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Open Access 01-12-2011 | Research article

Intimate partner violence against women in western Ethiopia: prevalence, patterns, and associated factors

Authors: Sileshi G Abeya, Mesganaw F Afework, Alemayehu W Yalew

Published in: BMC Public Health | Issue 1/2011

Abstract

Background

Intimate partner violence against women is the psychological, physical, and sexual abuse directed to spouses. Globally it is the most pervasive yet underestimated human rights violation. This study was aimed at investigating the prevalence, patterns and associated factors of intimate partner violence against women in Western Ethiopia.

Methods

A cross-sectional, population based household survey was conducted from January to April, 2011 using standard WHO multi-country study questionnaire. A sample of 1540 ever married/cohabited women aged 15-49 years was randomly selected from urban and rural settings of East Wollega Zone, Western Ethiopia. Data were principally analyzed using logistic regression.

Results

Lifetime and past 12 months prevalence of intimate partner violence against women showed 76.5% (95% CI: 74.4-78.6%) and 72.5% (95% CI: 70.3-74.7%), respectively. The overlap of psychological, physical, and sexual violence was 56.9%. The patterns of the three forms of violence are similar across the time periods. Rural residents (AOR 0.58, 95% CI 0.34-0.98), literates (AOR 0.65, 95% CI 0.48-0.88), female headed households (AOR 0.46, 95% CI 0.27-0.76) were at decreased likelihood to have lifetime intimate partner violence. Yet, older women were nearly four times (AOR 3.36, 95% CI 1.27-8.89) more likely to report the incident. On the other hand, abduction (AOR 3.71, 95% CI 1.01-13.63), polygamy (AOR 3.79, 95% CI 1.64-0.73), spousal alcoholic consumption (AOR 1.98, 95% CI 1.21-3.22), spousal hostility (AOR 3.96, 95% CI 2.52-6.20), and previous witnesses of parental violence (AOR 2.00, 95% CI 1.54-2.56) were factors associated with an increased likelihood of lifetime intimate partner violence against women.

Conclusion

In their lifetime, three out of four women experienced at least one incident of intimate partner violence. This needs an urgent attention at all levels of societal hierarchy including policymakers, stakeholders and professionals to alleviate the situation.

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UN General Assembly: Declaration on the Elimination of Violence against Women. 1994, Resolution A/RES/48/104, [http://www.un.org/documents/ga/res/48/a48r104.htm]

Ellsberg M, Heise L: Researching Violence against Women: A Practical Guide for Researchers and Activists. 2005, Washington DC, United States: World Health Organization; PATH, [http://www.PATH.org/files/GBV_rvaw_complete.pdf]

Krug E, Dahlberg L, Mercy J, Zwi A, Lozano R: World Report on Violence and Health. 2002, Geneva, [http://www.who.int/violence_injury_prevention/violence/world_report/en/full_en.pdf]

Watt C, Catty Z: Violence against women: global scope and magnitude. Lancet. 2002, 359: 1232-1237. 10.1016/S0140-6736(02)08221-1. [http://www.hawaii.edu/hivandaids/Violence%20Against%20Women%20%20%20%20Global%20Scope%20and%20Magnitude.pdf]CrossRef

Heyse L, Ellsberg M, Gottemoeller M: Ending Violence against Women. 1999, Baltimore: John's Hopkins University School of Public Health; Population Information Program, Report No.: Series L, No. 11. http://info.k4health.org/pr/l11/violence.pdf

Heise L: Violence against women: the hidden health burden. World Health Stat Q. 1993, 46 (1): 78-84. [http://www.uneca.org/adfvi/documents/UNFPA-RH-effects-of-GBV.pdf]PubMed

Krug E, Dahlberg L, Mercy J, Zwi A, Lozano R: The world reports on violence and health. Lancet. 2002, 360 (9339): 1083-1088. 10.1016/S0140-6736(02)11133-0. [http://www.ncbi.nlm.nih.gov/pubmed/12384003]CrossRefPubMed

Isabel R, Juncal P, Maria R: Physical health consequences of intimate partner violence in Spanish women. Eur J Public Health. 2007, 17 (5): 437-443. [http://eurpub.oxfordjournals.org/content/17/5/437.full.pdf+html]CrossRef

WHO: Violence against women. World Health Organization Fact sheet. 2000, [http://www.int/inf-fs/en/fact.239.html]

10.

