scholarly journals Evidence of sociocultural factors influencing intimate partner violence among young women in sub-Saharan Africa: a scoping review

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e040641
Author(s):  
Maria Suzana Maguele ◽  
Myra Taylor ◽  
Nelisiwe Khuzwayo
Keyword(s):  
Intimate Partner Violence ◽  
Young Women ◽  
Scoping Review ◽  
Partner Violence ◽  
Intimate Partner ◽  
Sub Saharan Africa ◽  
Sociocultural Factors ◽  
Community Factors ◽  
Factors Influencing ◽  
Quality Ranking

ObjectiveThis study carried out a scoping review of research on intimate partner violence to determine the extent to which studies on sociocultural factors influencing intimate partner violence among young women (15–24 years) have been conducted, and how different geographical areas are represented. It also considered whether the methodologies used were sufficient to describe the risk factors, prevalence and health outcomes associated with intimate partner violence among young women.Study designScoping review.MethodsOnline databases were used to identify studies published between 2008 and 2019. The Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines by Arksey and O’Malley were used to select studies, and primary studies were assessed using the Mixed Method Appraisal Tool, V.2011. Thematic content analysis was used to summarise the findings of the scoping review.ResultsThe majority of publications eight (61.5%) reported cross-sectional studies, while four (31.5%) were qualitative studies. One of the studies (7%) collected measured data. Overall, 13 (100%) of the publications examined factors influencing intimate partner violence.Using a customised quality assessment instrument, 12 (92.3%) of studies achieved a ‘high’-quality ranking with a score of 100%, and 7.7% of studies achieved an ‘average’ quality ranking with a score of 75%.ConclusionsWhile the quality of the studies is generally high, researches on sociocultural factors influencing intimate partner violence among young women would benefit from a careful selection of methods and reference standards, including direct measures of the violence affecting young women. Prospective cohort studies are required linking early exposure with individual, sociocultural and community factors, and detailing the abuse experienced from childhood, adolescence and youth.PROSPERO registration numberCRD42018116463.Scoping protocol publicationhttps://doi.org/10.1186/s13643-019-1234-y

scholarly journals Risk factors associated with high prevalence of intimate partner violence amongst school-going young women (aged 15–24years) in Maputo, Mozambique

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243304
Author(s):  
Maria Suzana Maguele ◽  
Boikhutso Tlou ◽  
Myra Taylor ◽  
Nelisiwe Khuzwayo
Keyword(s):  
Intimate Partner Violence ◽  
Data Collection ◽  
Young Women ◽  
Partner Violence ◽  
Religious Commitment ◽  
Intimate Partner ◽  
Bivariate Analysis ◽  
Sociocultural Factors ◽  
Factors Associated ◽  
High Prevalence

Background In many countries, there is evidence that intimate partner violence is prevalent among young women. This study aimed to determine the prevalence and the factors associated with intimate partner violence in young women (aged 15–24 years) attending secondary schools in Maputo, Mozambique. Method Using a probability proportional sampling strategy, 431 participants were recruited, and the data were collected using a self-administered questionnaire. Binary and multivariate logistic regression analyses were performed to assess the association between IPV and sociodemographic and sociocultural factors. Odds ratio (OR) and 95% confidence intervals (CI) are reported. Results Of the 413 participants, 248 (60%) (95% CI: 55.15–64.61) had experienced at least one form of IPV in their lifetime. Then, of the 293 participants who had a partner in the previous 12 months prior to the data collection, 186 (63.4%) (95% CI: 57.68–69.00) reported IPV in the 12 months prior to data collection. The psychological violence was the predominant type of violence, lifetime prevalence 230 (55.7%), and over the previous 12 months 164 (55.9%). The risk of IPV was associated with young women lacking religious commitment (AOR, 1.596, 95% CI: 1.009–2.525, p = 0.046) and if the head of the young women’s household was unemployed (AOR, 1.642 95% CI: 1.044–2.584, p = 0.032). In the bivariate analysis the odds of being abused remained lower among the younger teenage women (OR, 0.458 95% CI: 0.237–0.888, p = 0.021), and higher, among young women if the partner was employed (OR, 2.247 95% CI: 1.187–4.256, p = 0.013) and among the young women believing that males are superior to females (OR, 2.298 95% CI:1.014–5.210. p = 0.046). Conclusion These findings reveal a high prevalence of IPV among young women. Comprehensive programs should incorporate socioeconomic empowerment strategies to increase women’s autonomy. There is a need to address religious beliefs through cultural perspectives, to improve social interactions that promote violence free relationships, gender egalitarian norms, and physical and emotional wellbeing for young women.

