坦桑尼亚姆万扎妇女参加非正式团体与亲密伴侣暴力:一项纵向研究。

IF 4.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Shruti Shukla , Neema R. Mosha , Sarah R. Meyer , Sheila Harvey , Shelley Lees , Gerry Mshana , Heidi Stöckl
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引用次数: 0

摘要

导言:妇女团体已成为在不同环境中实施暴力预防干预措施的重要平台,因为它们可以成为促进性别平等、增强妇女权能和为妇女提供安全空间的强大催化剂。鉴于有关妇女参与非正式团体对男性实施的亲密伴侣暴力的影响的经验证据有限,本纵向研究探讨了妇女参与非正式团体如何影响坦桑尼亚姆万扎妇女在身体、情感、性和经济方面的 IPV 经历:本研究分析了 MAISHA 研究的四波数据,该研究对两项 MAISHA 试验的对照组(n = 1122)进行了跟踪调查。研究对象包括年龄在 18-70 岁、在过去 12 个月内有过恋爱关系的女性。通过混合效应逻辑回归模型,我们研究了妇女积极参与宗教、种族、小额信贷、街道和支持团体以及社区会议与四种 IPV 之间的关系,并对同居状况、年龄和之前 MAISHA 试验的参与情况进行了调整。参与者的唯一识别码被用作随机效应变量,每轮调查的虚拟变量被用来考虑时间因素:基线时参加宗教团体、种族团体、小额信贷团体、支持团体和街道团体以及社区会议的比例分别为 41.8%、17.5%、41.1%、20.1%、42.9% 和 20.1%。调整后的多变量模型显示,参加社区会议的参与者遭受经济性 IPV 的几率较低(AOR = 0.68,CI:0.56-0.82),遭受情感性 IPV 的几率较高(AOR = 1.21,CI:1.00-1.46)。此外,支持小组的积极参与者报告称,他们遭遇经济性 IPV(AOR = 0.77,CI:0.60-0.99)和性 IPV(AOR = 0.72,CI:0.58-0.90)的几率较低。少数民族参与者也报告了较低的经济 IPV 发生几率(AOR = 0.79,CI:0.62-1.00)。没有任何预测因素与身体上的 IPV 相关:本研究强调了非正式社区团体的参与在减少坦桑尼亚姆万扎妇女遭受性和经济 IPV 方面的潜力,同时也表明情感 IPV 的风险可能会增加。该研究强调,有必要采取量身定制、因地制宜和改变性别观念的干预措施,以有效解决权力失衡和限制性规范问题。未来的研究应深入探讨群体参与的细微衡量标准,包括出席率、会议频率和持续时间、参与者在群体中的影响力、社会联系的强度及其对 IPV 体验的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Women's informal group participation and intimate partner violence in Mwanza, Tanzania: A longitudinal study

Introduction

Women's groups have emerged as an essential platform for implementing violence prevention interventions across diverse settings because they can serve as a powerful catalyst for promoting gender equality, empowering women, and providing a safe space for them. Given the limited empirical evidence on the impact of women's informal group participation on male-perpetrated intimate partner violence, this longitudinal study examines how such participation influences women's experiences of physical, emotional, sexual, and economic IPV in Mwanza, Tanzania.

Methods

Data from four waves of the MAISHA study, which followed up the control groups (n = 1122) of the two MAISHA trials, were analysed. Women aged 18–70 who had been in a relationship within the last 12 months were included. Using mixed effects logistic regression models, we examined the association between women's active participation in religious, ethnic, microcredit, street and support groups and community meetings, with four types of IPV, adjusting for cohabitation status, age and enrolment in previous MAISHA trials. Participants' unique identification number was used as a random effect variable, and dummies for each survey round were used to account for time.

Results

The prevalence of religious, ethnic, microcredit, support and street groups, and community meeting participation at baseline were 41.8%, 17.5%, 41.1%, 20.1%, 42.9%, and 20.1%, respectively. Adjusted multivariable models showed that participants who engaged in community meetings reported lower odds of experiencing economic IPV (AOR = 0.68, CI: 0.56–0.82) and higher odds of experiencing emotional IPV (AOR = 1.21, CI: 1.00–1.46). Further, active participants of support groups reported lower odds of experiencing both economic (AOR = 0.77, CI: 0.60–0.99) and sexual IPV (AOR = 0.72, CI: 0.58–0.90). Participants in ethnic groups also reported lower odds of economic IPV (AOR = 0.79, CI: 0.62–1.00). No predictor was associated with physical IPV.

Conclusion

This study underscores the potential of informal community group participation to mitigate sexual and economic IPV among women in Mwanza, Tanzania, while also indicating a possible increase in the risk of emotional IPV. It emphasises the necessity for tailored, context-sensitive, and gender-transformative interventions to address power imbalances and restrictive norms effectively. Future research should delve into nuanced measures of group participation, including attendance, meeting frequency and duration, participants' influence within groups, the strength of social ties, and their implications for IPV experiences.
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来源期刊
Social Science & Medicine
Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
9.10
自引率
5.60%
发文量
762
审稿时长
38 days
期刊介绍: Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.
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