Does going against the norm on women's economic participation increase intimate partner violence risk? A cross-sectional, multi-national study.

IF 4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Anaise Williams, Lori Heise, Nancy Perrin, Colleen Stuart, Michele R Decker
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引用次数: 0

Abstract

Background: Women's economic empowerment (WEE) is believed to reduce the risk of intimate partner violence (IPV), yet the relationship between WEE and IPV has proven to be highly variable. Little attention has been given to how the normative WEE environment may influence this relationship across different settings. This study tests whether IPV is associated with Vanguard WEE, defined as individual economic participation that deviates from community norms.

Methods: This cross-sectional study draws on Demographic and Health Surveys conducted in 44 low- and middle-income countries. The analytic sample was partnered women who participated in the domestic violence module, living in communities with sufficient data to construct WEE norms (n = 186,968). The relationship between Vanguard WEE-measured by the number of WEE activities a woman engaged in that were non-normative in her community-and the incidence of past-year physical IPV, sexual IPV, and partner control was evaluated using a mixed-effects multilevel logistic model. The study also explored interactions between Vanguard WEE and household wealth.

Results: Women who did not deviate from the community norm had an adjusted probability of 0.15 for experiencing physical IPV in the past year. However, this probability increased to 0.17 (marginal effect (ME): 0.014; 95% CI 0.007,0.021), 0.17 (ME: 0.020; 95% CI 0.010,0.030), and 0.19 (ME: 0.037; 95% CI 0.022,0.051) for women with one, two, and three or more vanguard WEE items, respectively. Physical IPV associated with vanguard WEE was higher among poorer women (p = 0.021). Additionally, the probability of past-year sexual IPV and current partner control increased from 0.05 to 0.08 (p < 0.001) and from 0.38 to 0.44 (p < 0.001), respectively, for women with three or more vanguard WEE items.

Conclusions: The study provides evidence of partner backlash in the form of IPV among vanguard women-those whose economic activities contradicted local norms. Programs designed to economically empower women in contexts where such participation is non-normative should include mechanisms to monitor and mitigate potential backlash.

违背妇女经济参与的规范会增加亲密伴侣暴力的风险吗?一项横断面的多国研究。
背景:妇女经济赋权(WEE)被认为可以降低亲密伴侣暴力(IPV)的风险,然而,WEE与IPV之间的关系已被证明是高度可变的。很少有人注意到规范的WEE环境如何在不同的环境中影响这种关系。本研究测试了IPV是否与先锋WEE相关,先锋WEE被定义为偏离社区规范的个人经济参与。方法:这项横断面研究利用了在44个低收入和中等收入国家进行的人口和健康调查。分析样本为参与家庭暴力模块的有伴侣妇女,她们生活在有足够数据构建WEE规范的社区(n = 186,968)。Vanguard WEE(通过女性在其社区中从事的非规范性WEE活动的数量来测量)与过去一年的身体IPV、性IPV和伴侣控制发生率之间的关系使用混合效应多层逻辑模型进行评估。该研究还探讨了Vanguard WEE与家庭财富之间的相互作用。结果:未偏离社区规范的妇女在过去一年中经历物理IPV的调整概率为0.15。然而,这一概率增加到0.17(边际效应(ME): 0.014;95% ci 0.007,0.021), 0.17 (me: 0.020;95% CI 0.010,0.030)和0.19 (ME: 0.037;95% CI 0.022,0.051),分别为1个、2个和3个或更多先锋WEE项目的女性。身体IPV与先锋WEE的相关性在较贫穷的女性中较高(p = 0.021)。此外,过去一年的性IPV和目前的伴侣控制的概率从0.05增加到0.08 (p)。结论:该研究提供了在先锋女性(那些经济活动与当地规范相矛盾的女性)中以IPV形式出现伴侣反弹的证据。在妇女参与不规范的情况下,旨在赋予妇女经济权力的项目应包括监测和减轻潜在反弹的机制。
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来源期刊
Global Health Research and Policy
Global Health Research and Policy Social Sciences-Health (social science)
CiteScore
12.00
自引率
1.10%
发文量
43
审稿时长
5 weeks
期刊介绍: Global Health Research and Policy, an open-access, multidisciplinary journal, publishes research on various aspects of global health, addressing topics like health equity, health systems and policy, social determinants of health, disease burden, population health, and other urgent global health issues. It serves as a forum for high-quality research focused on regional and global health improvement, emphasizing solutions for health equity.
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