Association Between Girl-child Marriage and Intimate Partner Violence in Sub-Saharan Africa: Insights From a Multicountry Analysis of Demographic and Health Surveys

2021 ◽  
pp. 088626052110051
Author(s):  
Bright Opoku Ahinkorah ◽  
Olayinka Modupe Onayemi ◽  
Abdul-Aziz Seidu ◽  
Oluwafemi Emmanuel Awopegba ◽  
Anthony Idowu Ajayi
Keyword(s):  
Intimate Partner Violence ◽  
East Africa ◽  
Young Women ◽  
Partner Violence ◽  
Intimate Partner ◽  
Sub Saharan Africa ◽  
Child Marriage ◽  
Demographic And Health Surveys ◽  
Sub Saharan ◽  
Ssa Countries

While considerable attention has been given to the health consequences of child marriage in Sub-Saharan Africa (SSA), limited studies exist on its impact on intimate partner violence (IPV) in the region. We address this gap by examining the link between child marriage and IPV. We tested our study hypothesis using demographic and health survey data of 28,206 young women aged 20-24 years from 16 SSA countries with recent surveys (2015-2019). Binary logistic regression models were used to examine the effect of child marriage on IPV. Child marriage prevalence ranged from 13.5% in Rwanda, in East Africa, to 77% in Chad, in Central Africa, while IPV ranged from 17.5% in Mozambique in Southern Africa to 42% in Uganda, in East Africa. Past year experience of IPV was higher among young women who married or begun cohabiting before the age of 18 (36.9%) than those who did at age 18 or more (32.5%). This result was consistent for all forms of violence: physical violence (22.7% vs 19.7%), emotional violence (25.3% vs 21.9%), and sexual violence (12% vs 10.4%). After controlling for covariates, we found that young women in SSA who married before 18 years were more likely to experience IPV than those who married as adults (AOR: 1.20; 95% CI [1.12, 1.29]). Significant heterogeneity was observed in the country-level results, with a higher likelihood of IPV found in 14 of the 16 countries and lower in Angola and Chad. Child marriage is associated with a higher likelihood of IPV in most SSA countries, suggesting that ending child marriage will result in a substantial reduction in IPV. There is a need to institute policies to support and protect women who marry as children from abusive relationships in SSA.

scholarly journals Intimate partner violence against adolescents and young women in sub-Saharan Africa: who is most vulnerable?

2021 ◽  
Vol 18 (S1) ◽  
Author(s):  
Yohannes Dibaba Wado ◽  
Martin K. Mutua ◽  
Abdu Mohiddin ◽  
Macellina Y. Ijadunola ◽  
Cheikh Faye ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Gender Inequality ◽  
Young Women ◽  
Partner Violence ◽  
Intimate Partner ◽  
Sub Saharan Africa ◽  
Wife Beating ◽  
Place Of Residence ◽  
Women And Girls ◽  
Sub Saharan

