scholarly journals Household food insecurity and its association with self-reported male perpetration of intimate partner violence: a survey of two districts in central and western Uganda

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e045427
Author(s):  
George Awungafac ◽  
Stephen Mugamba ◽  
Fred Nalugoda ◽  
Carl Fredrik Sjöland ◽  
Godfrey Kigozi ◽  
...  

ObjectivesThis study aimed to determine the lifetime prevalence of male-perpetrated intimate partner violence (IPV), and to assess the association with food insecurity, sociodemographic factors and health risk behaviours in Uganda in the year preceding COVID-19-associated lockdowns.DesignPopulation-based, cross-sectional household survey.SettingUrban, semiurban and rural communities of the Wakiso and Hoima districts in Uganda.ParticipantsA total of N=2014 males aged 13–80 years participated in the survey. The current study included males who reported having ever been in a sexual union and responded to the IPV questions (N=1314).MeasuresData were collected face-to-face from May 2018 to July 2019 using an interviewer-mediated questionnaire. Lifetime IPV perpetration was measured as ‘no physical and/or sexual IPV’, ‘physical’ versus ‘sexual violence only’, and ‘physical and sexual violence’. Past-year food insecurity was measured through the Food Insecurity Experience Scale and categorised into ‘none’, ‘low’ and ‘high’. Multinomial logistic regression was used to determine the crude and adjusted relative risk ratios (aRRRs) of IPV perpetration in relation to self-reported food insecurity, adjusting for sociodemographic and health risk behaviours.ResultsThe prevalence of self-reported lifetime IPV perpetration was 14.6% for physical and 6.5% for sexual violence, while 5.3% reported to have perpetrated both physical and sexual IPV. Most (75.7%) males reported no food insecurity, followed by low (20.7%) and high (3.6%) food insecurity. In adjusted models, food insecurity was associated with increased risk of having perpetrated both physical and sexual violence (aRRR=2.57, 95% CI 1.52 to 4.32). IPV perpetration was also independently associated with having had more than one lifetime sexual partner and drinking alcohol, but not with education level or religion.ConclusionThis study suggests that food insecurity is associated with male IPV perpetration, and more efforts are needed to prevent and mitigate the expected worsening of this situation as a result of the COVID-19 pandemic.

2016 ◽  
Vol 8 (3) ◽  
pp. 284-303 ◽  
Author(s):  
Melissa Hidrobo ◽  
Amber Peterman ◽  
Lori Heise

Using a randomized experiment in Ecuador, this study provides evidence on whether cash, vouchers, and food transfers targeted to women and intended to reduce poverty and food insecurity also affected intimate partner violence. Results indicate that transfers reduce controlling behaviors and physical and/or sexual violence by 6 to 7 percentage points. Impacts do not vary by transfer modality, which provides evidence that transfers not only have the potential to decrease violence in the short-term, but also that cash is just as effective as in-kind transfers. (JEL I38, J16, K42, O15, O17)


2017 ◽  
Vol 35 (5-6) ◽  
pp. 1081-1107 ◽  
Author(s):  
Kaltrina Kelmendi ◽  
František Baumgartner

Intimate partner violence (IPV) among university students is a prevalent problem in many countries; however, it is not currently recognized in Kosovo as a social issue in terms of research, prevention, and intervention. The aim of this article was to examine the relationship between violence socialization experiences, approval of violence, and IPV perpetration/victimization among university students in Kosovo. The questionnaires were administrated to a convenience sample of 700 students of University of Prishtina who were in relationship for 1 month or longer. The Revised Conflict Tactics Scale (CTS-2) was used for measuring physical, psychological, and sexual violence, whereas for measuring violence socialization and violence approval, scales from Personal and Relationships Profile (PRP) were used. Findings from this study show that there were statistically significant gender differences in terms of socialization and approval of violence among university students. Similarly, perpetrators and victims of IPV (physical, psychological, and sexual violence) showed higher rates of socialization of violence and tolerance toward IPV. Besides, findings indicate that approval of violence mediates the relationship between socialization of violence and IPV perpetration and victimization, for both genders. The implications of the current findings within a cultural context are also discussed.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Papadakaki ◽  
F Zioti ◽  
Z N Karadimitriou ◽  
M Papadopoulou