David R, Michel G: The burden of diseases among the global poor. World Bank:. 1993, [http://siteresources.worldbank.org/INTPAH/Resources/Publications/Seminars/burden.pdf]

11.

Campbell J: Health consequences of intimate partner violence. Lancet. 2002, 359 (9314): 1331-1336. 10.1016/S0140-6736(02)08336-8. [http://www.nnvawi.org/pdfs/alo/Campbell_1.pdf]CrossRefPubMed

12.

Campbell J, Abrahams N, Martin L: Perpetration of violence against intimate partners: health care implications from global data. CMAJ. 2008, 179 (6): 511-512. 10.1503/cmaj.081145. [http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2527385/pdf/20080909s00006p511.pdf]CrossRefPubMedPubMedCentral

13.

Garcia M, Jansen H, Ellsberg M, Watts C: WHO Multi-Country Study on Women's Health and Domestic Violence against Women: Initial Results on Prevalence, Health Outcomes and Women's Response. 2005, Geneva: World Health Organization, [http://www.onlinewomeninpolitics.org/sourcebook_files/Resources.2/Tools-%20Multi-country%20Study%20on%20Women's%20Health%20and%20Domestic%20Violence%20against%20Women.pdf]

14.

Garcia M, Jansen H, Ellsberg M, Heise L, Watts C: Prevalence of intimate partner violence: findings from the WHO multi country study on women's health and domestic violence. Lancet. 2006, 368: 1260-1269. 10.1016/S0140-6736(06)69523-8. [http://www.who.int/gender/violence/who_multicountry_study/media_corner/Prevalence_intimatepartner_WHOStudy.pdf]CrossRef

15.

Heise L: Violence against women: an integrated, ecological framework. Violence against Women. 1998, 4: 262-290. 10.1177/1077801298004003002. [http://vaw.sagepub.com/content/4/3/262.short]CrossRefPubMed

16.

A National Report on Progress made in the Implementation of the Beijing Platform for Action Beijing + 10) Ethiopia, Prime Minister Office/Women's Affairs Sub Sector. 2004, [http://www.un.org/womenwatch/daw/Review/responses/ETHIOPIA-English.pdf]

17.

Gossaye Y, Deyessa N, Berhane Y, Ellsberg M, Emmelin M, Ashenafi M, Alem A, Negash A, Kebede D, Kullgren G, Ulf H: Butajira rural health program: womens life events study in rural Ethiopia. Ethiop J Health Dev. 2003, 17 (Suppl 2): 1-51. [http://www.un.org/womenwatch/daw/Review/responses/ETHIOPIA-English.pdf]

18.

Deribew A: Magnitude and risk factors of intimate partner violence against women in Agaro town, South West Ethiopia. Ethiopia J Health Sci. 2007, 17 (2): 1-13. [http://docs.google.com/viewer]

19.

Dibaba Y: Prevalence and correlates of intimate partner physical violence against women in Kofale District, Ethiopia. Trop Doct. 2008, 38 (1): 52-54. 10.1258/td.2007.060190. [http://www.ncbi.nlm.nih.gov/pubmed/18302872]CrossRefPubMed

20.

Berhane Y: Ending Domestic violence against women in Ethiopia. Ethiopia J Health Dev. 2004, 18 (3): 131-132. [http://ejhd.uib.no/ejhdv18-no3/131.EDITORIAL.pdf]

21.

Central Statistical Agency [Ethiopia] and ORC Macro: Ethiopia Demographic and Health Survey: 2005. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ORC Macro. 2006, [http://www.measuredhs.com/pubs/pub_details.cfm?id=596]

22.

CSA: Statistical Abstract of Federal Democratic Republic of Ethiopia. CSA. 2010, Addis Ababa, Ethiopia

23.

BSS: HIV/AIDS prevention and control office (HAPCO). Behavioural Surveillance Survey in Ethiopia. 2002

24.

Binson D, Canchola JA, Catania JA: Random selection in a telephone survey: a comparison of the kish, next-birthday, and last-birthday methods. J Official Stat. 2000, 16: 53-59. [http://www.lisproject.org/publications/liswps/358.pdf]

25.

