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Published in: BMC Women's Health 1/2018

Open Access 01-12-2018 | Research article

Unequal power relations and partner violence against women in Tanzania: a cross-sectional analysis

Authors: Seema Vyas, Henrica A. F. M. Jansen

Published in: BMC Women's Health | Issue 1/2018

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Abstract

Background

Research on factors associated with partner violence against women is often framed within the context of gender inequality and power imbalances between husbands and wives—inequalities that are considered products of broader structural systems. Tanzania, a patriarchal society where high levels of partner violence exists, has gone through rapid economic and social changes over the past two decades. Increasing numbers of women are seeking paid work, and men’s ideals of manhood have reshaped with evidence of extra marital relations and alcohol use. Nationally representative population-based data documents 46.2% of ever-married women have experienced physical or sexual partner violence in their lifetime; 29.6% in the past year. In order to plan appropriate interventions to end violence against women, factors consistently associated with abuse need to be understood.

Methods

This study uses “couples” data from the 2015 Tanzania Demographic and Health Survey to examine correlates of past year partner violence against women. Multivariate regression analysis was used to explore individual and relational-level variables—including socio-demographic characteristics and history of abuse among women, partner behavioural characteristics, and indicators of gender and economic inequality—among 1278 married and cohabiting couples.

Results

At the individual level, women’s experiences of non-partner violence (sexual abuse by a non-partner and witnessing violence in childhood) was strongly associated with risk and highlights that all forms of violence against women serve to keep them subordinated. Partner behavioural characteristics (polygamy and problematic alcohol use) were also associated with risk. Household socio-economic status, however, was not significantly associated with women’s risk in the final multivariate model. At the relational-level, men’s age difference of 10 or more years; and any employment (compared to none/unpaid) were associated with lower risk. When considering attitudes tolerant towards wife abuse, the strongest association with risk of violence was when both partners held tolerant views.

