Skip to main content
Top
Published in: BMC Public Health 1/2008

Open Access 01-12-2008 | Research article

Intimate partner violence against women in rural Vietnam - different socio-demographic factors are associated with different forms of violence: Need for new intervention guidelines?

Authors: Nguyen Dang Vung, Per-Olof Ostergren, Gunilla Krantz

Published in: BMC Public Health | Issue 1/2008

Login to get access

Abstract

Background

This population-based study investigated the different forms, magnitude and risk factors of men's violence against women in intimate relationships in a rural part of northern Vietnam and whether a difference in risk factors were at hand for the different forms of violence. Vietnam has undergone a rapid transition in the last 20 years, moving towards a more equal situation for men and women however, Confucian doctrine is still strong and little is known about men's violence against women within the Vietnamese family.

Methods

This is a cross-sectional population-based study that used a questionnaire developed by the World Health Organisation for investigating women's health and violence against women in different settings. Face-to face structured interviewing was performed and 883 married women, aged 17 to 60 participated. Bi- and multivariate analyses was used for risk factor assessment.

Results

The lifetime prevalence of physical violence was 30.9 percent and past year prevalence was 8.3 per cent, while the corresponding figures for physical and sexual violence combined was 32.7 and 9.2 percent. The lifetime prevalence was highest for psychological abuse (27.9 percent) as a single entity. In most cases the violence was of a severe nature and exercised as repeated acts over time. Woman's low educational level, husband's low education, low household income and the husband having more than one wife/partner were risk factors for lifetime and past year physical/sexual violence. The pattern of factors associated with psychological abuse alone was however different. Husband's low professional status and women's intermediate level of education appeared as risk factors.