WHO: The WHO Multi-Country Study on Women's Health and Domestic Violence: Notes on Use of the Questionnaire. (Version 10, 20 September 2003), [http://www.who.int/.../files/.../FinalVAWprogressreportforwebpagewithoutcover.pdf]

26.

Straus M, Hamby S, Boney-McCoy S, Sugarman D: The revised Conflict Tactics Scales (CTS2): development and preliminary psychometric data. J Family Issues. 1996, 17: 283-316. 10.1177/019251396017003001. [http://jfi.sagepub.com/content/17/3/283.short]CrossRef

27.

Vyas S, Kumaranayake L: Constructing socio-economic status indices: how to use principal components analysis. Health Policy Plan. 2006, 26 (1): 64-73. [http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2740686/pdf/jhpn0026-0064.pdf]

28.

Heise L, Nahid T, Kant M: Sexual Coercion and Reproductive Health: A Focus on Research. 1995, New York: Population Council, [http://www.popcouncil.org/pdfs/scoer.pdf]

29.

Ellsberg M, Heise L, Pena R, Agurto S, Winkvist A: Researching domestic violence against women: methodological and ethical considerations. Stud Fam Plann. 2001, 32 (1): 1-16. 10.1111/j.1728-4465.2001.00001.x. [http://gender.care2share.wikispaces.net/file/view/(13)ResearchingDVMethods.pdf]CrossRefPubMed

30.

Vung N, Ostergren P, Krantz G: Intimate partner violence against women in rural Vietnam - different socio-demographic factors are associated with different forms of violence: need for new intervention guidelines?. BMC Public Health. 2008, 8: 55-10.1186/1471-2458-8-55. [http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2275257/pdf/1471-2458-8-55.pdf]CrossRefPubMedCentral

31.

Gil-Gonzalez G, Vives C, Ruiz M, Carrasco P, Alvarez D: Childhood experiences of violence in perpetrators as a risk factor of intimate partner violence: a systematic review. J Pub Health. 2008, 30 (1): 14-22. 10.1093/pubmed/fdm071. [http://jpubhealth.oxfordjournals.org/content/30/1/14.full.pdf+html]CrossRef

32.

WHO: Putting women first: Ethical and safety recommendations for research on domestic violence against women. 2001, Geneva, [http://www.who.int/gender/violence/womenfirtseng.pdf]

33.

Ellsberg M, Pen R, Herrera A, Liljestrand J, Winkvis A: Candies in hell: women's experiences of violence in Nicaragua. Soc Sci Med. 2000, 51: 1595-1610. 10.1016/S0277-9536(00)00056-3. [http://www.caresci.gu.se/infoglueCalendar/digitalAssets/1760631588_BifogadFil_artiklar070228.pdf]CrossRefPubMed

34.

Ruiz-Perez I, Plazaola-Castano J, Vives-Cases C: Methodological issues in the study of violence against women. J Epidemiol Community Health. 2007, 61 (2): 26-31. [http://jech.bmj.com/content/61/Suppl_2/ii26.full.pdf]

35.

Deyessa N, Berhane Y, Ellsberg M, Emmelin M, Kullgren G, Ulf H: Intimate partner violence and depression among women in rural Ethiopia: a cross-sectional study. Clin Pract Epidemiol in Ment Health. 2009, 5: 8-10.1186/1745-0179-5-8. [http://www.cpementalhealth.com/content/5/1/8]CrossRef

36.

Ali T, Asad N, Mogren I, Krantz G: Intimate partner violence in urban Pakistan: prevalence, frequency, and risk factors. Int J of Women's Health. 2011, 3: 105-115. [http://www.dovepress.com/intimate-partner-violence-in-urban-pakistan-prevalence-frequency-and-r-peer-reviewed-article-IJWH]CrossRef

37.

The criminal code of the Federal Democratic Republic of Ethiopia, Proclamation No. 414/2004. 2005, Addis Ababa, [http://www.ilo.org/dyn/natlex/docs/ELECTRONIC/70993/75092/F1429731028/ETH70993.pdf]

38.

Dunkle KL, Jewkes RK, Brown HC, Gray GE, McIntyre JA, Harlow SD: Gender based power, relationship power and risk of HIV in women attending antenatal clinic in South Africa. Lancet. 2004, 363 (9419): 1415-1421. 10.1016/S0140-6736(04)16098-4. [http://www.ncbi.nlm.nih.gov/pubmed/15121402]CrossRefPubMed

39.

