经历低水平控制行为的女性相比,经历任何形式亲密伴侣暴力的可能性更高。 结论:我们的研究表明,女性所经历的某种行为或控制行为形式与其随后的亲密伴侣暴力经历相关。为减少撒哈拉以南非洲地区女性的亲密伴侣暴力,政策制定者和利益相关者必须采取积极措施来应对各种形式的控制行为。应赋予妇女和女孩权力,使其能够认识并应对亲密关系中任何形式的控制行为,因为这可能会影响她们随后遭受亲密伴侣暴力的经历。现有的关于亲密伴侣暴力的政策和立法应将强制性控制作为关系内的虐待形式纳入并予以优先考虑。此外,表现出控制行为的行为应纳入亲密伴侣暴力筛查工具,以帮助识别有遭受强制性控制风险的人群。
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