Community influences on intimate partner violence in India: Women's education, attitudes towards mistreatment and standards of living
Community influences on intimate partner violence in India: Women's education, attitudes towards mistreatment and standards of living
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DOI：
10.1016/j.socscimed.2009.06.039
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发表时间：
2009-09-01
影响因子：
5.4
通讯作者：
Racine, Yvonne
中科院分区：
文献类型：
--
作者：
Boyle, Michael H.;Georgiades, Katholiki;Racine, Yvonne
针对妇女的亲密伴侣暴力是一个严重的公共卫生问题。妇女的教育可以提供保护，防止IPV，但不确定性存在于它如何可能减少IPV在社区和个人层面的风险。本研究的目的是：（1）从个人层面上分离出妇女受教育程度对IPV风险的影响;（2）量化社区对妇女受教育程度和IPV之间个人层面关联的调节作用;（3）确定妇女在社区和个人层面上对虐待的态度和生活水平是否解释了妇女受教育程度的保护性影响;研究资料来自1998-1999年印度全国家庭健康调查的68 466名已婚女性参与者。使用多水平logistic回归来解决研究目的。IPV在州（10.2%）和社区（11.5%）两级都表现出实质性的聚集。在个人层面，妇女受教育程度与IPV之间存在很强的非线性关联，部分原因是家庭生活水平。妇女教育和IPV之间的关联强度因社区而异，有证据表明，在社区一级接受虐待减弱了高等教育的保护性影响。此外。妇女对虐待的态度和她们的生活水平占妇女的教育和IPV之间的社区一级协会。居住地占IPV的风险的巨大变化，也修改了IPV和妇女的教育之间的个人一级协会。在社区一级，妇女教育似乎发挥了很大的保护作用，改变了人们对接受虐待的态度。然而，一旦考虑到生活水平，妇女教育与社区一级的IPV之间就没有剩余的联系。虽然妇女的教育提供了强大的，独立的杠杆作用，减少IPV的风险，规划者必须牢记重要的社区因素，修改其保护性的影响。(C)2009爱思唯尔有限公司保留所有权利。
Intimate partner violence (IPV) directed towards women is a serious public health problem. Women's education may offer protection against IPV, but uncertainty exists over how it might reduce risk for IPV at the community and individual levels. The objectives of this study are to: (1) disentangle community from individual-level influences of women's education on risk for IPV; (2) quantify the moderating influence of communities on individual-level associations between women's education and IPV: (3) determine if women's attitudes towards mistreatment and living standards at the community and individual levels account for the protective influence of women's education; and (4) determine if the protective influence of education against IPV is muted among women living in communities exhibiting attitudes more accepting of mistreatment.Study information came from 68,466 married female participants in the National Family Health Survey conducted throughout India in 1998-1999. Multilevel logistic regression was used to address the study objectives. IPV showed substantial clustering at both the state (10.2%) and community levels (11.5%). At the individual level, there was a strong non-linear association between women's education and IPV, partially accounted for by household living standards. The strength of association between women's education and IPV varied from one community to the next with evidence that the acceptance of mistreatment at the community level mutes the protective influence of higher education. Furthermore. women's attitudes towards mistreatment and their standards of living accounted for community-level associations between women's education and IPV.Place of residence accounted for substantial variation in risk of IPV and also modified individual-level associations between IPV and women's education. At the community level, women's education appeared to exert much of its protective influence by altering population attitudes towards the acceptability of mistreatment. However, there was no residual association between women's education and IPV at the community level once living standards are taken into account. While women's education provides strong, independent leverage for reducing the risk of IPV, planners must keep in mind important community factors that modify its protective influence. (C) 2009 Elsevier Ltd. All rights reserved.