Women's attitudes towards intimate partner violence in Guyana: a population-based study

被引：0

作者：

Joseph, Gary ^{[1
,2
]}

Branas, Charles C. ^{[3
]}

Rupnarain, Sandra ^{[4
]}

Riutort, Monica ^{[5
]}

Morrison, Christopher N. ^{[3
,6
]}

机构：

[1] Georgetown Publ Hosp Corp, Inst Hlth Sci Educ, Georgetown, Guyana

[2] Univ Guyana, Coll Med Sci, Georgetown, Guyana

[3] Columbia Univ, Mailman Sch Publ Hlth, Dept Epidemiol, New York, NY USA

[4] Family Serv Peel, Mississauga, ON, Canada

[5] Peel Inst Violence Prevent, Mississauga, ON, Canada

[6] Monash Univ, Sch Publ Hlth & Prevent Med, Dept Epidemiol & Prevent Med, Melbourne, Australia

来源：

LANCET REGIONAL HEALTH-AMERICAS | 2024年 / 39卷

基金：

美国国家卫生研究院;

关键词：

Attitudes; Domestic violence; Intimate partner violence; Violence against women; Guyana;

D O I：

10.1016/j.lana.2024.100920

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background Intimate partner violence (IPV) against women is a global health issue and a breach of human rights. However, the literature lacks understanding of how socioeconomic and geographic disparities influence women's attitudes toward IPV in Guyana over time. This study aimed to assess trends in women's attitudes about IPV in Guyana. Methods Data from three nationally representative surveys from 2009, 2014 to 2019 were analysed. The prevalence of women's attitudes about IPV was assessed, specifically in response to going out without telling their partners, neglecting their children, arguing with their partner, refusing sex with their partner, or burning food prepared for family meals. A series of stratified subgroup analyses were also completed. We assessed trends in IPV using the slope index of inequality (SII) and the concentration index of inequality (CIX). We used multilevel mixed-effects logistic regression to assess factors associated with women's attitudes justifying IPV. Findings The prevalence of women's attitudes justifying IPV for any of the fi ve reasons declined from 16.4% (95% CI: 15.1-17.8) in 2009 to 10.8% (95% CI: 9.7-12.0) in 2019. Marked geographic and socioeconomic inequalities were observed among subgroups. The SII for any of the fi ve reasons decreased from - 20.02 to - 14.28, while the CIX remained constant over time. Key factors associated with women's attitudes about IPV were area of residence, sex of the household head, marital status, respondent's level of education, wealth index quintile, and the frequency of reading newspapers/magazines. Interpretation From 2009 to 2019, Guyana was able to reduce women's attitudes justifying IPV against women by 34.1% and shortened subgroup inequalities. However, the prevalence remained high in 2019, with persisted inequalities among subgroups. Effective strategies, including the use of media to raise awareness, promotion of community-based approaches, and educational campaigns focusing on geographic and socioeconomic disparities, are essential for continuing to reduce the prevalence of IPV and associated inequalities.

引用

页数：12