Abstract Background The study aimed at measuring the prevalence and identifying the risk factors of intimate partner violence in individuals from the LGBT community. Methods A total of 180 individuals participated in the study, both male and female, aged 18-60 years, living in the broader area of Athens, Greece. Snowball sampling was applied to identify eligible individuals and social media were employed to recruit them. The questionnaire explored the violence victimization and perpetration in their relationships, the preferred reaction to various forms of violence and the role of childhood victimization in adulthood experiences of violence. Results 72.8% were homosexual, 26.7% bisexual, 81.7 % were women with a mean age of 25.2 years (6.0 standard deviation). A total of 67.2% were subjected to verbal abuse before the age of 16, 49.4% to physical violence, 6.7% to sexual violence and 46.7% were neglected. The prevalence of violence victimization was higher than the prevalence of violence perpetration (mean 9.81 and 5.92 respectively). Psychological violence was the most common among other forms of violence, both in victimization (psychological 7.34, physical 1.66, sexual 0.81) and perpetration (psychological 4.48, physical 1.26, sexual 0.18). In hypothetical scenarios of psychological violence, the majority of participants preferred separation and discussion about boundaries as strategies to deal with the situation (56.1 and 45.0 respectively), in scenarios of physical violence they primarily preferred separation and secondarily asking a professional advice (73.3 and 20.6, respectively) and in sexual violence they primarily preferred a discussion about boundaries and secondarily separation (69.4% and 31.7% respectively). Experiences of childhood victimization (p=.006), and female gender (p=.002), were found to be associated at a statistically significant level with violent victimization in adulthood. Conclusions Further research is necessary to identify groups at risk of victimization. Key messages Preventive efforts need to take into account individual sociodemographic and attitudinal characteristics that increase the risk of victimization. Experiences of victimization during childhood are highly associated with victimization in adulthood.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hanan M. Ghoneim ◽  
Mohamed Elprince ◽  
Tamer Yehia M. Ali ◽  
Waleed F. Gharieb ◽  
Amal A. Ahmed

Abstract Background Depression is a serious mental health disorder that might affect women in the childbearing period. Incidences increase during pregnancy as well as after delivery. Its association with intimate partner violence (defined as physical, sexual, or psychological harm by a current or former partner) has been reported in many countries. Data about this sensitive issue are lacking in Egypt. The aim of the study was to determine the relation between intimate partner violence and depression during pregnancy. Methods This was a case control study conducted at the outpatient clinics in Suez Canal University hospital, from January 2019 to March 2020. The study included two groups, the study group included women exposed to violence during the current pregnancy and a control one included women with no history of violence. Both groups were recruited according to the predetermined inclusion criteria (women aged 18-45 years, continuous marital relationship, no history of depression in current or previous pregnancies, and singleton pregnancy). Women were asked to complete the Arabic validated NorVold Domestic Abuse Questionnaire (measuring four types of abuse: emotional, physical, sexual, and violence in the health care system, the last one being excluded). Depression was evaluated using the Arabic validated form of the Edinburgh Postnatal Depression Scale (comprises 10 questions that represent patients’ feelings in the last 7 days). The main outcome measure was to assess the association between intimate partner violence and depression. Results We recruited 158 women in each group. Both groups were matched in their demographic characters. Although emotional violence was reported prominently among women exposed to IPV 87.9% (139/158), it was not significantly reported in depressed women (P value 0.084). Physical and sexual violence were significantly reported among depressed women (P value 0.022 and 0.001, respectively). There was a significant difference between women exposed to violence and those who were not exposed to violence in the total depression scores (13.63 ± 5.47 and 10.65 ± 5.44, respectively with a p value < 0.001). Emotional (p value < 0.001) and sexual violence (mild and severe with p value of 0.026 and 0.002 respectively) had significant roles as risk factors for depression during pregnancy in single regression and after control of other confounders. Conclusion There was a strong association between intimate partner violence and depression during pregnancy.


2021 ◽  
pp. 088626052110219
Author(s):  
Moses Okumu ◽  
Evalyne Orwenyo ◽  
Thabani Nyoni ◽  
Cecilia Mengo ◽  
Jordan J. Steiner ◽  
...  

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.


2020 ◽  
Author(s):  
Emmanuel Chilanga ◽  
Delphine Collin-Vezina ◽  
Mohammad Nuruzzaman Khan ◽  
Liam Riley

Abstract Background: Intimate partner violence (IPV) against women is a pervasive and significant public health problem. The phenomenon is linked to adverse health effects for women and children. Mothers of young children in Malawi can be particularly at risk because of gender-based power imbalances. The objectives of this study were to examine the prevalence and the risk factors of IPV perpetrated by the current or recent partner against mothers of children under five years of age in rural Malawi.Methods: A multistage cross-sectional study design was used. A sample of 538 mothers of young children was randomly selected from postnatal clinics in Dowa district. The WHO's Violence against women instrument was used to collect data. Logistic regressions were used to determine risk factors that were associated with IPV against mothers. Results: The prevalence of IPV controlling behavior, psychological, physical, and sexual violence were 74.7%, 49.4%, 43.7% and 73.2% respectively. In multivariate analyses, mothers whose partners had extra marital affairs were more likely to experience controlling behavior (AOR: 4.97, 95% CI: 2.59-8.55, P<0.001), psychological (AOR: 2.14, 95% CI: 1.486-3.472, P<0.001) and physical (AOR: 2.29, 95% CI: 1.48-3.94, P<0.001) violence than mothers whose partners did not have extra marital affairs. Mothers whose partners consume alcohol were more likely to experience sexual violence (AOR: 2.00, 95% CI: 1.17-3.41, P<0.001) than mothers whose partners did not drink. Finally, mothers who spent more than 30 minutes drawing water were at greater risk of experiencing IPV than mothers who spent less than 30 minutes.Conclusion: This study found a significantly higher prevalence of IPV against mothers in rural Malawi compared to the national prevalence. Programs aimed at reducing the partners’ potential risk behaviors identified in this study are recommended. Public health programs that support increased household access to safe water are also recommended to help mitigate IPV against mothers.


