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Contextual determinants of intimate partner violence: a multi-level analysis in six European cities
Nicole Geovana Dias1,2, Silvia Fraga1,3, Joaquim Soares1,4
1EPIUnit, Instituto de Saúde Pública da Universidade do Porto, Rua das Taipas nº 135, 4050-600, Porto, Portugal.
Objectives:
To assess whether city-level characteristics influence the risk of intimate partner violence (IPV) victimization across six European cities.
Methods:
The DOVE study included 3496 participants from Athens-Greece, Budapest-Hungary, London-UK, Östersund-Sweden, Porto-Portugal and Stuttgart-Germany. IPV victimization was assessed using the Revised Conflict Tactics Scales, and several contextual variables were included: GINI coefficient, gender equality index, an index of social support, unemployment rate and proportion of residents with tertiary education. Multilevel models were fitted to estimate the associations (odds ratio, 95% confidence intervals) between each type of victimization and contextual and individual-level variables.
Results:
62.3% of the participants reported being a victim of IPV during the previous year, with large between-city differences (53.9%-72.4%). Contextual variables accounted for a substantial amount of this heterogeneity. Unemployment rates were associated with psychological (1.05, 1.01-1.08) and physical IPV (1.07, 1.01-1.13). GINI coefficient showed a positive association with any form of IPV (1.06, 1.01-1.11) and sexual coercion (1.13, 1.01-1.25).
Conclusions:
We found significant associations between contextual determinants and IPV, which emphasizes the importance of considering contextual socioeconomic conditions when policy measures are designed to address IPV.
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