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Geographic variation and determinants of help seeking behaviour among married women subjected to intimate partner violence: evidence from national population survey.
Int J Equity Health. 2021 01 06; 20(1):13.IJ

Abstract

BACKGROUND

Help seeking behaviour amongst married women who experienced Intimate Partner Violence (IPV) has received limited attention in Africa. This study examines the geographic variation and investigates determinants of help seeking behaviour amongst married women in Ethiopia.

METHODS

This study analysed data from the 2016 Ethiopian Demographic and Health Survey (EDHS). Data was extracted for married women age 15-49 years old who experienced IPV. Factors associated with help seeking behaviour were identified using multiple logistic regression adjusted for clustering and weighing. The weighted proportion of factors associated with help seeking behaviour was exported to ArcGIS to conduct autocorrelation analysis.

RESULTS

The prevalence of help seeking behaviour among married women who experienced IPV was 19.8% (95% CI: 15.9-24.3%). Only 9.2% of them sought help from a formal source (such as police, lawyer or doctor). Multiple logistic regression analyses showed physical violence (Adjusted odds ratio (AOR)=2.76), educational attainment (AOR=2.1), a partner's alcohol consumption (AOR=1.9), partner's controlling behaviour (AOR= 2.4), partner's employment status, (AOR= 1.9) and wealth index (AOR=2.8) were significantly associated factors with help seeking behaviour among married women who experienced IPV in Ethiopia (P< 0.05). Women in Benishangul-Gumuz, Gambella, Harari, Western and Eastern Amhara, and Afar had the lowest odds of help seeking behaviour (P< 0.001) after experiencing IPV.

CONCLUSION

The findings of this study suggest that poor help seeking behaviour for married women experiencing IPV is a significant public health problem in Ethiopia. Multiple interrelated factors were associated with poor help seeking behaviour. These factors include women's level of educational attainment, women experiencing physical violence, partners exhibiting controlling behaviour, partner's alcohol consumption, the employment status of the partner, and wealth status of the household were important predictors of help seeking behaviour. Policies and interventions need to be tailored to address these factors to improve women's health outcomes and to prevent IPV.

Authors+Show Affiliations

Monitoring Evaluation and Research Department, Amref Health Africa in Ethiopia, Addis Ababa, Ethiopia. destamule@gmail.com. School of Nursing and Midwifery, Western Sydney University, Sydney, Australia. destamule@gmail.com.Faculty of Public Health, GAMBY College of Medical Science, Addis Ababa, Ethiopia.School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Newcastle, Australia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33407515

Citation

Muluneh, Muluken Dessalegn, et al. "Geographic Variation and Determinants of Help Seeking Behaviour Among Married Women Subjected to Intimate Partner Violence: Evidence From National Population Survey." International Journal for Equity in Health, vol. 20, no. 1, 2021, p. 13.
Muluneh MD, Alemu YW, Meazaw MW. Geographic variation and determinants of help seeking behaviour among married women subjected to intimate partner violence: evidence from national population survey. Int J Equity Health. 2021;20(1):13.
Muluneh, M. D., Alemu, Y. W., & Meazaw, M. W. (2021). Geographic variation and determinants of help seeking behaviour among married women subjected to intimate partner violence: evidence from national population survey. International Journal for Equity in Health, 20(1), 13. https://doi.org/10.1186/s12939-020-01355-5
Muluneh MD, Alemu YW, Meazaw MW. Geographic Variation and Determinants of Help Seeking Behaviour Among Married Women Subjected to Intimate Partner Violence: Evidence From National Population Survey. Int J Equity Health. 2021 01 6;20(1):13. PubMed PMID: 33407515.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Geographic variation and determinants of help seeking behaviour among married women subjected to intimate partner violence: evidence from national population survey. AU - Muluneh,Muluken Dessalegn, AU - Alemu,Yeshemebet Worku, AU - Meazaw,Maereg Wagnew, Y1 - 2021/01/06/ PY - 2020/08/03/received PY - 2020/12/10/accepted PY - 2021/1/7/entrez PY - 2021/1/8/pubmed PY - 2021/7/6/medline KW - DHS KW - Ethiopia KW - Geographic KW - Hierarchical logistic KW - Intimate partner violence KW - Married women SP - 13 EP - 13 JF - International journal for equity in health JO - Int J Equity Health VL - 20 IS - 1 N2 - BACKGROUND: Help seeking behaviour amongst married women who experienced Intimate Partner Violence (IPV) has received limited attention in Africa. This study examines the geographic variation and investigates determinants of help seeking behaviour amongst married women in Ethiopia. METHODS: This study analysed data from the 2016 Ethiopian Demographic and Health Survey (EDHS). Data was extracted for married women age 15-49 years old who experienced IPV. Factors associated with help seeking behaviour were identified using multiple logistic regression adjusted for clustering and weighing. The weighted proportion of factors associated with help seeking behaviour was exported to ArcGIS to conduct autocorrelation analysis. RESULTS: The prevalence of help seeking behaviour among married women who experienced IPV was 19.8% (95% CI: 15.9-24.3%). Only 9.2% of them sought help from a formal source (such as police, lawyer or doctor). Multiple logistic regression analyses showed physical violence (Adjusted odds ratio (AOR)=2.76), educational attainment (AOR=2.1), a partner's alcohol consumption (AOR=1.9), partner's controlling behaviour (AOR= 2.4), partner's employment status, (AOR= 1.9) and wealth index (AOR=2.8) were significantly associated factors with help seeking behaviour among married women who experienced IPV in Ethiopia (P< 0.05). Women in Benishangul-Gumuz, Gambella, Harari, Western and Eastern Amhara, and Afar had the lowest odds of help seeking behaviour (P< 0.001) after experiencing IPV. CONCLUSION: The findings of this study suggest that poor help seeking behaviour for married women experiencing IPV is a significant public health problem in Ethiopia. Multiple interrelated factors were associated with poor help seeking behaviour. These factors include women's level of educational attainment, women experiencing physical violence, partners exhibiting controlling behaviour, partner's alcohol consumption, the employment status of the partner, and wealth status of the household were important predictors of help seeking behaviour. Policies and interventions need to be tailored to address these factors to improve women's health outcomes and to prevent IPV. SN - 1475-9276 UR - https://www.unboundmedicine.com/medline/citation/33407515/Geographic_variation_and_determinants_of_help_seeking_behaviour_among_married_women_subjected_to_intimate_partner_violence:_evidence_from_national_population_survey_ L2 - https://equityhealthj.biomedcentral.com/articles/10.1186/s12939-020-01355-5 DB - PRIME DP - Unbound Medicine ER -