2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Jo Spangaro ◽  
Chye Toole-Anstey ◽  
Catherine L. MacPhail ◽  
Delia C. Rambaldini-Gooding ◽  
Lynne Keevers ◽  
...  

AbstractSexual violence and intimate partner violence are exacerbated by armed conflict and other humanitarian crises. This narrative systematic review of evidence for interventions to reduce risk and incidence of sexual and intimate partner violence in conflict, post-conflict and other humanitarian crises, updates and expands our review published in 2013. A search of ten bibliographic databases for publications from January 2011 to May 2020 used database specific key words for sexual/intimate partner violence and conflict/humanitarian crisis. The 18 papers, describing 16 studies were undertaken in conflict/post-conflict settings in 12 countries. Six intervention types were reported: i) personnel; ii) community mobilisation; iii) social norms; iv) economic empowerment; v) empowerment; and vi) survivor responses, with the most common being economic empowerment (n = 7) and gendered social norms interventions (n = 6). Combined interventions were reported in nine papers. Four studies identified non-significant reductions in incidence of sexual/ intimate partner violence, showing an evident positive trend; all four evaluated gendered social norms or economic empowerment singly or in combination. Evidence for improved mental health outcomes was found for some economic empowerment, social norms and survivor interventions. Some evidence of reduced risk of sexual violence and intimate partner violence was identified for all intervention types. Qualitative studies suggest that experiences of social connection are important for women who participate in programming to address sexual and intimate partner violence. Interventions with multiple strategies appear to hold merit. Achieving and demonstrating reduced sexual and intimate partner violence remains challenging in this context. Future research should continue to explore how social norms interventions can be most effectively delivered, including the impact of including mixed and same sex groups. Work is needed with local partners to ensure programs are contextually adapted.


2021 ◽  
Author(s):  
◽  
Ara A'Court

<p>Two leading theories propose different reasons for men’s and women’s intimate partner violence (IPV). The gendered theory proposes that society’s patriarchal norms of male dominance and female subordination cause men’s IPV towards women. From this perspective, violence against ‘wives’ is condoned by society, and women only perpetrate IPV in self-defence against men’s primary violence. Conversely, the chivalrous theory of IPV explains women’s IPV perpetration in terms of society’s chivalrous norms, which protect women from male violence and emboldens women to physically assault male partners. From this perspective, women’s violence is not considered harmful to men. As gendered theory and chivalrous theory both reference stereotyped gender attitudes (sexism) towards women, I used the ambivalent sexism inventory (ASI) to test the competing theories efficacy in explaining IPV perpetration by heterosexual men and women. The ASI conceptualises sexist attitudes towards women as comprised of two parts: hostile sexism (reflecting the hostility towards women outlined by gendered theory), and benevolent sexism (reflecting the benevolence towards women outlined by chivalrous theory). Gendered theory states that society condones violence towards women. Thus, men’s attitudes approving of male-perpetrated IPV should mediate the relationship between men’s hostile sexism and IPV, if gendered theory predictions are correct. Alternatively, chivalrous theory poses that society does not approve of violence towards women. Thus, attitudes disapproving of men’s IPV against women and approving of women’s IPV towards men should mediate the relationship between benevolent sexism and IPV if chivalrous theory is correct. I hypothesized men’s increased hostile sexism would predict men’s increased IPV perpetration through increased approval of IPV against women, and men’s increased benevolent sexism would predict men’s decreased IPV perpetration through decreased approval of IPV against women. Further, I hypothesised that women’s increased hostile sexism would predict women’s increased IPV perpetration through increased approval of IPV against men, and women’s benevolent sexism would predict increased IPV perpetration through increased approval of IPV against men. North American men and women (N = 688) filled out an online questionnaire measuring experiences of IPV as victims and/or perpetrators, approval of male and female IPV perpetration, and hostile and benevolent sexism. Multi-group structural equation modelling tested the extent to which positive attitudes toward intimate partner violence mediated the association between sexism and IPV perpetration for men and for women. Results found that, for both men and women, increased hostile sexism predicted greater IPV perpetration through greater approval of men’s IPV against women. Furthermore, increased benevolent sexism predicted women’s increased IPV perpetration through increased approval of men’s IPV against women. Men’s increased benevolent sexism did not predict men’s lower IPV perpetration or disapproval of IPV against women. However, men’s and women’s ambivalent sexism also predicted greater approval of women’s IPV towards men. Results did not fully support patriarchal or chivalrous predictions, instead aligning well with ambivalent sexism theory which posits a more inclusive and holistic understanding of the relationship between sexism and IPV perpetration. Reducing all forms of sexism and men’s and women’s positive attitudes toward the use of IPV are identified as important targets for IPV treatment and prevention.</p>


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