Conclusion

Men's violence against women in intimate relationships is commonly occurring in rural Vietnam. There is an obvious need of preventive and treatment activities. Our findings point at that pure psychological abuse is different from physical/sexual violence in terms of differing characteristics of the perpetrators and it might be that also different strategies are needed to reduce and prevent this violence.
Appendix
Available only for authorised users
Literature
1.
go back to reference Watts C, Zimmerman C: Violence against women: global scope and magnitude. Lancet. 2002, 359 (9313): 1232-1237. 10.1016/S0140-6736(02)08221-1.CrossRefPubMed Watts C, Zimmerman C: Violence against women: global scope and magnitude. Lancet. 2002, 359 (9313): 1232-1237. 10.1016/S0140-6736(02)08221-1.CrossRefPubMed
2.
go back to reference Krug EG, Mercy JA, Dahlberg LL, Zwi AB: The world report on violence and health. Lancet. 2002, 360 (9339): 1083-1088. 10.1016/S0140-6736(02)11133-0.CrossRefPubMed Krug EG, Mercy JA, Dahlberg LL, Zwi AB: The world report on violence and health. Lancet. 2002, 360 (9339): 1083-1088. 10.1016/S0140-6736(02)11133-0.CrossRefPubMed
3.
go back to reference Nicolaidis , Curry M, McFarland B, Gerrity M: Violence, mental health, and physical symptoms in an academic internal medicine practice. J Gen Intern Med. 2004, 19: 819-827. 10.1111/j.1525-1497.2004.30382.x.CrossRefPubMedPubMedCentral Nicolaidis , Curry M, McFarland B, Gerrity M: Violence, mental health, and physical symptoms in an academic internal medicine practice. J Gen Intern Med. 2004, 19: 819-827. 10.1111/j.1525-1497.2004.30382.x.CrossRefPubMedPubMedCentral
4.
go back to reference Thompson RS, Bonomi A, Anderson M, Reid R, Dimer J, Carrell D, Rivara F: Intimate partner violence. Prevalence, types and chronicity in adult women. Am J Prev Med. 2006, 30 (6): 447-457. 10.1016/j.amepre.2006.01.016.CrossRefPubMed Thompson RS, Bonomi A, Anderson M, Reid R, Dimer J, Carrell D, Rivara F: Intimate partner violence. Prevalence, types and chronicity in adult women. Am J Prev Med. 2006, 30 (6): 447-457. 10.1016/j.amepre.2006.01.016.CrossRefPubMed
5.
go back to reference Kabeer N, Anh TTV, Loi VM: Preparing for the future: forward-looking strategies to promote gender equity in Vietnam. 2005, Hanoi: World Bank Group Kabeer N, Anh TTV, Loi VM: Preparing for the future: forward-looking strategies to promote gender equity in Vietnam. 2005, Hanoi: World Bank Group
6.
go back to reference Drummond L, Rydstrom H: Introduction. Gender practices in contemporary Vietnam. Edited by: Drummond L, Rydstrom H. 2004, Singapore: Singapore University Press, 3-4. Drummond L, Rydstrom H: Introduction. Gender practices in contemporary Vietnam. Edited by: Drummond L, Rydstrom H. 2004, Singapore: Singapore University Press, 3-4.
7.
go back to reference Johansson E, Long NH, Diwan VK, Winkvist A: Attitudes to compliance with tuberculosis treatment among women and men in Vietnam. Int J Tuberc Lung Dis. 1999, 3 (10): 862-868.PubMed Johansson E, Long NH, Diwan VK, Winkvist A: Attitudes to compliance with tuberculosis treatment among women and men in Vietnam. Int J Tuberc Lung Dis. 1999, 3 (10): 862-868.PubMed
8.
go back to reference Vietnam. UNDP Gender briefing kit. 2000, UNDP Vietnam. UNDP Gender briefing kit. 2000, UNDP
9.
go back to reference Long LD, Hung LN, Truitt A, Mai LTP, Anh DN: Changing gender relations in Vietnam'spost doi moi era. Gender and develoment working paper series No 14. 2000, Hanoi: The World Bank Development Research Group Long LD, Hung LN, Truitt A, Mai LTP, Anh DN: Changing gender relations in Vietnam'spost doi moi era. Gender and develoment working paper series No 14. 2000, Hanoi: The World Bank Development Research Group
10.
go back to reference Rydstrom H: Encountering "hot" anger. Domestic violence in contemporary Vietnam. Violence Against Women. 2003, 9: 676-697. 10.1177/1077801203009006004.CrossRef Rydstrom H: Encountering "hot" anger. Domestic violence in contemporary Vietnam. Violence Against Women. 2003, 9: 676-697. 10.1177/1077801203009006004.CrossRef
11.
go back to reference Bunck JM: Women and post-cold war socialism: the cases of Cuba and Vietnam. Cuba in transition: papers and proceedings of the seventh annual meeting of the association for the study of the Cuban economy: 1997. 1997, ASCE, 31- Bunck JM: Women and post-cold war socialism: the cases of Cuba and Vietnam. Cuba in transition: papers and proceedings of the seventh annual meeting of the association for the study of the Cuban economy: 1997. 1997, ASCE, 31-
12.
go back to reference Loi VM, Huy VT, Minh NH, Clement J: Gender-based violence: the case of Vietnam. 1999, Hanoi: World Bank Loi VM, Huy VT, Minh NH, Clement J: Gender-based violence: the case of Vietnam. 1999, Hanoi: World Bank
13.
go back to reference Croll EJ: Gender and transition in China and Vietnam. 1998, Stockholm: Sida Croll EJ: Gender and transition in China and Vietnam. 1998, Stockholm: Sida
14.
go back to reference Vietnam Gender Situation Analysis. 2005, Hanoi: Asian Development Bank, ADB Vietnam Gender Situation Analysis. 2005, Hanoi: Asian Development Bank, ADB
15.
