scholarly journals Investigating the associations between intimate partner violence and nutritional status of women in Zimbabwe

2020 ◽  
Author(s):  
Jeanette Mukamana ◽  
Pamela Machakanja ◽  
Hajo Zeeb ◽  
Sanni Yaya ◽  
Nicholas Kofi Adjei

Abstract Background: Intimate partner violence (IPV) against women and poor nutritional status are growing health problems in low and middle-income countries (LMICs). Moreover, violence against women has been shown to be associated with poor nutrition. This study investigated the relationship between IPV and nutritional status (i.e., underweight, overweight, and obesity) among women of reproductive age (15-49 years) in Zimbabwe. Methods: Pooled data from the 2005/2006, 2010/2011, and 2015 Zimbabwe Demographic Health Surveys (ZDHS) on 13,008 married/cohabiting women were analysed. Multinomial logistic regression models were used to examine the associations between the various forms of IPV and the nutritional status of women. We further estimated the prevalence of BMI ≥ 25.0 kg/m2 (overweight and obesity) by intimate partner violence type.Results: The mean BMI of women was 24.3 kg/m2, more than one-fifth (24%) were overweight and about 12% were obese. Forty-three percent (43%) of women reported to have ever experienced at least one form of intimate partner violence. More than one-third (35%) of women who reported to have ever experienced at least one form of intimate partner violence had a BMI ≥ 25.0 kg/m2 (p< 0.01). Relative to normal weight, women who had ever experienced at least one form of IPV (i.e., physical, emotional, or sexual) were more likely to be obese (aOR = 2.59; 95% CI = 1.05–6.39). Women’s exposure to any form of intimate partner violence was not significantly associated with the likelihood of being underweight or overweight relative to normal weight.Conclusions: The study findings showed that women of reproductive age in Zimbabwe are at high risk of both IPV and excess weight. Moreover, we found a positive relationship between IPV and obesity. Public health interventions that target the well-being, empowerment, and development of women are needed to address the complex issue of IPV and adverse health outcomes, including obesity.

2020 ◽  
Author(s):  
Jeanette Mukamana ◽  
Pamela Machakanja ◽  
Hajo Zeeb ◽  
Sanni Yaya ◽  
Nicholas Adjei

Abstract Background Intimate partner violence (IPV) against women and poor nutritional status are growing health problems in low and middle-income countries (LMICs). Moreover, violence against women has been shown to be associated with poor nutrition. This study investigated the relationship between IPV and nutritional status (i.e., underweight, overweight, and obesity) among women of reproductive age (15–49 years) in Zimbabwe. Methods Pooled data from the 2005/2006, 2010/2011, and 2015 Zimbabwe Demographic Health Surveys (ZDHS) on 13,008 married/cohabiting women were analysed. Multinomial logistic regression models were used to examine the associations between the various forms of IPV and the nutritional status of women. We further estimated the prevalence of BMI ≥ 25.0 kg/m2 (overweight and obesity) by intimate partner violence type. Results The mean BMI of women was 24.3 kg/m2, more than one-fifth (24%) were overweight and about 12% were obese. Forty-three percent (43%) of women reported to have ever experienced at least one form of intimate partner violence. More than one-third (35%) of women who reported to have ever experienced at least one form of intimate partner violence had a BMI ≥ 25.0 kg/m2 (p < 0.01). Relative to normal weight, women who had ever experienced at least one form of IPV (i.e., physical, emotional, or sexual) were more likely to be obese (aOR = 2.59; 95% CI = 1.05–6.39). Women’s exposure to any form of intimate partner violence was not significantly associated with the likelihood of being underweight or overweight relative to normal weight. Conclusions The study findings showed that women of reproductive age in Zimbabwe are at high risk of both IPV and excess weight. Moreover, we found a positive relationship between IPV and obesity. Public health interventions that target the well-being, empowerment, and development of women are needed to address the complex issue of IPV and adverse health outcomes, including obesity.


2019 ◽  
Author(s):  
Jeanette Iman'ishimwe Mukamana ◽  
Pamela Machakanja ◽  
Nicholas Kofi Adjei