Abstract Background Intimate partner violence (IPV) is a global public health and human rights issue that affects millions of women and girls. While disaggregated national statistics are crucial to assess inequalities, little evidence exists on inequalities in exposure to violence against adolescents and young women (AYW). The aim of this study was to determine inequalities in physical or sexual IPV against AYW and beliefs about gender based violence (GBV) in sub-Saharan Africa (SSA). Methods We used data from the most recent Demographic and Health Surveys (DHS) conducted in 27 countries in SSA. Only data from surveys conducted after 2010 were included. Our analysis focused on married or cohabiting AYW aged 15–24 years and compared inequalities in physical or sexual IPV by place of residence, education and wealth. We also examined IPV variations by AYW’s beliefs about GBV and the association of country characteristics such as gender inequality with IPV prevalence. Results The proportion of AYW reporting IPV in the year before the survey ranged from 6.5% in Comoros to 43.3% in Gabon, with a median of 25.2%. Overall, reported IPV levels were higher in countries in the Central Africa region than other sub-regions. Although the prevalence of IPV varied by place of residence, education and wealth, there was no clear pattern of inequalities. In many countries with high prevalence of IPV, a higher proportion of AYW from rural areas, with lower education and from the poorest wealth quintile reported IPV. In almost all countries, a greater proportion of AYW who approved wife beating for any reason reported IPV compared to their counterparts who disapproved wife beating. Reporting of IPV was weakly correlated with the Gender Inequality Index and other societal level variables but was moderately positively correlated with adult alcohol consumption (r = 0.48) and negative attitudes towards GBV (r = 0.38). Conclusion IPV is pervasive among AYW, with substantial variation across and within countries reflecting the role of contextual and structural factors in shaping the vulnerability to IPV. The lack of consistent patterns of inequalities by the stratifiers within countries shows that IPV against women and girls cuts across socio-economic boundaries suggesting the need for comprehensive and multi-sectoral approaches to preventing and responding to IPV.

scholarly journals Mapping the evidence of intimate partner violence among women living with HIV/AIDS in sub-Saharan Africa: a scoping review

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e041326
Author(s):  
Mengistu Meskele ◽  
Nelisiwe Khuzwayo ◽  
Myra Taylor
Keyword(s):  
Intimate Partner Violence ◽  
Scoping Review ◽  
Partner Violence ◽  
Intimate Partner ◽  
Sub Saharan Africa ◽  
Hiv Positive ◽  
Women Living With Hiv ◽  
Sub Saharan ◽  
Living With Hiv ◽  
Hiv Aids

ObjectivesThe present study undertakes a scoping review aimed to map the evidence of intimate partner violence (IPV) against women living with HIV/AIDS in Africa.DesignWe used the online database to identify papers published from 1 January 2009 to 1 April 2019, from which we selected 21 articles from Uganda, Nigeria, Kenya, South Africa, Zambia, Ethiopia, Cameroon, Tanzania and Swaziland that used IPV as an outcome variable among women living with HIV/AIDS.Data sourcesPubMed, MEDLINE, EBSCO host, Google Scholar.Eligibility criteriaWe included women who were aged 15 years and above, living with HIV/AIDS in sub-Saharan Africa.Data extraction and synthesisWe conducted the abstract screening with two independent reviewers. We also performed full-text screening. We used the six methodological frameworks proposed by Arksey and O'Malley. The Mixed Method Appraisal Tool was used to determine the quality of the studies. We used NVIVO software V.12 to undertake a thematic analysis.ResultsOf the studies, the majority, 57.1%, reported cross-sectional results. In comparison, 23.8% examined qualitative studies, 9.5% were clinical trials, 4.8% were cohort studies and the remaining 4.8% covered grey literature. This review revealed evidence of IPV experience among women with HIV/AIDS, evidence of how HIV status disclosure influences IPV, proof of the association of sociodemographic characteristics with IPV and implications for practice. Moreover, the review revealed that following the serostatus disclosure, there is evidence of heightened risk for IPV.ConclusionsThis study found evidence of IPV among women living with HIV/AIDS. The HIV-positive women were at considerable risk of IPV after disclosure of their serostatus to a male partner. Therefore, further research is needed to promote action to reduce IPV among HIV-positive and HIV-negative women and to determine healthcare workers’ IPV screening experience.

scholarly journals Sexual health (excluding reproductive health, intimate partner violence and gender-based violence) and COVID-19: a scoping review

