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Prevalence and risk factors of physical or sexual intimate violence perpetration amongst men in four districts in the central region of Ghana: Baseline findings from a cluster randomised controlled trial.
PLoS One. 2018; 13(3):e0191663.Plos

Abstract

BACKGROUND

Evidence-based interventions are essential in the prevention of violence against women (VAW). An understanding of risk factors for male perpetration of VAW using population-based research is crucial for developing such interventions. This study is a baseline assessment of a two-arm unmatched cluster randomised controlled trial (C-RCT), set up to assess the impact of a Rural Response System (RRS) intervention for preventing violence against women and girls in Ghana. This study aims at assessing past year prevalence and risk factors for sexual or physical intimate partner violence (IPV) perpetration among men.

METHODS

The population-based survey involved 2126 men aged 18 and above living in selected communities in 4 districts in the central region of Ghana. Logistic regression techniques were used to determine risk factors for sexual or physical IPV perpetration. All models adjusted for age of respondent and took into account the study design.

RESULTS

Half of the men had perpetrated at least one form of violence against their intimate partners in their lifetime while 41% had perpetrated sexual or physical IPV. Majority (93%) of the men had been in relationships in the 12 months preceding the survey, and of these, 23% had perpetrated sexual or physical IPV. Childhood factors associated with sexual or physical IPV included witnessing abuse of mother (aOR:1.40(1.06-1.86)), and neglect (aOR:1.81(1.30-2.50)). Other major risk factors for IPV perpetration were: having multiple partners (aOR:1.76(1.36-2.26)), (involvement in transactional sex (aOR:1.76(1.36-2.26)), substance use (aOR:1.74(1.25-2.43)) and gender inequitable attitudes (aOR:0.94(0.91-0.97)).

CONCLUSION

Childhood violence experience and witnessing, risky behaviour (multiple partners, transactional sex, substance use) and gender inequitable attitudes are major risk factors for sexual or physical IPV perpetration. Perpetration of sexual or physical IPV tend to co-occur with non-partner violence and emotional IPV perpetration. Interventions targeting these factors are critical in reducing IPV.

Authors+Show Affiliations

Gender and Health Research Unit, South African Medical Research Council, Pretoria, South Africa.Gender and Health Research Unit, South African Medical Research Council, Pretoria, South Africa.Department of Epidemiology and Disease Control, School of Public Health, University of Ghana, Accra, Ghana.Department of Population, Family and Reproductive Health, School of Public Health, University of Ghana, Accra, Ghana.Gender Studies and Human Rights Documentation Centre, Accra, Ghana.Department of Population, Family and Reproductive Health, School of Public Health, University of Ghana, Accra, Ghana.Gender and Health Research Unit, South African Medical Research Council, Pretoria, South Africa.

Pub Type(s)

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

Language

eng

PubMed ID

29522523

Citation

Chirwa, Esnat D., et al. "Prevalence and Risk Factors of Physical or Sexual Intimate Violence Perpetration Amongst Men in Four Districts in the Central Region of Ghana: Baseline Findings From a Cluster Randomised Controlled Trial." PloS One, vol. 13, no. 3, 2018, pp. e0191663.
Chirwa ED, Sikweyiya Y, Addo-Lartey AA, et al. Prevalence and risk factors of physical or sexual intimate violence perpetration amongst men in four districts in the central region of Ghana: Baseline findings from a cluster randomised controlled trial. PLoS One. 2018;13(3):e0191663.
Chirwa, E. D., Sikweyiya, Y., Addo-Lartey, A. A., Ogum Alangea, D., Coker-Appiah, D., Adanu, R. M. K., & Jewkes, R. (2018). Prevalence and risk factors of physical or sexual intimate violence perpetration amongst men in four districts in the central region of Ghana: Baseline findings from a cluster randomised controlled trial. PloS One, 13(3), e0191663. https://doi.org/10.1371/journal.pone.0191663
Chirwa ED, et al. Prevalence and Risk Factors of Physical or Sexual Intimate Violence Perpetration Amongst Men in Four Districts in the Central Region of Ghana: Baseline Findings From a Cluster Randomised Controlled Trial. PLoS One. 2018;13(3):e0191663. PubMed PMID: 29522523.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence and risk factors of physical or sexual intimate violence perpetration amongst men in four districts in the central region of Ghana: Baseline findings from a cluster randomised controlled trial. AU - Chirwa,Esnat D, AU - Sikweyiya,Yandisa, AU - Addo-Lartey,Adolphina Addoley, AU - Ogum Alangea,Deda, AU - Coker-Appiah,Dorcas, AU - Adanu,Richard M K, AU - Jewkes,Rachel, Y1 - 2018/03/09/ PY - 2017/09/03/received PY - 2018/01/09/accepted PY - 2018/3/10/entrez PY - 2018/3/10/pubmed PY - 2018/6/19/medline SP - e0191663 EP - e0191663 JF - PloS one JO - PLoS One VL - 13 IS - 3 N2 - BACKGROUND: Evidence-based interventions are essential in the prevention of violence against women (VAW). An understanding of risk factors for male perpetration of VAW using population-based research is crucial for developing such interventions. This study is a baseline assessment of a two-arm unmatched cluster randomised controlled trial (C-RCT), set up to assess the impact of a Rural Response System (RRS) intervention for preventing violence against women and girls in Ghana. This study aims at assessing past year prevalence and risk factors for sexual or physical intimate partner violence (IPV) perpetration among men. METHODS: The population-based survey involved 2126 men aged 18 and above living in selected communities in 4 districts in the central region of Ghana. Logistic regression techniques were used to determine risk factors for sexual or physical IPV perpetration. All models adjusted for age of respondent and took into account the study design. RESULTS: Half of the men had perpetrated at least one form of violence against their intimate partners in their lifetime while 41% had perpetrated sexual or physical IPV. Majority (93%) of the men had been in relationships in the 12 months preceding the survey, and of these, 23% had perpetrated sexual or physical IPV. Childhood factors associated with sexual or physical IPV included witnessing abuse of mother (aOR:1.40(1.06-1.86)), and neglect (aOR:1.81(1.30-2.50)). Other major risk factors for IPV perpetration were: having multiple partners (aOR:1.76(1.36-2.26)), (involvement in transactional sex (aOR:1.76(1.36-2.26)), substance use (aOR:1.74(1.25-2.43)) and gender inequitable attitudes (aOR:0.94(0.91-0.97)). CONCLUSION: Childhood violence experience and witnessing, risky behaviour (multiple partners, transactional sex, substance use) and gender inequitable attitudes are major risk factors for sexual or physical IPV perpetration. Perpetration of sexual or physical IPV tend to co-occur with non-partner violence and emotional IPV perpetration. Interventions targeting these factors are critical in reducing IPV. SN - 1932-6203 UR - https://www.unboundmedicine.com/medline/citation/29522523/Prevalence_and_risk_factors_of_physical_or_sexual_intimate_violence_perpetration_amongst_men_in_four_districts_in_the_central_region_of_Ghana:_Baseline_findings_from_a_cluster_randomised_controlled_trial_ L2 - https://dx.plos.org/10.1371/journal.pone.0191663 DB - PRIME DP - Unbound Medicine ER -