Intimate partner violence and social connection among married women in rural Bangladesh.
Intimate partner violence and social connection among married women in rural Bangladesh.
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DOI：
10.1136/jech-2020-214843
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发表时间：
2021-12
影响因子：
6.3
通讯作者：
Osypuk TL
中科院分区：
文献类型：
--
作者：
Stoff LW;Bates LM;Schuler SR;Renner LM;Erickson DJ;Osypuk TL
亲密伴侣暴力(IPV)在孟加拉国已婚女性中很高。社会隔离是妇女接触IPV的一个公认的相关性，但这些因素在低收入和中等收入国家的作用还没有得到很好的了解。在这项研究中，我们探讨了社会联系是否对孟加拉国农村已婚妇女的IPV具有保护作用。数据来自孟加拉国农村地区3355名已婚妇女的多阶段、分层、以人口为基础的纵向样本，她们接受了关于IPV的个人和背景风险因素的调查。使用负二项回归模型估计了2013年基线测量的三个不同社会关系领域(出生家庭接触、女性陪伴和辅助社会支持)与大约10个月后三种不同形式的传染病(心理、身体和性)的风险之间的联系，并根据妇女的教育水平、配偶的教育水平、家庭财富水平、年龄和结婚年龄进行了调整。调整后的模型显示，辅助性社会支持与过去一年心理IPV(风险比RR=0.84，95% CI 0.769~0.914)、性IPV(RR=0.9，95% CI 0.822~0.997)和身体IPV(RR=0.81，95% CI 0.718~0.937)相关。出生家庭接触也与每种类型的IPV风险较低相关，但不是以分级的方式。观察到的与女性陪伴关系不太一致的联系。我们的发现表明，社会联系，特别是以工具性支持的形式，可能会保护孟加拉国农村的已婚妇女免受IPV的影响。
Intimate partner violence (IPV) is high among married women in Bangladesh. Social isolation is a well-established correlate of women’s exposure to IPV, but the role of such factors in low-income and middle-income countries is not well understood. In this study, we explore whether social connection is protective against IPV among married women in rural Bangladesh. Data were drawn from a multistage, stratified, population-based longitudinal sample of 3355 married women in rural Bangladesh, who were surveyed on individual and contextual risk factors of IPV. Negative binomial regression models were used to estimate the association between three different domains of social connection (natal family contact, female companionship and instrumental social support), measured at baseline in 2013, and the risk of three different forms of IPV (psychological, physical and sexual), approximately 10 months later, adjusted for woman’s level of education, spouse’s level of education, level of household wealth, age and age of marriage. Adjusted models showed that instrumental social support was associated with a lower risk of past year psychological IPV (risk ratio (RR)=0.84, 95% CI 0.769 to 0.914), sexual IPV (RR=0.90, 95% CI 0.822 to 0.997) and physical IPV (RR=0.81, 95% CI 0.718 to 0.937). Natal family contact was also associated with a lower risk of each type of IPV, but not in a graded fashion. Less consistent associations were observed with female companionship. Our findings suggest that social connection, particularly in the form of instrumental support, may protect married women in rural Bangladesh from experiencing IPV.
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影响因子：
4.7
作者：
Esie, Precious;Osypuk, Theresa L.;Bates, Lisa M.
通讯作者：
Bates, Lisa M.
影响因子：
2.2
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Lenzi R
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通讯作者：
Mozumder, ABMKA
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5.4
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影响因子：
3.3
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通讯作者：
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