Conclusion

The findings support the assertions of violence being associated with women’s prior/additional experiences of abuse and with men’s harmful expressions of masculinity. In addition to interventions that focus on transforming gender norms and attitudes (at the individual and community levels), addressing economic, legal and political structural barriers are also required.
Literature
1.
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):1260–9.CrossRef 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):1260–9.CrossRef
2.
go back to reference Heise L, Ellsberg M, Gottemoeller M. A global overview of gender-based violence. Int J Gynecol Obstet. 2002;78:S5–S14.CrossRef Heise L, Ellsberg M, Gottemoeller M. A global overview of gender-based violence. Int J Gynecol Obstet. 2002;78:S5–S14.CrossRef
3.
go back to reference WHO, Global and regional estimates of violence against women. Prevalence and health effects of intimate partner violence and non-partner sexual violence. Geneva: World Health Organization; 2003. WHO, Global and regional estimates of violence against women. Prevalence and health effects of intimate partner violence and non-partner sexual violence. Geneva: World Health Organization; 2003.
4.
go back to reference Dobash R, Dobash R. Violence against wives: a case against patriarchy. New York: Free Press; 1979. Dobash R, Dobash R. Violence against wives: a case against patriarchy. New York: Free Press; 1979.
5.
go back to reference Jewkes R. Intimate partner violence: causes and prevention. Lancet. 2002;359(9315):1423–9.CrossRef Jewkes R. Intimate partner violence: causes and prevention. Lancet. 2002;359(9315):1423–9.CrossRef
8.
go back to reference Garcia-Moreno C, Jansen HAFM, Ellsberg M, Heise L, Watts C. WHO Multi-country study on Women's health and domestic violence: initial results on prevalence, health outcomes and women’s responses. Geneva: World Health Organization; 2005. Garcia-Moreno C, Jansen HAFM, Ellsberg M, Heise L, Watts C. WHO Multi-country study on Women's health and domestic violence: initial results on prevalence, health outcomes and women’s responses. Geneva: World Health Organization; 2005.
9.
go back to reference Vyas S, Watts C. How does economic empowerment affect women’s risk of intimate partner violence in low and middle income country settings?: a systematic review of published evidence. J Int Dev. 2009;21:577–602.CrossRef Vyas S, Watts C. How does economic empowerment affect women’s risk of intimate partner violence in low and middle income country settings?: a systematic review of published evidence. J Int Dev. 2009;21:577–602.CrossRef
10.
go back to reference Gelles RJ, Straus MA. Intimate violence: the causes and consequences of abuse in the American family. New York: Simon and Schuster; 1988. Gelles RJ, Straus MA. Intimate violence: the causes and consequences of abuse in the American family. New York: Simon and Schuster; 1988.
11.
go back to reference Straus MA. Social stress and marital violence in a national sample of American families. In: Straus MA, Gelles RJ, editors. Physical violence in American families: Risk Factors and Adaptations to Violence in 8,145 Families. New Brunswick: Transaction; 1990. Straus MA. Social stress and marital violence in a national sample of American families. In: Straus MA, Gelles RJ, editors. Physical violence in American families: Risk Factors and Adaptations to Violence in 8,145 Families. New Brunswick: Transaction; 1990.
12.
go back to reference Gelles RJ. The violent home. Sage, California; 1987 Updated ed. Gelles RJ. The violent home. Sage, California; 1987 Updated ed.
13.
go back to reference Silberschmidt M. Disempowerment of men in rural and urban East Africa: implications for male identity and sexual behavior. World Dev. 2001;29(4):657–71.CrossRef Silberschmidt M. Disempowerment of men in rural and urban East Africa: implications for male identity and sexual behavior. World Dev. 2001;29(4):657–71.CrossRef
15.
go back to reference Narayan D, Chambers R, Shah MK, Petesch P. Gender relations in troubled transition. In: Narayan D, Chambers R, Shah MK, Petesch P, editors. Voices of the poor: crying out for change. New York: Oxford University Press; 2000. p. 109–32.CrossRef Narayan D, Chambers R, Shah MK, Petesch P. Gender relations in troubled transition. In: Narayan D, Chambers R, Shah MK, Petesch P, editors. Voices of the poor: crying out for change. New York: Oxford University Press; 2000. p. 109–32.CrossRef
16.
