scholarly journals Intimate partner violence, contextual factors and under-5 mortality: a multilevel analysis of cross-sectional surveys from 20 Sub-Saharan African countries

2020 ◽  
Vol 5 (12) ◽  
pp. e003531
Author(s):  
Sanni Yaya ◽  
Seun Stephen Anjorin ◽  
Sunday A Adenini

BackgroundUnder-5 mortality remains a public health concern in low-income and middle-income countries. Africa contributes about one-fifth of the burden of global under-5 mortality; intimate partner violence (IPV) and polygyny, which are highly prevalent on the continent, have been linked to under-5 mortality at the individual level. This study examined the relationship between IPV and polygyny as contextual factors and the experience of under-5 mortality among women in Sub-Saharan Africa (SSA).MethodsWe used data from the Demographic and Health Surveys (DHS) of 20 African countries with available data between 2010 and 2018 as of April 2020. We defined the experience of under-5 mortality as a woman’s loss of at least one child before their fifth birthday. The DHS primary sampling unit was used to define contextual factors. The study involved a multilevel logistic regression analysis of 227 121 women of childbearing age (15–49).ResultsA quarter (24.5%) of women have lost at least one child under 5 years old, more than two-thirds (40.1%) have experienced at least one form of IPV, and about two-thirds of women were in polygynous union. Our multilevel logistic regression showed that parity, polygynous union and experience of IPV were strongly associated with women’s experience of under-5 mortality. The results showed that 39.9% and 19.2% of variances in odds of a woman losing a child before their fifth birthday are attributable to community-level and country-level factors, respectively. Contextual prevalence of IPV, polygynous union and gender equity attenuate the strength of associations observed at the individual level. The interaction between contextual prevalence of polygyny and IPV exacerbates the risk of under-5 mortality. Women in SSA countries with higher Human Development Index were less likely to experience under-5 mortality.ConclusionThis study established that beyond individual-level effects, contextual prevalence of IPV and polygyny and their interactions shape women’s experience of under-5 mortality in Africa. In designing policies and interventions to address under-5 mortality, contextual factors, especially those linked to culturally laden social norms and practices, must be considered to ensure effectiveness and sustainable impact.

2016 ◽  
Vol 60 (4) ◽  
pp. 685-701 ◽  
Author(s):  
Brittany E. Hayes ◽  
Katharine A. Boyd

The study evaluated if individual- and national-level factors influence intimate partner violence (IPV) attitudes. Using Demographic and Health Surveys’ data, multilevel modeling was used to analyze 506,935 females nested in 41 nations. The results indicated that the respondents in nations with higher levels of gender inequality, measured by the Social Institutions and Gender Index, were more likely to agree a husband is justified to abuse his wife when she argues with him. National-level attitudes toward IPV and decision making at the individual level were significant predictors of IPV attitudes. The presence of another female while the survey was administered and differences across nations in question wording significantly affected IPV attitudes. The results confirm that both individual- and national-level factors shape individual IPV attitudes. National policies and programming should address gender inequality and patriarchal attitudes.


2021 ◽  
Vol 4 (2) ◽  
pp. 67-83
Author(s):  
Ekpenyong M.S. ◽  
Tawari E. P.2

Alcohol-related intimate partner violence (IPV) is a serious public health issue which has attracted a lot of research and debates. While some studies have reported the relationship between alcohol and IPV to be linear, others have reported threshold effects. While some studies have found the link to be strong, others have reported it to be weak or to show no association. The aim of this study was to determine the possible moderators on the alcohol-IPV link in sub-Saharan Africa. For the quantitative study, secondary analysis and meta-analysis were used to analyze cross-sectional data from the demographic and health surveys of ten countries in sub-Saharan Africa (Burkina Faso, Ghana, Kenya, Liberia, Malawi, Nigeria, Sao Tome and Principe, Tanzania, Zambia, and Zimbabwe). Logistic regression analysis of possible moderators of the alcohol-IPV link was determined in ten sub-Saharan African countries. The nature of moderation was different among countries. The results of this study can be applied in planning country-specific and multi-faceted intervention programmes.


