Tanzanian Couples' Perspectives on Gender Equity, Relationship Power, and Intimate Partner Violence: Findings from the RESPECT Study
Tanzanian Couples' Perspectives on Gender Equity, Relationship Power, and Intimate Partner Violence: Findings from the RESPECT Study
复制标题
坦桑尼亚夫妇对性别平等、关系权力和亲密伴侣暴力的看法：尊重研究的结果
作者：
S. Krishnan;D. Vohra;D. de Walque;C. Medlin;R. Nathan;W. Dow
亲密伴侣暴力在坦桑尼亚普遍存在。不平等的性别规范体现在男性和女性对亲密关系中的权力和决策的态度上，并可能在决定IPV的流行方面发挥重要作用。我们使用了RESPECT研究的数据，这是一项随机对照试验，评估了坦桑尼亚年轻男性和女性队列中预防性传播感染的干预措施，以检查夫妻对IPV的态度、关系权力和性决策之间的关系，这些问题的一致性，以及女性12个月内的IPV报告。在基线上，妇女比男子表现出更不公平的态度。随着时间的推移，参与者的态度趋于变得更加公平，妇女对IPV的报告大幅下降。多因素Logistic回归分析表明，不公平的态度和夫妇不和谐与IPV的风险较高。我们的研究结果指出，需要更好地理解的作用，感知或实际的关系权力的不平衡，在提高IPV风险。妇女报告的IPV减少以及两性平等态度的趋势表明，为减少IPV和促进两性平等而作出的协调一致的努力有可能在相对短期内产生积极的影响。
Intimate partner violence (IPV) is widely prevalent in Tanzania. Inequitable gender norms manifest in men's and women's attitudes about power and decision making in intimate relationships and are likely to play an important role in determining the prevalence of IPV. We used data from the RESPECT study, a randomized controlled trial that evaluated an intervention to prevent sexually transmitted infections in a cohort of young Tanzanian men and women, to examine the relationship between couples' attitudes about IPV, relationship power, and sexual decision making, concordance on these issues, and women's reports of IPV over 12 months. Women expressed less equitable attitudes than men at baseline. Over time, participants' attitudes tended to become more equitable and women's reports of IPV declined substantially. Multivariable logistic regression analyses suggested that inequitable attitudes and couple discordance were associated with higher risk of IPV. Our findings point to the need for a better understanding of the role that perceived or actual imbalances in relationship power have in heightening IPV risk. The decline in women's reports of IPV and the trend towards gender-equitable attitudes indicate that concerted efforts to reduce IPV and promote gender equity have the potential to make a positive difference in the relatively short term.