Abstract Background: Intimate partner violence (IPV) is a widespread problem affecting all cultures and socioeconomic groups. This study explored the trends in prevalence and risk factors associated with IPV among Zimbabwean women of reproductive age (15-49 years) from 2005-2015. Methods: Data from the 2005/2006, 2010/2011 and 2015 Zimbabwe Demographic and Health Survey (ZDHS) on 13,409 women (survey year: 2005/2006; n=4,081), (survey year: 2010/2011; n=4,411) and (survey year: 2015; n=4,917) were analyzed. Multiple logistic regressions and hierarchical modelling techniques were applied to examine the associations between demographic characteristics, socioeconomic status, media exposure and IPV against women. We further estimated IPV prevalence by type (physical, sexual and emotional) over time. Results: The prevalence of IPV decreased from 45.2% in 2005 to 40.9% in 2010, and then increased to 43.1% in 2015. Some of the risk factors associated with IPV were younger age, low economic status, cohabitation and rural residence. Educational attainment of women was however not significantly associated with IPV. Conclusions: The findings indicate that women of reproductive age are at high and increasing risk of physical and emotional violence. There is thus an urgent need for an integrated policy approach to address the rise of IPV related physical and emotional violence against women in Zimbabwe. Keywords: Intimate Partner Violence (IPV); Trends; Risk factors; Demographic and Health Surveys (DHS); Zimbabwe


2019 ◽  
Author(s):  
Jeanette Iman'ishimwe Mukamana ◽  
Pamela Machakanja ◽  
Nicholas Kofi Adjei

Abstract Background: Intimate partner violence (IPV) is a widespread problem affecting all cultures and socioeconomic groups. This study explored the trends in prevalence and risk factors associated with IPV among Zimbabwean women of reproductive age (15-49 years) from 2005-2015. Methods: Data from the 2005/2006, 2010/2011 and 2015 Zimbabwe Demographic and Health Survey (ZDHS) on 13,409 women (survey year: 2005/2006; n=4,081), (survey year: 2010/2011; n=4,411) and (survey year: 2015; n=4,917) were analyzed. Multiple logistic regressions and hierarchical modelling techniques were applied to examine the associations between demographic characteristics, socioeconomic status, media exposure and IPV against women. We further estimated IPV prevalence by type (physical, sexual and emotional) over time. Results: The prevalence of IPV decreased from 45.2% in 2005 to 40.9% in 2010, and then increased to 43.1% in 2015. Some of the risk factors associated with IPV were younger age, low economic status, cohabitation and rural residence. Educational attainment of women was however not significantly associated with IPV. Conclusions: The findings indicate that women of reproductive age are at high and increasing risk of physical and emotional violence. There is thus an urgent need for an integrated policy approach to address the rise of IPV related physical and emotional violence against women in Zimbabwe. Keywords: Intimate Partner Violence (IPV); Trends; Risk factors; Demographic and Health Surveys (DHS); Zimbabwe


2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Obioma Uchendu ◽  
Olayide Olabumuyi ◽  
Olawale Awosika

Abstract Background Women’s perception, decision-making power and childhood experiences are factors associated with their experience of intimate partner violence (IPV). This study assessed the IPV experiences of Nigerian women of reproductive age across the geo-political zones and the factors associated with their experience of IPV. Methods Using the 2018 Nigeria Demographic and Health Survey (NDHS), complex sample analysis of a subset of 8,163 women of reproductive age who were currently in union was done using SPSS version 23. Respondents and partners demographic profile, their childhood experience and perception of IPV was fitted into the multivariate regression model. Result Mean age of the respondents was 31.3 ± 8.2 years. Childhood experience of domestic violence and poor perception of IPV was reported by 9.9% and 28.9% respectively. Over a third (35.5%) had experienced one form of IPV. The odds of experiencing IPV was 1.4 times and 3.3 times higher among those with poor perception of IPV [OR = 1.38; 95% CI = 1.184-1.597] and had childhood experience of domestic violence [OR = 3.29; 95% CI = 2.706-3.990] respectively. Conclusion About a third of women of reproductive age group in Nigeria experiences IPV. Childhood experience of IPV and poor perception of IPV were significant predictors of IPV experience. Key message Childhood experience of domestic violence may influence individuals’ perception of IPV which may be accepted as a norm as they grow. Interventions at reducing IPV should start from childhood to change the perception of IPV as being acceptable.


2019 ◽  
Author(s):  
Jeanette Iman'ishimwe Mukamana ◽  
Pamela Machakanja ◽  
Nicholas Kofi Adjei

Abstract Background: Intimate partner violence (IPV) is a widespread problem affecting all cultures and socioeconomic groups. This study explored the trends in prevalence and risk factors associated with IPV among Zimbabwean women of reproductive age (15-49 years) from 2005-2015. Methods: Data from the 2005/2006, 2010/2011 and 2015 Zimbabwe Demographic and Health Survey (ZDHS) on 13,409 women (survey year: 2005/2006; n=4,081), (survey year: 2010/2011; n=4,411) and (survey year: 2015; n=4,917) were analyzed. Multiple logistic regressions and hierarchical modelling techniques were applied to examine the associations between demographic characteristics, socioeconomic status, media exposure and IPV against women. We further estimated the prevalence of IPV over time. Results: The prevalence of IPV decreased from 45.2% in 2005 to 40.9% in 2010, and then increased to 43.1% in 2015. Some of the risk factors associated with IPV were younger age, low economic status, cohabitation and rural residence. Educational attainment of women was however not significantly associated with IPV. Conclusions: The findings indicate that women of reproductive age are at high and increasing risk of physical and emotional violence. There is thus an urgent need for an integrated policy approach to address the rise of IPV related physical and emotional violence against women in Zimbabwe. Keywords: Intimate Partner Violence (IPV); Trends; Risk factors; Demographic and Health Surveys (DHS); Zimbabwe