2021 ◽  
pp. sextrans-2020-054896
Author(s):  
Navin Kumar ◽  
Kamila Janmohamed ◽  
Kate Nyhan ◽  
Laura Forastiere ◽  
Wei-Hong Zhang ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Health Disparities ◽  
Reproductive Health ◽  
Sexual Health ◽  
Scoping Review ◽  
Partner Violence ◽  
Intimate Partner ◽  
Gender Based Violence ◽  
Gender Based ◽  
And Gender

ObjectivesThe COVID-19 pandemic has exposed and exacerbated existing socioeconomic and health disparities, including disparities in sexual health and well-being. While there have been several reviews published on COVID-19 and population health disparities generally—including some with attention to HIV—none has focused on sexual health (ie, STI care, female sexual health, sexual behaviour). We have conducted a scoping review focused on sexual health (excluding reproductive health (RH), intimate partner violence (IPV) and gender-based violence (GBV)) in the COVID-19 era, examining sexual behaviours and sexual health outcomes.MethodsA scoping review, compiling both peer-reviewed and grey literature, focused on sexual health (excluding RH, IPV and GBV) and COVID-19 was conducted on 15 September 2020. Multiple bibliographical databases were searched. Study selection conformed to Joanna Briggs Institute (JBI) Reviewers’ Manual 2015 Methodology for JBI Scoping Reviews. We only included English-language original studies.ResultsWe found that men who have sex with men may be moving back toward pre-pandemic levels of sexual activity, and that STI and HIV testing rates seem to have decreased. There was minimal focus on outcomes such as the economic impact on sexual health (excluding RH, IPV and GBV) and STI care, especially STI care of marginalised populations. In terms of population groups, there was limited focus on sex workers or on women, especially women’s sexual behaviour and mental health. We noticed limited use of qualitative techniques. Very few studies were in low/middle-income countries (LMICs).ConclusionsSexual health research is critical during a global infectious disease pandemic and our review of studies suggested notable research gaps. Researchers can focus efforts on LMICs and under-researched topics within sexual health and explore the use of qualitative techniques and interventions where appropriate.

Socioeconomic Factors and Patterns of Intimate Partner Violence among Ever-Married Women in Uganda: Pathways and Actions for Multicomponent Violence Prevention Strategies

2021 ◽  
pp. 088626052110219
Author(s):  
Moses Okumu ◽  
Evalyne Orwenyo ◽  
Thabani Nyoni ◽  
Cecilia Mengo ◽  
Jordan J. Steiner ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Sexual Violence ◽  
Socioeconomic Factors ◽  
Partner Violence ◽  
Physical Violence ◽  
Wealth Index ◽  
Intimate Partner ◽  
Married Women ◽  
Sub Saharan Africa ◽  
Reference Category

Intimate partner violence (IPV) is a severe public health problem in sub-Saharan Africa (SSA) with harmful effects on the physical, psychological, and socioeconomic wellbeing of survivors and their families. In SSA, IPV is associated with mental health disorders, high-risk behaviors, and HIV vulnerability, especially among women. In Uganda, poor socioeconomic status increases women’s vulnerability to IPV. Yet there is limited evidence on the association between socioeconomic factors and IPV severity in Uganda. Our study used population-based data to (a) establish different patterns describing the severity of IPV experiences, (b) explore associations between socioeconomic factors and severity of IPV experiences among Ugandan ever-married women, and (c) examine direct and indirect pathways from socioeconomic factors to severity of IPV experiences. Data were drawn from the 2016 Uganda Demographic and Health Survey’s sample of 7,536 ever-married women aged 15–49 years. A latent class analysis examined distinct patterns of IPV severity among this sample, yielding a four-class solution: low violence ( n = 5,059; 67.1%); high physical violence, low sexual violence ( n = 1,501; 19.9%); high sexual violence, moderate physical violence ( n = 535; 7.1%); and high sexual and severe physical violence ( n = 441; 5.9%). Using the low violence group as the reference category, we conducted a multinomial logistic regression that found significant associations between secondary education (a OR 2.35, 95% CI: [1.06, 5.24]), poorest on the wealth index (a OR 2.00, 95% CI: [1.13, 3.54]), and severe IPV experiences. Decision-making (a OR 0.81, 95% CI: [0.68, 0.96]) played a protective role against membership in the high sexual and physical violence class compared to the reference category. Using path analysis, we found that labor force participation partially mediated the path from wealth index and education to IPV severity. Findings indicate the need for interventions that aim to keep girls in school and target schools, communities, and media platforms to address gender norms, economic vulnerability, and comprehensive screening for multiple forms of violence.

