What factors are associated with recent intimate partner violence? findings from the WHO multi-country study on women's health and domestic violence.

What factors are associated with recent intimate partner violence? findings from the WHO multi-country study on women's health and domestic violence.
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DOI:
10.1186/1471-2458-11-109
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发表时间:
2011-02-16
期刊:
影响因子:
4.5
通讯作者:
Heise L
Heise L
中科院分区:
医学2区
文献类型:
--
作者:
Abramsky T;Watts CH;Garcia-Moreno C;Devries K;Kiss L;Ellsberg M;Jansen HA;Heise L

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亲密伴侣对妇女的暴力行为是一个全球公共卫生和人权问题。尽管对IPV风险因素的研究越来越多,但方法上的差异限制了研究之间可以进行比较的程度。我们使用了世界卫生组织妇女健康和家庭暴力多国研究中包括的10个国家的数据,以确定持续与跨地点虐待有关的因素,以便为IPV预防计划的设计提供信息。2000年至2003年间进行了标准化的以人口为基础的家庭调查。从每个抽样调查的家庭中随机抽取一名年龄在15-49岁的妇女。那些曾经有过男性伴侣的人被问及他们的身体和性暴力行为的经历。我们进行了多元Logistic回归,以确定在过去12个月内身体和/或性伴侣暴力的预测因素。尽管IPV的流行率差异很大,但许多因素对不同地点的IPV风险的影响是相似的。中等教育、高社会地位和正式婚姻提供了保护,而酗酒、同居、年轻、支持殴打妻子的态度、有外来性伴侣、经历过童年虐待、在成长过程中伴随着家庭暴力以及成年后经历或实施其他形式的暴力,增加了感染IPV的风险。当女性和她的伴侣都有风险因素时,这种联系的强度最大。IPV预防方案应更加注重改变性别规范和态度,解决儿童虐待问题,减少有害饮酒。改善女童和男童受教育机会的发展倡议也可能在预防暴力方面发挥重要作用。
Intimate partner violence (IPV) against women is a global public health and human rights concern. Despite a growing body of research into risk factors for IPV, methodological differences limit the extent to which comparisons can be made between studies. We used data from ten countries included in the WHO Multi-country Study on Women's Health and Domestic Violence to identify factors that are consistently associated with abuse across sites, in order to inform the design of IPV prevention programs. Standardised population-based household surveys were done between 2000 and 2003. One woman aged 15-49 years was randomly selected from each sampled household. Those who had ever had a male partner were asked about their experiences of physically and sexually violent acts. We performed multivariate logistic regression to identify predictors of physical and/or sexual partner violence within the past 12 months. Despite wide variations in the prevalence of IPV, many factors affected IPV risk similarly across sites. Secondary education, high SES, and formal marriage offered protection, while alcohol abuse, cohabitation, young age, attitudes supportive of wife beating, having outside sexual partners, experiencing childhood abuse, growing up with domestic violence, and experiencing or perpetrating other forms of violence in adulthood, increased the risk of IPV. The strength of the association was greatest when both the woman and her partner had the risk factor. IPV prevention programs should increase focus on transforming gender norms and attitudes, addressing childhood abuse, and reducing harmful drinking. Development initiatives to improve access to education for girls and boys may also have an important role in violence prevention.
DOI: 10.1016/s0140-6736(08)60522-x
发表时间: 2008-04-05
期刊: LANCET
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
DOI: 10.1177/1077801298004003002
发表时间: 1998-06-01
影响因子: 2.2
作者:
Heise, L L
通讯作者: Heise, L L
DOI: 10.1001/archinte.162.10.1157
发表时间: 2002-05-27
影响因子: --
作者:
Campbell, J;Jones, AS;Wynne, C
通讯作者: Wynne, C
DOI: 10.1016/s0277-9536(99)00270-1
发表时间: 2000-02-01
影响因子: 5.4
作者:
Maman, S;Campbell, J;Gielen, AC
通讯作者: Gielen, AC
DOI: 10.1016/s0140-6736(02)08357-5
发表时间: 2002-04-20
期刊: LANCET
影响因子: 168.9
作者:
Jewkes, R
通讯作者: Jewkes, R