Risk factors for domestic violence: findings from a South African cross-sectional study

Risk factors for domestic violence: findings from a South African cross-sectional study
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DOI:
10.1016/s0277-9536(01)00294-5
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发表时间:
2002-11-01
影响因子:
5.4
通讯作者:
Penn-Kekana, L
Penn-Kekana, L
中科院分区:
医学2区
文献类型:
--
作者:
Jewkes, R;Levin, J;Penn-Kekana, L

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1998年,在南非三个省进行了一项关于暴力侵害妇女行为的横断面研究。目标是衡量妇女遭受身体、性和情感虐待的普遍程度,确定危险因素和相关的健康问题以及保健服务的使用情况。采用多阶段抽样设计,以与家庭数量成正比的概率抽样,并从群内随机选择家庭。在每个选定的家庭中,随机挑选了一名年龄在18岁至49岁之间的妇女进行了采访。共对1306名妇女进行了访谈,回复率为90.3%。对于风险因素分析,从一大批候选解释变量中拟合了多个Logistic回归模型,同时考虑了抽样设计和采访者的影响。来自现任或前夫或男友的终生遭受身体暴力的患病率为24.6%,9.5%的人曾在前一年遭受过暴力。家庭暴力与她童年时的暴力行为显著正相关,她没有受过进一步教育,对妇女角色的看法开明,饮酒,在一年中有另一个伴侣,有知己(E),他偏爱男孩,因饮酒而发生冲突,任何一方在经济上支持家庭,经常发生冲突,以及居住在北方省以外。没有发现与伴侣的年龄、就业、移民身份、经济差距、同居、家庭财产、城市化、婚姻状况、拥挤、交流、他是否有其他伴侣、他的教育程度、她对暴力的态度或她对关于女性角色的文化规范的看法有显著关联。调查结果表明,家庭暴力与妇女在社会中的地位以及在冲突局势中规范使用暴力或作为行使权力的一部分密切相关。最后,我们讨论了发展家庭暴力因果因素理论的意义。(C)2002爱思唯尔科学有限公司。保留所有权利。
In 1998 a cross-sectional study of violence against women was undertaken in three provinces of South Africa. The objectives were to measure the prevalence of physical, sexual and emotional abuse of women, to identify risk factors and associated health problems and health service use. A multi-stage sampling design was used with clusters sampled with probability proportional to number of households and households were randomly selected from within clusters. One randomly selected woman aged 18-49 years was interviewed in each selected home. Interviews were held with a total 1306 women, the response rate was 90.3% of eligible women. For the risk factor analysis, multiple logistic regression models were fitted from a large pool of candidate explanatory variables, while allowing for sampling design and interviewer effects. The lifetime prevalence of experiencing physical violence from a current or ex-husband or boyfriend was 24.6%, and 9.5% had been assaulted in the previous year. Domestic violence was significantly positively associated with violence in her childhood, her having no further education, liberal ideas on women's roles, drinking alcohol, having another partner in the year, having a confidant(e), his boy child preference, conflict over his drinking, either partner financially supporting the home, frequent conflict generally, and living outside the Northern Province. No significant associations were found with partners' ages, employment, migrant status, financial disparity, cohabitation, household possessions, urbanisation, marital status, crowding, communication, his having other partners, his education, her attitudes towards violence or her perceptions of cultural norms on women's role. The findings suggest that domestic violence is most strongly related to the status of women in a society and to the normative use of violence in conflict situations or as part of the exercise of power. We conclude by discussing implications for developing theory on causal factors in domestic violence. (C) 2002 Elsevier Science Ltd. All rights reserved.