Longitudinal inconsistencies in women's self-reports of lifetime experience of physical and sexual IPV: evidence from the MAISHA trial and follow-on study in North-western Tanzania.
Longitudinal inconsistencies in women's self-reports of lifetime experience of physical and sexual IPV: evidence from the MAISHA trial and follow-on study in North-western Tanzania.
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DOI：
10.1186/s12905-022-01697-y
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发表时间：
2022-04-15
影响因子：
2.5
通讯作者：
Stoeckl, Heidi
中科院分区：
文献类型：
--
作者：
Abramsky, Tanya;Harvey, Sheila;Mosha, Neema;Mtolela, Grace;Gibbs, Andrew;Mshana, Gerry;Lees, Shelley;Kapiga, Saidi;Stoeckl, Heidi
亲密伴侣对妇女的暴力行为在世界各地普遍存在，对妇女的健康产生了深远的影响。了解IPV的程度、原因和后果的研究依赖于关于暴力的自我报告数据，然而，关于妇女报告终生IPV的一致性的研究却很少。我们使用来自集群随机试验对照组和坦桑尼亚后续纵向研究的数据来检查三个时间点（T0, T29， T53个月）妇女报告的终生身体IPV和性IPV经历的差异。在T0时报告IPV终生史的患者中，我们计算了随后在T29和/或T53时报告无IPV终生史的患者比例（“差异”报告）。我们使用逻辑回归来探索差异报告与被调查者基线特征之间的关联，他们在基线时的IPV经历的性质，以及T53的情境因素。301名妇女可获得完整的IPV数据。在2010年，154名（51%）女性报告了身体IPV的终生病史，其中62%在随后的一轮报告中给出了不一致的“从未”报告。在93例（31%）在T0时有性IPV终生史的患者中，73%提供了随后的差异报告。在至少一轮调查中，73%的女性报告了一生的身体IPV， 55%的女性报告了一生的性IPV。对于这两种IPV结果，如果女性在基线时最近有IPV，心理健康状况不佳（T53）和与伴侣沟通不良（T53），则她们提供差异报告的可能性较小。仅就物理IPV而言，减少差异报告也与基线家庭经济困难和更严重或更广泛的IPV经验有关。在研究过程中，很大一部分女性提供了不一致的报告。一次性横断面调查估计的终生IPV患病率可能被低估，偏向于较近期和较严重的病例。为了提高IPV测量的稳定性，研究人员应该明确澄清参考期（如“曾经”）的含义，考虑使用较短的参考期（如过去一年），并避免将终生IPV的积极报告作为询问更近期经历的门户的过滤问题。试验注册：麦沙CRT01注册于ClinicalTrials.gov #NCT02592252，回顾性注册（13/08/2015）。在线版本包含补充材料，可在10.1186/s12905-022-01697-y获得。
Intimate partner violence (IPV) against women is pervasive throughout the world, with profound consequences for women’s health. Research to understand the extent, causes and consequences of IPV relies on self-reported data on violence, and yet there is a paucity of research into the consistency with which women report lifetime IPV over time. We use data from the control group of the cluster randomised trial and a follow-on longitudinal study in Tanzania to examine discrepancies in women’s reported experience of lifetime physical IPV and sexual IPV over three time-points (T0, T29, T53 months). Among those reporting lifetime history of IPV at T0, we calculate the proportion who subsequently report no lifetime history at T29 and/or T53 (‘discrepant’ reporting). We use logistic regression to explore associations between discrepant reporting and respondent baseline characteristics, the nature of their IPV experiences at baseline, and situational factors at T53. Complete IPV data were available for 301 women. At T0, 154 (51%) women reported lifetime history of physical IPV, of whom 62% gave a discrepant ‘never’ report in a subsequent round. Among 93 (31%) with lifetime history of sexual IPV at T0, 73% provided a subsequent discrepant report. 73% of women reported lifetime physical IPV, and 55% lifetime sexual IPV in at least one survey round. For both IPV outcomes, women were less likely to provide discrepant reports if they had recent IPV at baseline, poor mental health (T53) and poor communication with partner (T53). For physical IPV only, reduced discrepant reporting was also associated with baseline household-level financial hardship and more severe or extensive experience of IPV. A large proportion of women provided discrepant reports over the course of the study. Prevalence estimates of lifetime IPV from one-off cross-sectional surveys are likely to be underestimates, biased towards more recent and severe cases. To improve the stability of IPV measures, researchers should explicitly clarify the meaning of reference periods such as ‘ever’, consider using shorter reference periods (e.g. past-year), and avoid filter questions that use positive reports of lifetime IPV as a gateway to asking about more recent experiences. Trial registration: Maisha CRT01 registered at ClinicalTrials.gov #NCT02592252, registered retrospectively (13/08/2015). The online version contains supplementary material available at 10.1186/s12905-022-01697-y.
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影响因子：
3
作者：
Barr AL;Knight L;Franҫa-Junior I;Allen E;Naker D;Devries KM
通讯作者：
Devries KM
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：
4.2
作者：
Fendrich, M;Rosenbaum, DP
通讯作者：
Rosenbaum, DP
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
影响因子：
4.7
作者：
Heise, Lori;Pallitto, Christina;Clark, Cari Jo
通讯作者：
Clark, Cari Jo