Prevalence and risk factors of physical or sexual intimate violence perpetration amongst men in four districts in the central region of Ghana: Baseline findings from a cluster randomised controlled trial.
Prevalence and risk factors of physical or sexual intimate violence perpetration amongst men in four districts in the central region of Ghana: Baseline findings from a cluster randomised controlled trial.
复制标题
DOI：
10.1371/journal.pone.0191663
复制
发表时间：
2018
期刊：
影响因子：
3.7
通讯作者：
Jewkes R
中科院分区：
文献类型：
--
作者：
Chirwa ED;Sikweyiya Y;Addo-Lartey AA;Ogum Alangea D;Coker-Appiah D;Adanu RMK;Jewkes R
基于证据的干预措施对于预防暴力侵害妇女行为至关重要。通过基于人口的研究了解男性实施暴力侵害妇女行为的风险因素，对于制定此类干预措施至关重要。这项研究是一项两组不匹配的随机对照试验（C-RCT）的基线评估，旨在评估农村反应系统（RRS）干预措施对预防加纳暴力侵害妇女和女孩行为的影响。这项研究旨在评估过去一年男性性暴力或身体亲密伴侣暴力的发生率和风险因素。这项以人口为基础的调查涉及生活在加纳中部地区4个区选定社区的2 126名18岁及以上男子。使用逻辑回归技术来确定性或身体IPV实施的风险因素。所有模型都根据受访者的年龄进行了调整，并考虑了研究设计。一半的男性一生中至少对亲密伴侣实施过一种形式的暴力，41%的男性实施过性或身体的IPV。大多数（93%）的男性在调查前的12个月内有过性关系，其中23%的人有过性行为或身体上的IPV。与IPV发生有关的儿童期因素包括目睹母亲虐待（aOR：1.40（1.06-1.86））和忽视（aOR：1.81（1.30-2.50））。IPV发生的其他主要危险因素是：有多个性伴侣（aOR：1.76（1.36-2.26））、参与性交易（aOR：1.76（1.36-2.26））、使用药物（aOR：1.74（1.25-2.43））和性别不平等态度（aOR：0.94（0.91-0.97））。童年暴力经历和目睹、危险行为（多个伙伴、性交易、药物使用）和性别不平等态度是性或身体IPV犯罪的主要风险因素。性或身体IPV的实施往往与非伴侣暴力和情感IPV的实施同时发生。针对这些因素的干预措施对于降低IPV至关重要。
Evidence-based interventions are essential in the prevention of violence against women (VAW). An understanding of risk factors for male perpetration of VAW using population-based research is crucial for developing such interventions. This study is a baseline assessment of a two-arm unmatched cluster randomised controlled trial (C-RCT), set up to assess the impact of a Rural Response System (RRS) intervention for preventing violence against women and girls in Ghana. This study aims at assessing past year prevalence and risk factors for sexual or physical intimate partner violence (IPV) perpetration among men. The population-based survey involved 2126 men aged 18 and above living in selected communities in 4 districts in the central region of Ghana. Logistic regression techniques were used to determine risk factors for sexual or physical IPV perpetration. All models adjusted for age of respondent and took into account the study design. Half of the men had perpetrated at least one form of violence against their intimate partners in their lifetime while 41% had perpetrated sexual or physical IPV. Majority (93%) of the men had been in relationships in the 12 months preceding the survey, and of these, 23% had perpetrated sexual or physical IPV. Childhood factors associated with sexual or physical IPV included witnessing abuse of mother (aOR:1.40(1.06–1.86)), and neglect (aOR:1.81(1.30–2.50)). Other major risk factors for IPV perpetration were: having multiple partners (aOR:1.76(1.36–2.26)), (involvement in transactional sex (aOR:1.76(1.36–2.26)), substance use (aOR:1.74(1.25–2.43)) and gender inequitable attitudes (aOR:0.94(0.91–0.97)). Childhood violence experience and witnessing, risky behaviour (multiple partners, transactional sex, substance use) and gender inequitable attitudes are major risk factors for sexual or physical IPV perpetration. Perpetration of sexual or physical IPV tend to co-occur with non-partner violence and emotional IPV perpetration. Interventions targeting these factors are critical in reducing IPV.
登录
查看更多内容
影响因子：
4.5
作者：
Abramsky T;Watts CH;Garcia-Moreno C;Devries K;Kiss L;Ellsberg M;Jansen HA;Heise L
通讯作者：
Heise L
影响因子：
3.8
作者：
Field, CA;Caetano, R;Nelson, S
通讯作者：
Nelson, S
影响因子：
1.1
作者：
Dube, Shanta R;Anda, Robert F;Williamson, David F
通讯作者：
Williamson, David F
影响因子：
2.6
作者：
Islam, Towfiqua Mahfuza;Tareque, Md Ismail;Hoque, Nazrul
通讯作者：
Hoque, Nazrul
影响因子：
168.9
作者：
Ellsberg, Mary;Jansen, Henrica A. F. M.;Garcia-Moreno, Claudia
通讯作者：
Garcia-Moreno, Claudia