go back to reference Krantz G, Van Phuong T, Larsson V, Thi Bich Thuan N, Ringsberg KC: Intimate partner violence: forms, consequences and preparedness to act as perceived by healthcare staff and district and community leaders in a rural district in northern Vietnam. Public Health. 2005, 119 (11): 1048-1055. 10.1016/j.puhe.2005.03.015.CrossRefPubMed Krantz G, Van Phuong T, Larsson V, Thi Bich Thuan N, Ringsberg KC: Intimate partner violence: forms, consequences and preparedness to act as perceived by healthcare staff and district and community leaders in a rural district in northern Vietnam. Public Health. 2005, 119 (11): 1048-1055. 10.1016/j.puhe.2005.03.015.CrossRefPubMed
17.
go back to reference Chuc NTK, Diwan FilaBavi: A demographic surveillance site, an epidemiological field laboratory in Vietnam. Scand J Public Health. 2003, 31 (Suppl 62): 3-7. 10.1080/14034950310015031.CrossRef Chuc NTK, Diwan FilaBavi: A demographic surveillance site, an epidemiological field laboratory in Vietnam. Scand J Public Health. 2003, 31 (Suppl 62): 3-7. 10.1080/14034950310015031.CrossRef
18.
go back to reference Tran Thi Que, Vu Ngoc Uyen, Nguyen Thi Bang: Gender basic concepts and gender issues in Vietnam. 1999, Hanoi: Centre for gender, environment and sustainable development studies Tran Thi Que, Vu Ngoc Uyen, Nguyen Thi Bang: Gender basic concepts and gender issues in Vietnam. 1999, Hanoi: Centre for gender, environment and sustainable development studies
19.
go back to reference WHO Multicountry study on women's health and life experiences questionnaire (version 9). 2000, Geneva: World Health Organisation WHO Multicountry study on women's health and life experiences questionnaire (version 9). 2000, Geneva: World Health Organisation
20.
go back to reference Hudson WW, McIntosh SR: The assessment of spouse abuse: two quantifiable dimensions. Journal of Marriage and the family. 1981, 43: 873-885. 10.2307/351344.CrossRef Hudson WW, McIntosh SR: The assessment of spouse abuse: two quantifiable dimensions. Journal of Marriage and the family. 1981, 43: 873-885. 10.2307/351344.CrossRef
21.
go back to reference Straus MA, Hamby SL, Boney-McCoy S, Sugarman DB: The revised conflict tactics scales. Development and preliminary psychometric data. Journal of Family Issues. 1996, 17: 283-316. 10.1177/019251396017003001.CrossRef Straus MA, Hamby SL, Boney-McCoy S, Sugarman DB: The revised conflict tactics scales. Development and preliminary psychometric data. Journal of Family Issues. 1996, 17: 283-316. 10.1177/019251396017003001.CrossRef
22.
go back to reference Saltzman L, Fanslow J, McMabon P, Shelley G: Intimate partner violence surveillance: Uniform definitions and recommended data elements, version 1.0. 1999, Atlanta: National Center for Injury Prevention and Control Saltzman L, Fanslow J, McMabon P, Shelley G: Intimate partner violence surveillance: Uniform definitions and recommended data elements, version 1.0. 1999, Atlanta: National Center for Injury Prevention and Control
23.
go back to reference Kinnear P, Gray C: SPSS for Windows made simple. Release 10. 2001, Aberdeen: University of Aberdeen Kinnear P, Gray C: SPSS for Windows made simple. Release 10. 2001, Aberdeen: University of Aberdeen
24.
go back to reference Rothman KJ: Epidemiology – an introduction. 2002, Oxford: Oxford University Press Rothman KJ: Epidemiology – an introduction. 2002, Oxford: Oxford University Press
25.
go back to reference Putting women first. Ethical and safety recommendations for research on domestic violence against women. 2001, Geneva: World Health Organisation Putting women first. Ethical and safety recommendations for research on domestic violence against women. 2001, Geneva: World Health Organisation
26.
go back to reference Hegarty K, Hindmarsh ED, Gilles MT: Domestic violence in Australia: definition, prevalence and nature of presentation in clinical practice. Med J Aust. 2000, 173 (7): 363-367.PubMed Hegarty K, Hindmarsh ED, Gilles MT: Domestic violence in Australia: definition, prevalence and nature of presentation in clinical practice. Med J Aust. 2000, 173 (7): 363-367.PubMed
27.
go back to reference Gil-Gonzales D, Vives-Cases C, Ruiz MT, Carrasco-Portino M, Alvarez-Dardet C: Childhood experiences of violence in perpetrators as a risk factor of intimate partner violence: a systematic review. J Public Health. 2007, advance access: 1–9. Gil-Gonzales D, Vives-Cases C, Ruiz MT, Carrasco-Portino M, Alvarez-Dardet C: Childhood experiences of violence in perpetrators as a risk factor of intimate partner violence: a systematic review. J Public Health. 2007, advance access: 1–9.
28.
go back to reference Xu X, Zhu F, O'Campo P, Koenig MA, Mock V, Campbell J: Prevalence of and risk factors for intimate partner violence in China. Am J Public Health. 2005, 95 (1): 78-85. 10.2105/AJPH.2003.023978.CrossRefPubMedPubMedCentral Xu X, Zhu F, O'Campo P, Koenig MA, Mock V, Campbell J: Prevalence of and risk factors for intimate partner violence in China. Am J Public Health. 2005, 95 (1): 78-85. 10.2105/AJPH.2003.023978.CrossRefPubMedPubMedCentral
29.
