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Prevalence and risk factors of intimate partner violence among women in four districts of the central region of Ghana: Baseline findings from a cluster randomised controlled trial.
PLoS One. 2018; 13(7):e0200874.Plos

Abstract

Intimate partner violence (IPV) is a significant global public health problem. Understanding risk factors is crucial for developing prevention programmes. Yet, little evidence exists on population-based prevalence and risk factors for IPV in West Africa. Our objective was to measure both lifetime and past year prevalence of IPV and to determine factors associated with past year physical or sexual IPV experience. This population-based survey involved 2000 randomly selected women aged 18 to 49 years living in 40 localities within four districts of the Central Region of Ghana. Questionnaires were interviewer-administered from February to May 2016. Respondents were currently or ever-partnered, and resident in study area ≥12months preceding the survey. Data collected included: socio-demographics; sexual behavior; mental health and substance use; employment status; 12-month and lifetime experience of violence; household food insecurity; gender norms/attitudes; partner characteristics and childhood trauma. Logistic regression modelling was used to determine factors associated with sexual or physical IPV, adjusting for age and survey design. About 34% of respondents had experienced IPV in the past year, with 21.4% reporting sexual and or physical forms. Past year experience of emotional and economic IPV were 24.6% and 7.4% respectively. Senior high school education or higher was protective of IPV (AOR = 0.51[0.30-0.86]). Depression (AOR = 1.06[1.04-1.08], disability (AOR = 2.30[1.57-3.35]), witnessing abuse of mother (AOR = 2.1.98[1.44-2.72]), experience of childhood sexual abuse (AOR = 1.46[1.07-1.99]), having had multiple sexual partners in past year (AOR = 2.60[1.49-4.53]), control by male partner (AOR = 1.03[1.00-1.06]), male partner alcohol use in past year (AOR = 2.65[2.12-3.31]) and male partner infidelity (AOR = 2.31[1.72-3.09]) were significantly associated with increased odds of past year physical or sexual IPV experience. Male perpetrated IPV remains a significant public health issue in Ghana. Evidence-based interventions targeting women's mental health, disabilities, exposure to violence in childhood, risky sexual behavior and unequal power in relationships will be critical in reducing IPV in this setting.

Authors+Show Affiliations

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

Pub Type(s)

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

Language

eng

PubMed ID

30024948

Citation

Ogum Alangea, Deda, et al. "Prevalence and Risk Factors of Intimate Partner Violence Among Women in Four Districts of the Central Region of Ghana: Baseline Findings From a Cluster Randomised Controlled Trial." PloS One, vol. 13, no. 7, 2018, pp. e0200874.
Ogum Alangea D, Addo-Lartey AA, Sikweyiya Y, et al. Prevalence and risk factors of intimate partner violence among women in four districts of the central region of Ghana: Baseline findings from a cluster randomised controlled trial. PLoS One. 2018;13(7):e0200874.
Ogum Alangea, D., Addo-Lartey, A. A., Sikweyiya, Y., Chirwa, E. D., Coker-Appiah, D., Jewkes, R., & Adanu, R. M. K. (2018). Prevalence and risk factors of intimate partner violence among women in four districts of the central region of Ghana: Baseline findings from a cluster randomised controlled trial. PloS One, 13(7), e0200874. https://doi.org/10.1371/journal.pone.0200874
Ogum Alangea D, et al. Prevalence and Risk Factors of Intimate Partner Violence Among Women in Four Districts of the Central Region of Ghana: Baseline Findings From a Cluster Randomised Controlled Trial. PLoS One. 2018;13(7):e0200874. PubMed PMID: 30024948.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence and risk factors of intimate partner violence among women in four districts of the central region of Ghana: Baseline findings from a cluster randomised controlled trial. AU - Ogum Alangea,Deda, AU - Addo-Lartey,Adolphina Addoley, AU - Sikweyiya,Yandisa, AU - Chirwa,Esnat Dorothy, AU - Coker-Appiah,Dorcas, AU - Jewkes,Rachel, AU - Adanu,Richard Mawuena Kofi, Y1 - 2018/07/19/ PY - 2018/03/05/received PY - 2018/07/05/accepted PY - 2018/7/20/entrez PY - 2018/7/20/pubmed PY - 2019/1/23/medline SP - e0200874 EP - e0200874 JF - PloS one JO - PLoS One VL - 13 IS - 7 N2 - Intimate partner violence (IPV) is a significant global public health problem. Understanding risk factors is crucial for developing prevention programmes. Yet, little evidence exists on population-based prevalence and risk factors for IPV in West Africa. Our objective was to measure both lifetime and past year prevalence of IPV and to determine factors associated with past year physical or sexual IPV experience. This population-based survey involved 2000 randomly selected women aged 18 to 49 years living in 40 localities within four districts of the Central Region of Ghana. Questionnaires were interviewer-administered from February to May 2016. Respondents were currently or ever-partnered, and resident in study area ≥12months preceding the survey. Data collected included: socio-demographics; sexual behavior; mental health and substance use; employment status; 12-month and lifetime experience of violence; household food insecurity; gender norms/attitudes; partner characteristics and childhood trauma. Logistic regression modelling was used to determine factors associated with sexual or physical IPV, adjusting for age and survey design. About 34% of respondents had experienced IPV in the past year, with 21.4% reporting sexual and or physical forms. Past year experience of emotional and economic IPV were 24.6% and 7.4% respectively. Senior high school education or higher was protective of IPV (AOR = 0.51[0.30-0.86]). Depression (AOR = 1.06[1.04-1.08], disability (AOR = 2.30[1.57-3.35]), witnessing abuse of mother (AOR = 2.1.98[1.44-2.72]), experience of childhood sexual abuse (AOR = 1.46[1.07-1.99]), having had multiple sexual partners in past year (AOR = 2.60[1.49-4.53]), control by male partner (AOR = 1.03[1.00-1.06]), male partner alcohol use in past year (AOR = 2.65[2.12-3.31]) and male partner infidelity (AOR = 2.31[1.72-3.09]) were significantly associated with increased odds of past year physical or sexual IPV experience. Male perpetrated IPV remains a significant public health issue in Ghana. Evidence-based interventions targeting women's mental health, disabilities, exposure to violence in childhood, risky sexual behavior and unequal power in relationships will be critical in reducing IPV in this setting. SN - 1932-6203 UR - https://www.unboundmedicine.com/medline/citation/30024948/Prevalence_and_risk_factors_of_intimate_partner_violence_among_women_in_four_districts_of_the_central_region_of_Ghana:_Baseline_findings_from_a_cluster_randomised_controlled_trial_ L2 - https://dx.plos.org/10.1371/journal.pone.0200874 DB - PRIME DP - Unbound Medicine ER -