2019 ◽  
Vol 57 (1-2) ◽  
pp. 172-197
Author(s):  
Camila Iglesias ◽  
Carla Cardoso ◽  
Pedro Sousa

AbstractFear of crime has been the focus of fruitful criminological investigation for the last 50 years. Simultaneously, the literature related to intimate partner violence has also been developing. Empirical studies have neglected the association between fear of crime and violence committed in private spaces, so this research seeks to provide an integrated approach to these concepts. Using the data from the first Brazilian National Victimization Survey, this research aims to explore how fear of violence in intimate relationships is associated with both individual and macro-contextual variables, in an ecological framework as proposed by Heise. Statistical analyses were conducted by aggregating data, and the analytical model integrated both individual- and macro-level variables and took the fear of intimate partner violence as the outcome variable. The results demonstrate a strong association between the fear of intimate partner violence and the individual-level predictors tested, especially previous victimization as well as social inequality (Gini coefficient). This way, results indicate that fear of crime manifests its predictors far beyond what the dyad “victim–aggressor” may suggest.


Partner Abuse ◽  
2016 ◽  
Vol 7 (3) ◽  
pp. 277-315 ◽  
Author(s):  
Laura Ann McCloskey ◽  
Floretta Boonzaier ◽  
Sheila Young Steinbrenner ◽  
Theresa Hunter

Intimate partner violence (IPV) in sub-Saharan Africa affects 36% of the population. Several African countries rank among the highest globally. In this article, we present evidence on the prevalence, determinants, and impact of IPV across several sub-Saharan African countries interpreted against the backdrop of social ecological theory. We also describe prevention or intervention programs tested in different regions of Africa, selecting only those programs which were published in a journal outlet and which met a high criteria of implementation and methodology (n = 7). Based on our review of the empirical literature, some risk factors for violence documented in Western societies are the same in Africa, including poverty, drinking, a past history of child abuse or posttraumatic stress disorder, and highly traditional gender role beliefs. Low education is also associated with IPV for both women and men. In Africa, partner abuse intersects with the HIV pandemic, making violence prevention especially urgent. African programs to prevent IPV are often incorporated with HIV prevention; community building and community engagement are emphasized more in Africa than in North America or Europe, which invoke more individually focused approaches. Some programs we review lowered HIV exposure in women; others contributed to reduced violence perpetration among men. The programs show sufficient promise to recommend replication and dissemination in sub-Saharan Africa.


2018 ◽  
Vol 39 (11) ◽  
pp. 2958-2981 ◽  
Author(s):  
Sitawa Kimuna ◽  
Eric Y. Tenkorang ◽  
Yanyi Djamba

Anecdotal evidence in several sub-Saharan African countries, including Kenya, suggests a complex relationship between ethnicity and intimate partner violence (IPV). Yet very few studies examine the relationship between these two important variables. We use a sample of 4,512 ever-married women from the Kenya Demographic and Health Survey (KDHS) to explore the relationship between ethnicity and three dimensions of IPV (physical, sexual, and emotional) among Kenyan women. Results show significant relationships between ethnicity and physical, sexual, and emotional violence. Compared with Kikuyu women, Luo and Luhya women were significantly more likely to report having experienced all three types of violence. The addition of socioeconomic variables reduced the risks of experiencing IPV among Luo and Luhya women significantly, but not completely. These findings suggest that beyond their socioeconomic vulnerabilities, there may be some intrinsic cultural characteristics that expose Luo and Luhya women to IPV in Kenya.


