Water insecurity is associated with intimate partner violence among female adolescents and youth but not males in rural Tanzania: A cross-sectional study.

IF 2.3 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-10-07 DOI:10.1080/17441692.2024.2409369
Nelli Kisliuk, Sarah LaPointe, Sera L Young, Leah Prencipe, Paul Luchemba, Tumpe Mnyawami Lukongo, Tia Palermo
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引用次数: 0

Abstract

Food insecurity increases intimate partner violence (IPV), but less is known about water insecurity (WI) and IPV. We examined the association between household WI and IPV among adolescents and youth in the Mbeya and Iringa regions of Tanzania. The cross-sectional sample comprised 977 males and females aged 18-23 years living in rural, impoverished households. We conducted multivariate logistic regression analyses to estimate the association between experiences of WI [measured by the Household Water Insecurity Experiences (HWISE-4) Scale] and physical and/or emotional IPV (measured by an adapted Conflict Tactics Scale). Overall, WI (HWISE ≥4) was associated with 74% higher odds of any IPV (marginal effects (ME) of 7.8 percentage points (pp)), compared to those not WI. Among females (but not males), WI was associated with 3-fold higher odds of any IPV (OR = 3.00; 95% CI: [1.52, 5.94]; ME  = 14 pp). Compared to non-WI females, WI females had 5- and 2-fold higher odds of IPV (ME = 30.8 and 11.3 pp) among the ever married and never married sub-samples, respectively. The association between WI and IPV among females was attenuated (OR = 1.93; 95% CI: [0.93, 3.97]) when adjusting for household food insecurity. Ameliorating water insecurity is a promising avenue for IPV reduction.

在坦桑尼亚农村地区,用水不安全与女性青少年亲密伴侣间的暴力行为有关,但与男性无关:一项横断面研究。
粮食不安全会增加亲密伴侣间的暴力行为(IPV),但人们对用水不安全(WI)和 IPV 的了解较少。我们研究了坦桑尼亚姆贝亚和伊林加地区青少年家庭用水不安全与 IPV 之间的关系。横断面样本包括生活在农村贫困家庭中的 977 名 18-23 岁的男性和女性。我们进行了多变量逻辑回归分析,以估计用水不安全经历(以家庭用水不安全经历量表(HWISE-4)为标准)与身体和/或情感 IPV(以改编的冲突策略量表为标准)之间的关联。总体而言,与无水安全经历者相比,有水安全经历者(HWISE ≥4)遭受任何 IPV 的几率要高出 74%(边际效应 (ME) 为 7.8 个百分点 (pp))。在女性(而非男性)中,WI 与发生任何 IPV 的几率高出 3 倍相关(OR = 3.00;95% CI:[1.52, 5.94];ME = 14 pp)。与非 WI 女性相比,在曾经结婚和从未结婚的子样本中,WI 女性遭受 IPV 的几率分别高出 5 倍和 2 倍(ME = 30.8 和 11.3 pp)。在对家庭粮食不安全状况进行调整后,女性 WI 与 IPV 之间的关系有所减弱(OR = 1.93;95% CI:[0.93, 3.97])。改善用水不安全状况是减少 IPV 的一个可行途径。
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来源期刊
Global Public Health
Global Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
6.50
自引率
3.00%
发文量
120
期刊介绍: Global Public Health is an essential peer-reviewed journal that energetically engages with key public health issues that have come to the fore in the global environment — mounting inequalities between rich and poor; the globalization of trade; new patterns of travel and migration; epidemics of newly-emerging and re-emerging infectious diseases; the HIV/AIDS pandemic; the increase in chronic illnesses; escalating pressure on public health infrastructures around the world; and the growing range and scale of conflict situations, terrorist threats, environmental pressures, natural and human-made disasters.
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