Sex disparities in attitudes towards intimate partner violence against women in sub-Saharan Africa: a socio-ecological analysis

Sex disparities in attitudes towards intimate partner violence against women in sub-Saharan Africa: a socio-ecological analysis
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DOI:
10.1186/1471-2458-10-223
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发表时间:
2010-04-29
期刊:
影响因子:
4.5
通讯作者:
Moradi, Tahereh
Moradi, Tahereh
中科院分区:
医学2区
文献类型:
--
作者:
Uthman, Olalekan A.;Lawoko, Stephen;Moradi, Tahereh

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背景:对亲密伴侣暴力侵害妇女(IPVAW)的态度被认为是IPVAW的重要预测因素之一。在这项研究中,我们从个人层面的变量出发,检验了社会层面的衡量标准与性别对IPVAW的态度差异之间的关系。方法:我们使用元分析方法综合了2003至2007年间对撒哈拉以南非洲17个国家进行的人口与健康调查(DHS)的最新数据集的结果。计算了所有国家/地区的合并优势比(OR)和95%可信区间(CI)。结果:女性殴打妻子的正当性是男性的两倍(合并OR=1.97;95%CI为1.53~2.53),差异有统计学意义。在每个国家,随着实行一夫多妻制的男子比例的增加,对IPVAW的态度上的性别差异的程度也增加了。此外,随着成年男女识字率、性别发展指数、国内生产总值和人类发展指数的增加,对IPVAW态度的性别差异程度单调下降。结论:这一荟萃分析提供了证据,表明在撒哈拉以南非洲,女性比男性更有可能证明IPVAW是合理的。我们的结果显示,国家的社会经济因素可能与对IPVAW的态度的性别差异有关。
Background: Attitudes towards intimate partner violence against women (IPVAW) has been suggested as one of the prominent predictor of IPVAW. In this study, we take a step back from individual-level variables and examine relationship between societal-level measures and sex differences in attitudes towards IPVAW.Methods: We used meta-analytic procedure to synthesize the results of most recent data sets available from Demographic and Health Survey (DHS) of 17 countries in sub-Saharan Africa conducted between 2003 and 2007. Pooled odds ratio (OR) and 95% confidence intervals (CI) were computed for all countries. Test of heterogeneity, sensitivity analysis, and meta-regression were also carried out.Results: Women were twice as likely to justify wife beating than men (pooled OR = 1.97; 95% CI 1.53-2.53) with statistically significant heterogeneity. The magnitude in sex disparities in attitudes towards IPVAW increased with increasing percentage of men practicing polygamy in each country. Furthermore, magnitude in sex disparities in attitudes towards IPVAW decreased monotonically with increasing adult male and female literacy rate, gender development index, gross domestic product and human development index.Conclusion: This meta-analysis has provided evidence that women were more likely to justify IPVAW than men in sub-Saharan Africa. Our results revealed that country's socio-economic factors may be associated with sex differential in attitudes towards IPVAW.