go back to reference Garcia-Moreno C, Jansen HA, Ellsberg M, Heise L, Watts CH: Prevalence of intimate partner violence: findings from the WHO multi-country study on women's health and domestic violence. Lancet. 2006, 368 (9543): 1260-1269. 10.1016/S0140-6736(06)69523-8.CrossRefPubMed Garcia-Moreno C, Jansen HA, Ellsberg M, Heise L, Watts CH: Prevalence of intimate partner violence: findings from the WHO multi-country study on women's health and domestic violence. Lancet. 2006, 368 (9543): 1260-1269. 10.1016/S0140-6736(06)69523-8.CrossRefPubMed
30.
go back to reference Ellsberg M, Pena R, Herrera A, Liljestrand J, Winkvist A: Candies in hell: women's experiences of violence in Nicaragua. Soc Sci Med. 2000, 51 (11): 1595-1610. 10.1016/S0277-9536(00)00056-3.CrossRefPubMed Ellsberg M, Pena R, Herrera A, Liljestrand J, Winkvist A: Candies in hell: women's experiences of violence in Nicaragua. Soc Sci Med. 2000, 51 (11): 1595-1610. 10.1016/S0277-9536(00)00056-3.CrossRefPubMed
31.
go back to reference Valladares E, Pena R, Persson LA, Hogberg U: Violence against pregnant women: prevalence and characteristics. A population-based study in Nicaragua. Bjog. 2005, 112 (9): 1243-1248.CrossRefPubMed Valladares E, Pena R, Persson LA, Hogberg U: Violence against pregnant women: prevalence and characteristics. A population-based study in Nicaragua. Bjog. 2005, 112 (9): 1243-1248.CrossRefPubMed
32.
go back to reference Marignoni J: Violence against women in Vietnam. 2001, Geneva: World Health Organisation Against Torture, OMCT Marignoni J: Violence against women in Vietnam. 2001, Geneva: World Health Organisation Against Torture, OMCT
33.
go back to reference Dunkle KL, Jewkes RK, Brown HC, Yoshihama M, Gray GE, McIntyre JA, Harlow SD: Prevalence and patterns of gender-based violence and revictimization among women attending antenatal clinics in Soweto, South Africa. Am J Epidemiol. 2004, 160 (3): 230-239. 10.1093/aje/kwh194.CrossRefPubMed Dunkle KL, Jewkes RK, Brown HC, Yoshihama M, Gray GE, McIntyre JA, Harlow SD: Prevalence and patterns of gender-based violence and revictimization among women attending antenatal clinics in Soweto, South Africa. Am J Epidemiol. 2004, 160 (3): 230-239. 10.1093/aje/kwh194.CrossRefPubMed
34.
go back to reference Swahnberg K, Wijma B, Schei B, Hilden M, Irminger K, Wingren GB: Are sociodemographic and regional and sample factors associated with prevalence of abuse?. Acta Obstet Gynecol Scand. 2004, 83 (3): 276-288. 10.1111/j.0001-6349.2004.0222.x.CrossRefPubMed Swahnberg K, Wijma B, Schei B, Hilden M, Irminger K, Wingren GB: Are sociodemographic and regional and sample factors associated with prevalence of abuse?. Acta Obstet Gynecol Scand. 2004, 83 (3): 276-288. 10.1111/j.0001-6349.2004.0222.x.CrossRefPubMed
35.
go back to reference Malcoe LH, Duran BM, Montgomery JM: Socioeconomic disparities in intimate partner violence against Native American women: a cross-sectional study. BMC Med. 2004, 2: 20-10.1186/1741-7015-2-20.CrossRefPubMedPubMedCentral Malcoe LH, Duran BM, Montgomery JM: Socioeconomic disparities in intimate partner violence against Native American women: a cross-sectional study. BMC Med. 2004, 2: 20-10.1186/1741-7015-2-20.CrossRefPubMedPubMedCentral
36.
go back to reference Koenig MA, Ahmed S, Hossain MB, Khorshed Alam Mozumder AB: Women's status and domestic violence in rural Bangladesh: individual- and community-level effects. Demography. 2003, 40 (2): 269-288. 10.1353/dem.2003.0014.CrossRefPubMed Koenig MA, Ahmed S, Hossain MB, Khorshed Alam Mozumder AB: Women's status and domestic violence in rural Bangladesh: individual- and community-level effects. Demography. 2003, 40 (2): 269-288. 10.1353/dem.2003.0014.CrossRefPubMed
37.
go back to reference Kaye D, Mirembe F, Bantebya G: Risk factor, nature and severity of domestic violence among women attending antenatal clinic in Mulago hospital, Kampala, Uganda. Central Journal of Medicine. 2002, 48 (5-6): 64-8. Kaye D, Mirembe F, Bantebya G: Risk factor, nature and severity of domestic violence among women attending antenatal clinic in Mulago hospital, Kampala, Uganda. Central Journal of Medicine. 2002, 48 (5-6): 64-8.
38.
go back to reference Piquero AR, Brame R, Fagan J, Moffitt TE: Assessing the offending activity of criminal domestic violence suspects: offense specialization, escalation, and de-escalation evidence from the Spouse Assault Replication Program. Public Health Rep. 2006, 121 (4): 409-418.PubMedPubMedCentral Piquero AR, Brame R, Fagan J, Moffitt TE: Assessing the offending activity of criminal domestic violence suspects: offense specialization, escalation, and de-escalation evidence from the Spouse Assault Replication Program. Public Health Rep. 2006, 121 (4): 409-418.PubMedPubMedCentral
Metadata
Title
Intimate partner violence against women in rural Vietnam - different socio-demographic factors are associated with different forms of violence: Need for new intervention guidelines?
Authors
Nguyen Dang Vung
Per-Olof Ostergren
Gunilla Krantz
Publication date
01-12-2008
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2008
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-8-55

Other articles of this Issue 1/2008

BMC Public Health 1/2008 Go to the issue