Associations between wife-beating and fetal and infant death: Impressions from a survey in rural India

Associations between wife-beating and fetal and infant death: Impressions from a survey in rural India
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DOI:
10.2307/172276
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发表时间:
1998-09-01
影响因子:
2.1
通讯作者:
Jejeebhoy, SJ
Jejeebhoy, SJ
中科院分区:
医学2区
文献类型:
--
作者:
Jejeebhoy, SJ

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这份报告审查了殴打妻子与妇女的一个与健康有关的后果之间的联系,即她们经历的胎儿和婴儿死亡。基于社区的数据来自印度农村两个文化截然不同的地区的调查女性:北部的北方邦和南部的泰米尔纳德邦,在那里,性别关系高度分层,而在泰米尔纳德邦,性别关系更加平等。结果表明,殴打妻子的行为根深蒂固,人们的态度一致证明殴打妻子是正当的,很少有女性能逃脱虐待婚姻的惩罚。他们还指出,家庭暴力的健康后果--就怀孕损失和婴儿死亡率而言--是相当大的,印度妇女经历的婴儿和胎儿死亡在很大程度上受到父权社会制度力量的制约。由于数据的限制,结果是试探性的,但它们是一致的,足够强大,值得关注。他们主张在国家的初级或生殖健康方案中整合识别、转介和预防家庭暴力的服务,并主张安全孕产方案特别警惕、敏感和应对受虐妇女在怀孕和产后期间的情况。
This report examines the linkages between wife-beating and one health-related consequence for women, their experience of fetal and infant mortality. Community-based data are used drawn from women surveyed in two culturally distinct sites of rural India: Uttar Pradesh in the north, in which gender relations are highly stratified, and Tamil Nadu in the south, in which they are more egalitarian. Results suggest that wife-beating is deeply entrenched, that attitudes uniformly justify wife-beating and that few women can escape an abusive marriage. They also suggest that the health consequences of domestic violence-in terms of pregnancy loss and infant mortality-are considerable and that Indian women's experience of infant and fetal mortality is powerfully conditioned by the strength of the patriarchal social system. Results are tentative because of data limitations, but they are consistent and strong enough to warrant concern. They argue for the integration of services to identify, refer, and prevent domestic violence in the primary or reproductive health programs of the country and for the safe motherhood programs to be particularly vigilant, sensitive, and responsive to the conditions of battered women during pregnancy and the postpartum period.