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Community influences on intimate partner violence in India: Women's education, attitudes towards mistreatment and standards of living.
Soc Sci Med. 2009 Sep; 69(5):691-7.SS

Abstract

Intimate partner violence (IPV) directed towards women is a serious public health problem. Women's education may offer protection against IPV, but uncertainty exists over how it might reduce risk for IPV at the community and individual levels. The objectives of this study are to: (1) disentangle community from individual-level influences of women's education on risk for IPV; (2) quantify the moderating influence of communities on individual-level associations between women's education and IPV; (3) determine if women's attitudes towards mistreatment and living standards at the community and individual levels account for the protective influence of women's education; and (4) determine if the protective influence of education against IPV is muted among women living in communities exhibiting attitudes more accepting of mistreatment. Study information came from 68,466 married female participants in the National Family Health Survey conducted throughout India in 1998-1999. Multilevel logistic regression was used to address the study objectives. IPV showed substantial clustering at both the state (10.2%) and community levels (11.5%). At the individual level, there was a strong non-linear association between women's education and IPV, partially accounted for by household living standards. The strength of association between women's education and IPV varied from one community to the next with evidence that the acceptance of mistreatment at the community level mutes the protective influence of higher education. Furthermore, women's attitudes towards mistreatment and their standards of living accounted for community-level associations between women's education and IPV. Place of residence accounted for substantial variation in risk of IPV and also modified individual-level associations between IPV and women's education. At the community level, women's education appeared to exert much of its protective influence by altering population attitudes towards the acceptability of mistreatment. However, there was no residual association between women's education and IPV at the community level once living standards are taken into account. While women's education provides strong, independent leverage for reducing the risk of IPV, planners must keep in mind important community factors that modify its protective influence.

Authors+Show Affiliations

McMcaster University Hamilton, Ont. Canada. boylem@mcmaster.caNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19619925

Citation

Boyle, Michael H., et al. "Community Influences On Intimate Partner Violence in India: Women's Education, Attitudes Towards Mistreatment and Standards of Living." Social Science & Medicine (1982), vol. 69, no. 5, 2009, pp. 691-7.
Boyle MH, Georgiades K, Cullen J, et al. Community influences on intimate partner violence in India: Women's education, attitudes towards mistreatment and standards of living. Soc Sci Med. 2009;69(5):691-7.
Boyle, M. H., Georgiades, K., Cullen, J., & Racine, Y. (2009). Community influences on intimate partner violence in India: Women's education, attitudes towards mistreatment and standards of living. Social Science & Medicine (1982), 69(5), 691-7. https://doi.org/10.1016/j.socscimed.2009.06.039
Boyle MH, et al. Community Influences On Intimate Partner Violence in India: Women's Education, Attitudes Towards Mistreatment and Standards of Living. Soc Sci Med. 2009;69(5):691-7. PubMed PMID: 19619925.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Community influences on intimate partner violence in India: Women's education, attitudes towards mistreatment and standards of living. AU - Boyle,Michael H, AU - Georgiades,Katholiki, AU - Cullen,John, AU - Racine,Yvonne, Y1 - 2009/07/18/ PY - 2008/05/01/received PY - 2009/7/22/entrez PY - 2009/7/22/pubmed PY - 2009/10/9/medline SP - 691 EP - 7 JF - Social science & medicine (1982) JO - Soc Sci Med VL - 69 IS - 5 N2 - Intimate partner violence (IPV) directed towards women is a serious public health problem. Women's education may offer protection against IPV, but uncertainty exists over how it might reduce risk for IPV at the community and individual levels. The objectives of this study are to: (1) disentangle community from individual-level influences of women's education on risk for IPV; (2) quantify the moderating influence of communities on individual-level associations between women's education and IPV; (3) determine if women's attitudes towards mistreatment and living standards at the community and individual levels account for the protective influence of women's education; and (4) determine if the protective influence of education against IPV is muted among women living in communities exhibiting attitudes more accepting of mistreatment. Study information came from 68,466 married female participants in the National Family Health Survey conducted throughout India in 1998-1999. Multilevel logistic regression was used to address the study objectives. IPV showed substantial clustering at both the state (10.2%) and community levels (11.5%). At the individual level, there was a strong non-linear association between women's education and IPV, partially accounted for by household living standards. The strength of association between women's education and IPV varied from one community to the next with evidence that the acceptance of mistreatment at the community level mutes the protective influence of higher education. Furthermore, women's attitudes towards mistreatment and their standards of living accounted for community-level associations between women's education and IPV. Place of residence accounted for substantial variation in risk of IPV and also modified individual-level associations between IPV and women's education. At the community level, women's education appeared to exert much of its protective influence by altering population attitudes towards the acceptability of mistreatment. However, there was no residual association between women's education and IPV at the community level once living standards are taken into account. While women's education provides strong, independent leverage for reducing the risk of IPV, planners must keep in mind important community factors that modify its protective influence. SN - 1873-5347 UR - https://www.unboundmedicine.com/medline/citation/19619925/Community_influences_on_intimate_partner_violence_in_India:_Women's_education_attitudes_towards_mistreatment_and_standards_of_living_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0277-9536(09)00412-2 DB - PRIME DP - Unbound Medicine ER -