Prognostic factors of first intimate partner violence among ever-married women in Sub-Saharan Africa: Gompertz gamma shared frailty modeling
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View abstract on PubMed
Summary
This summary is machine-generated.Intimate partner violence (IPV) affects one-third of ever-married women in Sub-Saharan Africa. Key risk factors for the timing of first IPV include age at marriage, education, and alcohol use by husbands.
Area Of Science
- Public Health
- Human Rights
- Sociology
Background
- Intimate partner violence (IPV) is a critical public health issue and human rights violation, especially in low and middle-income countries.
- Limited evidence exists on the timing of IPV onset among ever-married women in Africa.
Purpose Of The Study
- To investigate the timing of first intimate partner violence (FIPV) among ever-married women in 30 Sub-Saharan African (SSA) countries.
- To identify risk factors associated with the timing of FIPV in this population.
Main Methods
- Utilized data from 125,731 ever-married women from the Demographic and Health Surveys (DHS) domestic violence module across 30 SSA countries.
- Employed a Gompertz gamma shared frailty model to analyze the timing of FIPV and identify significant predictors.
- Model performance was assessed using theta value, AIC, BIC, and deviance, with results reported as Adjusted Hazard Ratios (AHR) and 95% Confidence Intervals (CI).
Main Results
- 31.02% of ever-married women reported experiencing IPV.
- The incidence rate of FIPV was 57.68 per 1000 person-years (95% CI: 50.61-65.76).
- Significant risk factors for FIPV timing included age at marriage, age difference with spouse, educational status, employment, residence, women's decision-making autonomy, husband's alcohol consumption, and wealth status.
Conclusions
- Ever-married women face a high and escalating risk of IPV in SSA.
- Recommendations include strengthening health and legal services for IPV, regulating alcohol sales, empowering women through education and decision-making autonomy, and combating societal tolerance for IPV.
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