2021 ◽  
pp. 107780122110190
Author(s):  
Danielle C. Slakoff

In this directed qualitative content analysis of four season-long true crime podcasts, the researcher examined how different types of intimate partner violence (IPV) were portrayed. Across the podcasts, controlling behaviors, emotional abuse, and coercive control were commonly depicted. Physical violence was not the most common form of abuse depicted, but it was presented in sensationalistic ways—with a pointed focus on strangulation and bruising. Overall, the podcasts provided a much more realistic portrayal of IPV at the individual level than traditional news sources, yet did not go far enough in describing the societal conditions that permit abuse.


Safety ◽  
2019 ◽  
Vol 5 (1) ◽  
pp. 5 ◽  
Author(s):  
Sanni Yaya ◽  
Bishwajit Ghose

Intimate partner violence (IPV), as the most prevalent form of violence against women, is a commonly encountered phenomenon across sub-Saharan African countries, including Angola. As a fast-growing economy, Angola is experiencing a booming alcohol industry and persistent IPV and women’s rights issues, along with weak prohibition and enforcement against this practice. However, so far, there is no systematic research investigating the predictors of IPV in Angola and whether spousal alcohol drinking has any relationship with women’s experience of IPV. Therefore, in this study, we aimed to assess the predictors of IPV (defined as physical, emotional, and sexual violence) among Angolan women with a special focus on their partners’ alcohol drinking habit. Cross-sectional data on 7669 women aged 15–49 years from the Angola Demographic and Health Survey were used for this study. Data were analyzed using descriptive and logistic regression methods. Results indicated that physical IPV (32.3%, 95% Confidence Interval = 30.3 to 34.5) was most prevalent, followed by emotional (27.3%, 95% CI = 25.3 to 29.4) and sexual IPV (7.4%, 95% CI = 6.6 to 8.4). In the multivariate analysis, higher education and household wealth status showed protective effects against certain forms of IPV. Alcohol drinking by husbands/partners was associated with significantly higher odds of experiencing physical [OR = 2.950; 95% CI = 2.632, 3.306], emotional [OR = 2.470; 95% CI = 2.187,2.789], and sexual IPV [OR = 2.729; 95% CI = 2.220, 3.354] among women. Women who reported experiencing physical IPV had increased odds of drinking alcohol [OR = 1.474; 95% CI = 1.290, 1.684] compared with those who did not. These findings reflect the widespread prevalence of IPV in sub-Saharan African countries. Special focus should be given to married men with alcohol drinking habits to reduce women’s vulnerability to IPV and dependence on alcohol use.


2020 ◽  
pp. 088626052091626
Author(s):  
Beate Ringwald ◽  
Margaret Kababu ◽  
Christian B. Ochieng ◽  
Miriam Taegtmeyer ◽  
Garazi Zulaika ◽  
...  

Evidence suggests an overlap between intimate partner violence (IPV) experience and perpetration. However, few studies in sub-Saharan Africa have investigated experience and perpetration of IPV among women and men within the same community. This study reports prevalence of past-year IPV experience and perpetration among women and men living in an informal settlement in Nairobi, Kenya, and factors associated with IPV. Data analyzed for this study involved a geographically distributed random sample of 273 women and 429 men who participated in a community survey. We approximated prevalence of IPV experience and perpetration and used logistic regression for estimating associations between individual-level factors and IPV. Women and men experienced similar levels of IPV, but a significantly higher proportion of men reported physical and sexual IPV perpetration. Witnessing violence between parents in childhood was associated with women’s physical and sexual, and men’s sexual IPV experience; and with women perpetrating emotional, and men perpetrating sexual IPV. Less equitable gender attitudes were associated with men’s perpetration of physical IPV. More equitable gender knowledge was associated with women’s experience of sexual IPV, and with men perpetrating IPV. Perceived skills to challenge gender inequitable practices were negatively associated with men perpetrating sexual IPV. In conclusion, we found IPV experience and perpetration were highly correlated, and that, contrary to commonly reported gender gaps, men and women experienced similar rates of IPV. We make suggestions for future research, including on IPV prevention interventions in areas with such IPV prevalence that would be beneficial for women and men and future generations.


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