2020 ◽  
Vol 39 (1) ◽  
Author(s):  
Stephen Stake ◽  
Saifuddin Ahmed ◽  
Wietse Tol ◽  
Salahuddin Ahmed ◽  
Nazma Begum ◽  
...  

Abstract Background The purpose of this study is to assess the prevalence and associated factors of physical and sexual intimate partner violence (IPV) among married women of reproductive age in a rural population in northeast Bangladesh. In addition, we examined women’s sharing and disclosure of violence experience with others. Methods This cross-sectional study uses data from a household survey of 3966 women conducted in 2014 in the Sylhet District of Bangladesh. Interviews were completed in respondent’s homes by trained local female interviewers. Results Twenty-nine percent (28.8%, 95% CI 27.4–30.3%) of the women reported ever experiencing physical or sexual IPV by their spouse; 13.2% (95% CI 12.1–14.3%) reported physical or sexual IPV in the past year. Of the 13.2%, 10.1% (95% CI 9.2–11.1%) reported experiencing physical IPV and 4.6% (95% CI 4.0–5.3%) reported sexual IPV. In a combined model, the adjusted odds of having experienced physical or sexual IPV in the past year were higher for women who were raised in households with history of IPV (AOR = 4.35, 95% CI 3.26–5.80); women with no formal education (AOR = 1.76, 95% CI 1.30–2.37); women whose husbands had no formal education (AOR = 1.63, 95% CI 1.22–2.17); Muslim (AOR = 1.63, 95% CI 1.03–2.57); women younger than age 30 (AOR = 1.53, 95% CI 1.11–2.12); and women who were members of an NGO or microcredit financial organization (AOR = 1.38, 95% CI 1.04–1.82). Wealth, parity, number of household members, and pregnancy status (pregnant, postpartum, neither pregnant nor postpartum) were not associated with physical or sexual IPV after adjusting for other factors. Data on disclosure was available for women who reported experiencing physical violence in the last year; only 31.8% of victims told someone about the violence they had experienced and 1% reported to police, clerics, health workers, or a counselor altogether. Conclusions In rural northeast Bangladesh, a high proportion of women of reproductive age experience physical or sexual IPV. Women do not often speak of these experiences, especially to anyone outside of family. Interventions aimed at preventing future IPV and addressing current IPV should focus on women who witnessed IPV in childhood, as well as younger women and less educated couples. Trial registration This study was registered as a Clinical Trial (Identifier: NCT01702402). https://clinicaltrials.gov/ct2/show/NCT01702402


2018 ◽  
Vol 11 (1) ◽  
pp. 275-287
Author(s):  
Nanyanzi Salima ◽  
Emegwa Leah ◽  
Lawoko Stephen

Background:Intimate Partner Violence (IPV) and Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome (HIV/AIDS) occur as dual epidemics with gender dimensions. IPV sometimes result in lack of decision making autonomy over one’s own health and this may negatively affect uptake HIV testing services.Objective:The study aimed to examine the association between exposure to IPV and HIV testing among women of reproductive age in Uganda.Method:The study is based on cross-sectional data from 2011 Uganda Demographic and Health Survey (UDHS). A sub-sample of 1705 ever-partnered women aged 15-49 who responded to the domestic violence module was examined in the study. Bivariate and multivariable (logistic regression) analyses were used to determine the association between exposure to IPV and HIV testing.Results:Up to 82.3% and 61.5% of the respondents were tested for HIV ever and in the past year, respectively. The prevalence of physical IPV and IPV of any form in the past year was 25.6% and 44% respectively. Exposure to physical IPV and emotional IPV in the past year was associated with HIV testing within the past year. In the multivariate analysis, exposure to physical IPV remained significantly associated with HIV testing within the past year (OR: 1.34; 95% CI: 1.03-1.73). Frequent access to newspapers remained a significant predictor of HIV testing uptake.Conclusion:HIV testing in the past year is associated with exposure to IPV among women of reproductive age in Uganda. There is a need to include IPV as a part of global strategy to address HIV/AIDS.


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