scholarly journals A multilevel analysis of contextual risk factors for intimate partner violence in Ghana

2018 ◽  
Vol 26 (1) ◽  
pp. 50-78
Author(s):  
Nicholas Cofie
Keyword(s):  
Risk Factors ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Intimate Partner ◽  
Cultural Factors ◽  
Policy Implications ◽  
Sub Saharan Africa ◽  
Spousal Violence ◽  
Contextual Risk

While extant research suggests that context, structural socioeconomic and cultural factors matter in intimate partner violence research, quantitative research on the subject in sub-Saharan Africa, and in particular Ghana, has disproportionately focused on prevalence and individual level correlates of spousal violence. This research has ignored the role of the structural socioeconomic and cultural factors and contexts in understanding the causes and consequences of spousal violence in a setting where family life is heavily influenced by traditional norms and beliefs. These norms and beliefs may lead to inadequate and ineffective interventions geared at preventing or reducing spousal violence and its consequences. Guided by an integrated theoretical approach, this study addresses these issues by estimating a multilevel logistic regression model where the effects of both individual and community level risk factors for spousal violence are assessed. Data for the study come from the Ghana Demographic and Health Survey and the Ghana Population and Housing Census. The findings confirm the salient role of structural socioeconomic and cultural factors, such as patriarchal norms and residential instability, in the perpetration of spousal violence against women. Policy implications of these findings and directions for further research are discussed.

scholarly journals Intimate Partner Violence against Women Living in Inadequate Conditions in Sub-Saharan Africa: A Meta-Analysis of Demographic and Health Survey Data

2021 ◽  
Vol 18 (19) ◽  
pp. 10138
Author(s):  
Yaqing Gao ◽  
Yinping Wang ◽  
Xiaoyi Mi ◽  
Mo Zhou ◽  
Siyu Zou ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Meta Analysis ◽  
Intimate Partner ◽  
Living Conditions ◽  
Sub Saharan Africa ◽  
Demographic And Health Surveys ◽  
Major Public Health Problem ◽  
Sub Saharan ◽  
Country Specific

Intimate partner violence (IPV) against women is a major public health problem and is widespread in sub-Saharan Africa (SSA). However, little is known about its environmental determinants. This study aimed to investigate whether inadequate living conditions are associated with IPV victimization in women in SSA. We analyzed cross-sectional data for 102,714 women in 25 SSA countries obtained from the Demographic and Health Surveys Program. Logistic regression was used to estimate the country-specific effects of inadequate living conditions (housing with at least one of four characteristics of unimproved water, unimproved sanitation, insufficient space, and unfinished materials) on multiple forms of IPV. Random effects meta-analysis was used to combined the country-specific estimates. We found an association between inadequate living conditions and a higher likelihood of experiencing any (OR = 1.12, 95% CI 1.03 to 1.23, p = 0.012), sexual (OR = 1.18, 95% CI 1.05 to 1.34, p = 0.008), emotional (OR = 1.12, 95% CI 1.02 to 1.23, p = 0.023), and physical (OR = 1.15, 95% CI 1.03 to 1.28, p = 0.010) IPV. The associations were stronger for rural and less-educated women. These findings suggest that future research to establish a causal link between living conditions and IPV and to elucidate the underlying pathways is crucial to design IPV interventions in SSA.

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