go back to reference Abramsky T, Watts CH, Garcia-Moreno C, Devries K, Kiss L, Ellsberg M, Jansen HAFM, 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.CrossRef Abramsky T, Watts CH, Garcia-Moreno C, Devries K, Kiss L, Ellsberg M, Jansen HAFM, 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.CrossRef
18.
go back to reference Ghuman S. Attitudes about sex and marital sexual behavior in Hai Duong Province, Vietnam. Stud Fam Plan. 2005;36:95–106.CrossRef Ghuman S. Attitudes about sex and marital sexual behavior in Hai Duong Province, Vietnam. Stud Fam Plan. 2005;36:95–106.CrossRef
19.
go back to reference Kwiatkowski L. Marital sexual violence, structural vulnerability, and misplaced responsibility in northern Viet Nam. In: Yllo” K, Torres MG, editors. Marital rape, consent, marriage, and social change in global context. New York: Oxford University Press; 2016. p. 55–73.CrossRef Kwiatkowski L. Marital sexual violence, structural vulnerability, and misplaced responsibility in northern Viet Nam. In: Yllo” K, Torres MG, editors. Marital rape, consent, marriage, and social change in global context. New York: Oxford University Press; 2016. p. 55–73.CrossRef
21.
go back to reference Macmillan R, Gartner R. When she brings home the bacon: labor-force participation and the risk of spousal violence against women. J Marriage Fam. 1999;61:947–58.CrossRef Macmillan R, Gartner R. When she brings home the bacon: labor-force participation and the risk of spousal violence against women. J Marriage Fam. 1999;61:947–58.CrossRef
22.
go back to reference Atkinson MP, Greenstein TN, Lang MM. For women, breadwinning can be dangerous: gendered resource theory and wife abuse. J Marriage Fam. 2005;67(5):1137–48.CrossRef Atkinson MP, Greenstein TN, Lang MM. For women, breadwinning can be dangerous: gendered resource theory and wife abuse. J Marriage Fam. 2005;67(5):1137–48.CrossRef
23.
go back to reference Djikanovic B, Jansen HAFM, Otasevic S. Factors associated with intimate partner violence against women in Serbia: a cross-sectional study. J Epidemiol Community Health. 2010;64:728–35.CrossRef Djikanovic B, Jansen HAFM, Otasevic S. Factors associated with intimate partner violence against women in Serbia: a cross-sectional study. J Epidemiol Community Health. 2010;64:728–35.CrossRef
24.
go back to reference Naved RT, Persson LA. Factors associated with spousal physical violence against women in Bangladesh. Stud Fam Plan. 2005;36:289–300.CrossRef Naved RT, Persson LA. Factors associated with spousal physical violence against women in Bangladesh. Stud Fam Plan. 2005;36:289–300.CrossRef
30.
go back to reference Hollos M, Larsen U. From lineage to conjugality: the social context of fertility decisions among the pare of northern Tanzania. Soc Sci Med. 1997;45(3):361–72.CrossRef Hollos M, Larsen U. From lineage to conjugality: the social context of fertility decisions among the pare of northern Tanzania. Soc Sci Med. 1997;45(3):361–72.CrossRef
31.
go back to reference Vyas S, Mbwambo J, Heise L. Women’s paid work and intimate partner violence: insights from Tanzania. Fem Econ. 2015;21:35–58.CrossRef Vyas S, Mbwambo J, Heise L. Women’s paid work and intimate partner violence: insights from Tanzania. Fem Econ. 2015;21:35–58.CrossRef
32.
go back to reference Meeker J, Meekers D. The precarious socio-economic position of women in rural Africa: the case of the Kaguru of Tanzania. African Stud Rev. 1997;40(1):35–58.CrossRef Meeker J, Meekers D. The precarious socio-economic position of women in rural Africa: the case of the Kaguru of Tanzania. African Stud Rev. 1997;40(1):35–58.CrossRef
34.
go back to reference Jakobsen H. What’s gendered about gender-based violence? An Empirically Grounded Theoretical Exploration from Tanzania Gender & Society. 2014;28(4).CrossRef Jakobsen H. What’s gendered about gender-based violence? An Empirically Grounded Theoretical Exploration from Tanzania Gender & Society. 2014;28(4).CrossRef
36.
go back to reference TDHS Ministry of Health, Community Development, Gender, Elderly and Children (MoHCDGEC) [Tanzania Mainland], Ministry of Health (MoH) [Zanzibar], National Bureau of Statistics (NBS), Office of the Chief Government Statistician (OCGS), and ICF. 2016. Tanzania Demographic and Health Survey and Malaria Indicator Survey (TDHS-MIS) 2015–16. Dar es Salaam, Tanzania, and Rockville, Maryland, USA: MoHCDGEC, MoH, NBS, OCGS, and ICF. TDHS Ministry of Health, Community Development, Gender, Elderly and Children (MoHCDGEC) [Tanzania Mainland], Ministry of Health (MoH) [Zanzibar], National Bureau of Statistics (NBS), Office of the Chief Government Statistician (OCGS), and ICF. 2016. Tanzania Demographic and Health Survey and Malaria Indicator Survey (TDHS-MIS) 2015–16. Dar es Salaam, Tanzania, and Rockville, Maryland, USA: MoHCDGEC, MoH, NBS, OCGS, and ICF.