Ursula L: Intimate partner violence Fact sheet. 2009, [http://www.mrc.ac.za/crime/intimatepartner.pdf]

40.

Hindin M, Adair L: Who's at risk? Factors associated with intimate partner violence in the Philippines. Soc Sci Med. 2002, 55 (8): 1385-1399. 10.1016/S0277-9536(01)00273-8. [http://www.ncbi.nlm.nih.gov/pubmed/12231016]CrossRefPubMed

41.

Karamagi C, Tumwine1 J, Tylleskar T, Heggenhougen K: Intimate partner violence against women in eastern Uganda: implications for HIV prevention. BMC Public Health. 2006, 6: 284-10.1186/1471-2458-6-284. [http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1660563/pdf/1471-2458-6-284.pdf]CrossRefPubMedPubMedCentral

42.

Jewkes R: Intimate partner violence: causes and prevention. Lancet. 2002, 359: 1423-1429. 10.1016/S0140-6736(02)08357-5. [http://www.ayamm.org/english/Violence%20against%20women%201.pdf]CrossRefPubMed

43.

Hedin LW, Janson PO: Domestic violence during pregnancy: the prevalence of physical injuries, substance use, abortions and miscarriages. Acta Obstet Gynecol Scand. 2000, 79: 625-630. [http://onlinelibrary.wiley.com/doi/10.1034/j.1600-0412.2000.079008625.x/pdf]PubMed

44.

Fernandez M: Domestic violence by extended family members in India. J Interpers Violence. 1997, 12 (3): 433-455. 10.1177/088626097012003008. [http://aje.oxfordjournals.org/content/150/4/417.full.pdf]CrossRef

45.

Yigzaw T, Yibrie A, Kebede Y: Domestic violence around Gondar in NorherWest Ethiopia. Ethiop J Health Dev. 2004, 18 (3): 133-139. [http://www.cih.uib.no/journals/EJHD]

46.

Tjaden P, Thoennes N: Extent, nature and consequences of intimate partner violence: findings from the National Violence Against Women Survey. 2000, Washington, DC: National Institute of Justice, Centers for Disease Control and Prevention, [http://www.ojp.usdoj.gov/nij]CrossRef

47.

Koenig M, Ahmed S, Hossain M, Khorshed A: Domestic violence in Rakai, Uganda: evidence from a community based survey. Bull World Health Organ. 2003, 81: 53-60. [http://www.who.int/bulletin/Koenig0103.pdf]PubMedPubMedCentral

48.

Valladares E, Pena R, Persson L, Ulf H: Violence against pregnant women: prevalence and characteristics. A population based study in Nicaragua. Br J Obstet Gynaecol. 2005, 112: 1243-1248. 10.1111/j.1471-0528.2005.00621.x. [http://www.ncbi.nlm.nih.gov/pubmed/16101603]CrossRef

49.

Jeyaseelan L, Kumar N, Neelakantan A, Peedicayil R, Pillai N, Duvvury: Physical spousal violence against women in India: some risk factors. J Biosoc Sci. 2007, 39 (5): 657-670. 10.1017/S0021932007001836. [http://www.ncbi.nlm.nih.gov/pubmed/17349066]CrossRef

50.

Abramsky T, Watts CH, Garcia C, Devries K, Kiss L, Ellsberg M, Jansen HA, Heise L: What factors are associated with recent intimate partner violence? findings from the WHO multi-country study on women's health and domestic violence. BMC Public Health. 2011, 11 (109): 1-17. [http://www.biomedcentral.com/1471-2458/11/109]

51.

Xu X, Zhu H, Koenig M, Moch V, Campbell J: Prevalence of and risk factors for intimate partner violence in China. Am J Public Health. 2005, 95: 78-85. 10.2105/AJPH.2003.023978. [http://ajph.aphapublications.org/cgi/reprint/95/1/78.pdf]CrossRefPubMedPubMedCentral

52.

Kaye D, Mirembe F, Bantebya G: Risk factors, nature and severity of domestic violence among women attending antenatal clinic in Mulago hospital, Kampala, Uganda. Cent Aft J Med. 2002, 48 (5-6): 4-68. [http://www.ncbi.nlm.nih.gov/pubmed/12971161]

53.

