Prevalence and risk factors of intimate partner violence among women in four districts of the central region of Ghana: Baseline findings from a cluster randomised controlled trial.
Prevalence and risk factors of intimate partner violence among women in four districts of the central region of Ghana: Baseline findings from a cluster randomised controlled trial.
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DOI：
10.1371/journal.pone.0200874
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发表时间：
2018
期刊：
影响因子：
3.7
通讯作者：
Adanu RMK
中科院分区：
文献类型：
--
作者：
Ogum Alangea D;Addo-Lartey AA;Sikweyiya Y;Chirwa ED;Coker-Appiah D;Jewkes R;Adanu RMK
亲密伴侣暴力是一个重大的全球公共卫生问题。了解风险因素对于制定预防规划至关重要。然而，关于西非IPV以人群为基础的流行率和危险因素的证据很少。我们的目的是测量一生和过去一年的IPV患病率，并确定与过去一年身体或性IPV经历相关的因素。这项以人口为基础的调查涉及2000名随机选择的年龄在18至49岁之间的妇女，她们生活在加纳中部地区4个区的40个地方。调查问卷由访谈者于2016年2月至5月进行。受访者目前或曾经是伴侣，并且在调查前居住在研究区域≥12个月。收集的数据包括：社会人口统计学；性行为;精神健康和药物使用；就业状况;遭受过12个月或终生的暴力；家庭粮食不安全；性别规范/态度;伴侣特征和童年创伤。使用逻辑回归模型确定与性或身体IPV相关的因素，调整年龄和调查设计。约34%的受访者在过去一年中经历过IPV，其中21.4%报告了性和/或身体形式。过去一年对情感和经济IPV的体验分别为24.6%和7.4%。高中及以上学历对IPV有保护作用（AOR = 0.51[0.30-0.86]）。抑郁（AOR = 1.06[1.04-1.08]）、残疾（AOR = 2.30[1.57-3.35]）、目睹母亲虐待（AOR = 2.1.98[1.44-2.72]）、童年性虐待经历（AOR = 1.46[1.07-1.99]）、过去一年有多个性伴侣（AOR = 2.60[1.49-4.53]）、被男性伴侣控制（AOR = 1.03[1.00-1.06]）、男性伴侣过去一年饮酒（AOR = 2.65[2.12-3.31]）和男性伴侣不忠（AOR = 2.31[1.72-3.09]）与过去一年身体或性IPV经历的几率增加显著相关。在加纳，男性实施的IPV仍然是一个重大的公共卫生问题。针对妇女的心理健康、残疾、童年时期遭受暴力、危险的性行为和关系中的不平等权力的循证干预措施对于在这种情况下减少IPV至关重要。
Intimate partner violence (IPV) is a significant global public health problem. Understanding risk factors is crucial for developing prevention programmes. Yet, little evidence exists on population-based prevalence and risk factors for IPV in West Africa. Our objective was to measure both lifetime and past year prevalence of IPV and to determine factors associated with past year physical or sexual IPV experience. This population-based survey involved 2000 randomly selected women aged 18 to 49 years living in 40 localities within four districts of the Central Region of Ghana. Questionnaires were interviewer-administered from February to May 2016. Respondents were currently or ever-partnered, and resident in study area ≥12months preceding the survey. Data collected included: socio-demographics; sexual behavior; mental health and substance use; employment status; 12-month and lifetime experience of violence; household food insecurity; gender norms/attitudes; partner characteristics and childhood trauma. Logistic regression modelling was used to determine factors associated with sexual or physical IPV, adjusting for age and survey design. About 34% of respondents had experienced IPV in the past year, with 21.4% reporting sexual and or physical forms. Past year experience of emotional and economic IPV were 24.6% and 7.4% respectively. Senior high school education or higher was protective of IPV (AOR = 0.51[0.30–0.86]). Depression (AOR = 1.06[1.04–1.08], disability (AOR = 2.30[1.57–3.35]), witnessing abuse of mother (AOR = 2.1.98[1.44–2.72]), experience of childhood sexual abuse (AOR = 1.46[1.07–1.99]), having had multiple sexual partners in past year (AOR = 2.60[1.49–4.53]), control by male partner (AOR = 1.03[1.00–1.06]), male partner alcohol use in past year (AOR = 2.65[2.12–3.31]) and male partner infidelity (AOR = 2.31[1.72–3.09]) were significantly associated with increased odds of past year physical or sexual IPV experience. Male perpetrated IPV remains a significant public health issue in Ghana. Evidence-based interventions targeting women’s mental health, disabilities, exposure to violence in childhood, risky sexual behavior and unequal power in relationships will be critical in reducing IPV in this setting.
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影响因子：
3.7
作者：
Chirwa ED;Sikweyiya Y;Addo-Lartey AA;Ogum Alangea D;Coker-Appiah D;Adanu RMK;Jewkes R
通讯作者：
Jewkes R
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：
5.6
作者：
Cunradi, CB;Caetano, R;Schafer, J
通讯作者：
Schafer, J
影响因子：
5.5
作者：
Breiding, Matthew J.;Basile, Kathleen C.;Smith, Sharon G.
通讯作者：
Smith, Sharon G.
DOI：
10.1186/s12905-015-0276-0
发表时间：
2015-12-21
期刊：
BMC women's health
影响因子：
--
作者：
Doku DT;Asante KO
通讯作者：
Asante KO