Intimate partner violence in urban Pakistan: prevalence, frequency, and risk factors

Intimate partner violence in urban Pakistan: prevalence, frequency, and risk factors
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DOI:
10.2147/ijwh.s17016
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发表时间:
2011-01-01
影响因子:
2.3
通讯作者:
Krantz, Gunilla
Krantz, Gunilla
中科院分区:
医学4区
文献类型:
--
作者:
Ali, Tazeen S.;Asad, Nargis;Krantz, Gunilla

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背景:亲密伴侣暴力(IPV)是一个重要的公共卫生问题,具有严重的不良后果。穆斯林社会基于人口的IPV数据很少,巴基斯坦也不例外。这项研究是在居住在城市卡拉奇的妇女,估计不同形式的IPV和他们的协会与socio-demographic factors.Methods的患病率和频率:这种横断面的以社区为基础的研究进行了结构化的问卷调查,由世界卫生组织开发的暴力行为的研究。结果:759名25-60岁已婚妇女的躯体暴力发生率为56.3%,性暴力发生率为53.4%,心理暴力发生率为81.8%,终生躯体暴力发生率为57.6%,性暴力发生率为54.5%,心理暴力发生率为83.6%。据报告,大多数暴力事件在其一生中发生过三次以上。身体暴力的风险因素主要与丈夫、他的低教育程度、非熟练工人身份以及五个或五个以上家庭成员生活在一个家庭中有关。对于性暴力,风险因素是受访者的教育程度低,家庭的社会经济地位低,一个家庭有五个或更多的家庭成员。对于心理暴力,危险因素是丈夫是一个不熟练的工人和低的社会经济地位的家庭。结论:重复暴力行为的丈夫对他的妻子是一个非常普遍的现象,在卡拉奇,巴基斯坦。对这类暴力侵害妇女行为漠不关心的态度源于这样一种态度,即IPV是私事,通常被认为是对妻子行为不端的合理反应。这些调查结果表明,妇女权利受到严重侵犯,需要卫生专业人员和决策者立即予以关注。
Background: Intimate partner violence (IPV) is an important public health issue with severe adverse consequences. Population-based data on IPV from Muslim societies are scarce, and Pakistan is no exception. This study was conducted among women residing in urban Karachi, to estimate the prevalence and frequency of different forms of IPV and their associations with sociodemographic factors.Methods: This cross-sectional community-based study was conducted using a structured questionnaire developed by the World Health Organisation for research on violence. Community midwives conducted face-to-face interviews with 759 married women aged 25-60 years.Results: Self-reported past-year and lifetime prevalence of physical violence was 56.3 and 57.6%, respectively; the corresponding figures for sexual violence were 53.4% and 54.5%, and for psychological abuse were 81.8% and 83.6%. Violent incidents were mostly reported to have occurred on more than three occasions during the lifetime. Risk factors for physical violence related mainly to the husband, his low educational attainment, unskilled worker status, and five or more family members living in one household. For sexual violence, the risk factors were the respondent's low educational attainment, low socioeconomic status of the family, and five or more family members in one household. For psychological violence, the risk factors were the husband being an unskilled worker and low socioeconomic status of the family.Conclusion: Repeated violence perpetrated by a husband towards his wife is an extremely common phenomenon in Karachi, Pakistan. Indifference to this type of violence against women stems from the attitude that IPV is a private matter, usually considered a justifiable response to misbehavior on the part of the wife. These findings point to serious violations of women's rights and require the immediate attention of health professionals and policymakers.