Orava T, McLeod P, Sharpe D: Perceptions of control, depressive symptomatology, and self-esteem of women in transition from abusive relationships. J Fam Violence. 1996, 11: 167-186. 10.1007/BF02336668. [http://www.springerlink.com/content/57n6qk754q4w2x24/]CrossRef

54.

Djikanovic B, Jansen H, Otasevic S: Factors associated with intimate partner violence against women in Serbia: a cross-sectional study. J Epidemiol Community Health. 2010, 64: 728-735. 10.1136/jech.2009.090415. [http://jech.bmj.com/content/64/8/728.full.pdf]CrossRefPubMed

55.

Kishor S, Kiersten J: Profiling Domestic Violence - A Multi-Country Study. 2004, Calverton, Maryland: ORC Macro, [http://www.measuredhs.com/pubs/pdf/OD31/OD31.pdf]

56.

Kimuna SR, Djamba YK: Gender based violence: correlates of physical and sexual wife abuse in Kenya. J Fam Violence. 2008, 23 (5): 333-342. 10.1007/s10896-008-9156-9. [http://www.springerlink.com/content/41205631655v3264/]CrossRef

57.

Koss M, Gaines J: The prediction of sexual aggression by alcohol use, athletic participation and fraternity affiliation. J Interpers Violence. 1993, 8: 94-106. 10.1177/088626093008001007. [http://jiv.sagepub.com/content/8/1/94.abstract]CrossRef

58.

Andrew R, Maria M, Orlando B: The costs and impacts of gender-based violence in developing countries: Methodological considerations and new evidence. 2004, [http://siteresources.worldbank.org/INTGENDER/Resources/costsandimpactsofgbv.pdf]

59.

Koenig MA, Stephenson S, Ahmed SJ, Jejeebhoy , Campbell J: Individual and contextual determinants of domestic violence in North India. Am J Public Health. 2006, 96 (1): 132-138. 10.2105/AJPH.2004.050872. [http://ajph.aphapublications.org/cgi/reprint/96/1/132.pdf]CrossRefPubMedPubMedCentral

60.

Stith SM, Rosen KH, Middleton KA, Busch AL, Lundeberg K, Carlton RP: The intergenerational transmission of spouse abuse: a meta-analysis. J Marriage and the Family. 2000, 62: 640-654. 10.1111/j.1741-3737.2000.00640.x. [http://www.jstor.org/stable/1566786]CrossRef

61.

Martin SL, Moracco KE, Garro J, Tsui AO, Kupper LL, Chase JL, Campbell JC: Domestic violence across generations: findings from northern India. Int J Epidemiol. 2002, 31: 560-572. 10.1093/ije/31.3.560. [http://ije.oxfordjournals.org/content/31/3/560.full.pdf+html]CrossRefPubMed

62.

Roberts A, Gilman S, Fitzmaurice G, Decker M, KC K: Witness of intimate partner violence in childhood and perpetration of intimate partner violence in adulthood. Epidemiol. 2010, 21 (6): 809-818. 10.1097/EDE.0b013e3181f39f03. [http://www.ncbi.nlm.nih.gov/pubmed/20811285]CrossRef

63.

Graham P, Jackson R: Primary versus proxy respondents: comparability of questionnaire data on alcohol consumption. Am J Epidemiol. 1993, 138: 443-452. [http://hinari-gw.who.int/whalecomaje.oxfordjournals.org/whalecom0/content/138/6/443.abstract]PubMed

64.

Jansen H, Watts C, Ellsberg M, Heise L, Garcia CM: Interviewer training in the WHO Multi-country study on women's health and domestic violence. Violence against Women. 2004, 10: 831-849. 10.1177/1077801204265554. [http://hinari-gw.who.int/whalecomvaw.sagepub.com/whalecom0/content/10/7/831.full.pdf+html]CrossRef

The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2458/11/913/prepub

Title: Intimate partner violence against women in western Ethiopia: prevalence, patterns, and associated factors
Authors: Sileshi G Abeya
Mesganaw F Afework
Alemayehu W Yalew
Publication date: 01-12-2011
Publisher: BioMed Central
Published in: BMC Public Health / Issue 1/2011
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/1471-2458-11-913

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Intimate partner violence against women in western Ethiopia: prevalence, patterns, and associated factors

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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