Couples data from north-western Tanzania: Insights from a survey of male partners of women enrolled in the MAISHA cluster randomized trial of an intimate partner violence prevention intervention.
Couples data from north-western Tanzania: Insights from a survey of male partners of women enrolled in the MAISHA cluster randomized trial of an intimate partner violence prevention intervention.
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DOI：
10.1371/journal.pone.0240112
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发表时间：
2020
期刊：
影响因子：
3.7
通讯作者：
Harvey S
中科院分区：
文献类型：
--
作者：
Abramsky T;Kapinga I;Mshana G;Lees S;Hansen CH;Hashim R;Stöckl H;Kapiga S;Harvey S
在全球范围内，大约30%的曾经有过伴侣的妇女在其一生中经历过身体和/或性亲密伴侣暴力。迄今为止，大多数关于IPV的原因和预防的研究涉及对妇女的调查，很少研究男性犯罪的风险因素。本文介绍了一项调查的男性伴侣的妇女参加MAISHA集群随机试验（CRT）的IPV预防干预，在姆万扎市，坦桑尼亚。使用链接的夫妇的数据，我们探讨了男性，女性和关系/家庭层面的因素与身体和性IPV。在基线和29个月随访时对女性进行了采访。在随访中，女性被要求同意邀请他们的伴侣参加男性调查。我们描述了妇女的后续行动和男性合作伙伴的调查的响应率，并确定与妇女的同意接近合作伙伴的因素。采用多因素Logistic回归分析探讨与女性过去一年的身体和性IPV经历相关的因素。512名（65%）有伴侣的妇女同意接近伴侣，干预组高于对照组。对425名（83%）男性伴侣进行了访谈。同意的女性不成比例地可能处于长期关系中。过去一年的IPV与较低的同意在控制妇女，但更大的同意在干预arm. Factors相关的物理IPV的几率增加是妇女的童年经历的虐待，年轻的年龄，妇女的低收入和妇女的态度证明IPV。性IPV与女性的童年虐待经历，年轻，夫妇之间的教育差距，男性的饮酒和女性的心理健康状况差。在女性试验参与者的完全同意下，我们成功地对男性伴侣进行了调查。与IPV相关的因素的广度表明，IPV预防干预措施需要与妇女和男子，特别是夫妇一起工作。干预措施应解决身体和性IPV的风险因素。
Globally, around 30% of ever-partnered women have experienced physical and/or sexual intimate partner violence (IPV) during their lifetime. To date, most research into causes and prevention of IPV involves surveys of women, with little research into risk-factors for male perpetration. This paper describes a survey of male partners of women participating in the MAISHA cluster randomised trial (CRT) of an IPV prevention intervention, in Mwanza City, Tanzania. Using linked couples’ data, we explore man-, woman-, and relationship-/household-level factors associated with physical and sexual IPV. Women were interviewed at baseline and 29-months follow-up. At follow-up, women were asked for consent to invite their partner to participate in the male survey. We describe response rates for the women’s follow-up and male partners’ surveys, and identify factors associated with women’s consent to approach partners. Multivariate logistic regression was used to explore factors associated with women’s past-year experiences of physical and sexual IPV. 512 (65%) partnered women consented for the partner to be approached, higher among intervention than control women. 425 (83%) male partners were interviewed. Women consenting were disproportionately likely to be in longer-term relationships. Past-year IPV was associated with lower consent among control women, but greater consent in the intervention arm. Factors associated with increased odds of physical IPV were women’s childhood experiences of abuse, young age, women’s lower income and women’s attitudes justifying IPV. Sexual IPV was associated with women’s childhood experiences of abuse, young age, educational disparity within couple, men’s alcohol use and women’s poor mental health. We successfully conducted a survey of male partners with the full consent of women trial participants. The breadth of factors associated with IPV demonstrates the need for IPV prevention interventions to work with women and men, and specifically couples. Interventions should address risk-factors for both physical and sexual IPV.
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