37.
go back to reference National Bureau of Statistics (NBS) [Tanzania] and ICF Macro. Tanzania demographic and health survey 2010. Dar es Salaam (Tanzania): NBS and ICF Macro; 2011. National Bureau of Statistics (NBS) [Tanzania] and ICF Macro. Tanzania demographic and health survey 2010. Dar es Salaam (Tanzania): NBS and ICF Macro; 2011.
38.
go back to reference Heise L. What works to prevent partner violence? An evidence overview, UK Department for International Development; 2011. Heise L. What works to prevent partner violence? An evidence overview, UK Department for International Development; 2011.
39.
go back to reference Vyas S, Jansen H, Heise L, Mbwambo J. Exploring the association between women’s access to economic resources and intimate partner violence in Tanzania. Soc Sci Med. 2015;146:307–15.CrossRef Vyas S, Jansen H, Heise L, Mbwambo J. Exploring the association between women’s access to economic resources and intimate partner violence in Tanzania. Soc Sci Med. 2015;146:307–15.CrossRef
41.
go back to reference Koenig MA, Lutalo T, Zhao F, Nalugoda F, Wabwire-Mangen F, Kiwanuka N, et al. Domestic violence in rural Uganda: evidence from a community-based study. Bull World Health Organ. 2003;81(1):53–60.PubMedPubMedCentral Koenig MA, Lutalo T, Zhao F, Nalugoda F, Wabwire-Mangen F, Kiwanuka N, et al. Domestic violence in rural Uganda: evidence from a community-based study. Bull World Health Organ. 2003;81(1):53–60.PubMedPubMedCentral
42.
go back to reference Ellsberg M, Peña R, Herrera A, Liljestrand J, Winkvist A. Candies in hell: women’s experiences of violence in Nicaragua. Soc Sci Med. 2000;51(11):1595–610.CrossRef Ellsberg M, Peña R, Herrera A, Liljestrand J, Winkvist A. Candies in hell: women’s experiences of violence in Nicaragua. Soc Sci Med. 2000;51(11):1595–610.CrossRef
43.
go back to reference Pallitto CC, García-Moreno C, Jansen HA, Heise L, Ellsberg M, Watts C. WHO Multi-country study on Women's health and domestic violence. Intimate partner violence, abortion, and unintended pregnancy: results from the WHO multi-country study on Women's health and domestic violence. Int J Gynaecol Obstet. 2013;120(1):3–9.CrossRef Pallitto CC, García-Moreno C, Jansen HA, Heise L, Ellsberg M, Watts C. WHO Multi-country study on Women's health and domestic violence. Intimate partner violence, abortion, and unintended pregnancy: results from the WHO multi-country study on Women's health and domestic violence. Int J Gynaecol Obstet. 2013;120(1):3–9.CrossRef
44.
go back to reference Panda P, Agarwal B. Marital violence, human development and women’s property status in India. World Dev. 2005;33:823–50.CrossRef Panda P, Agarwal B. Marital violence, human development and women’s property status in India. World Dev. 2005;33:823–50.CrossRef
45.
go back to reference Vyas S. Assessing the implications of women’s economic status on intimate partner violence in Dar es Salaam and Mbeya, Tanzania. 2012. PhD Thesis. London School of Hygiene and Tropical Medicine. Vyas S. Assessing the implications of women’s economic status on intimate partner violence in Dar es Salaam and Mbeya, Tanzania. 2012. PhD Thesis. London School of Hygiene and Tropical Medicine.
47.
go back to reference McCloskey LA, Williams C, Larsen U. Gender inequality and intimate partner violence among women in Moshi, Tanzania. Int Fam Plan Perspect. 2005;31(3):124–30.CrossRef McCloskey LA, Williams C, Larsen U. Gender inequality and intimate partner violence among women in Moshi, Tanzania. Int Fam Plan Perspect. 2005;31(3):124–30.CrossRef
50.
go back to reference Ellsberg M, Arango DJ, Morton M, Gennari F, Kiplesund S, Contreras M, et al. Prevention of violence against women: what does the evidence say? Lancet. 2015;385(9977):1555–66.CrossRef Ellsberg M, Arango DJ, Morton M, Gennari F, Kiplesund S, Contreras M, et al. Prevention of violence against women: what does the evidence say? Lancet. 2015;385(9977):1555–66.CrossRef
Metadata
Title
Unequal power relations and partner violence against women in Tanzania: a cross-sectional analysis
Authors
Seema Vyas
Henrica A. F. M. Jansen
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Women's Health / Issue 1/2018
Electronic ISSN: 1472-6874
DOI
https://doi.org/10.1186/s12905-018-0675-0

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