- Title
- Determinants of intimate partner violence against women in Ethiopia: a multi-level analysis
- Creator
- Tiruye, Tenaw Yimer; Harris, Melissa L.; Chojenta, Catherine; Holliday, Elizabeth; Loxton, Deborah
- Relation
- PLoS ONE Vol. 15, Issue 4, no. e0232217
- Publisher Link
- http://dx.doi.org/10.1371/journal.pone.0232217
- Publisher
- Public Library of Science (PLoS)
- Resource Type
- journal article
- Date
- 2020
- Description
- Intimate partner violence (IPV) continues to be a major public health problem globally. Although Ethiopia has a high prevalence of IPV, previous studies in this country have only investigated individual-level determinants of IPV within small geographic areas. The current study aimed to identify the individual-, relationship-, community-, and societal-level determinants of IPV directed against women in Ethiopia since women are predominantly affected. A retrospective analysis of nationally representative data from the 2016 Ethiopian Demographic and Health Survey (EDHS) was conducted. A sample of 3,897 married women of reproductive age (15–49 years) who participated in the domestic violence module of the survey were included in the analysis. Three-level mixed-effects multilevel logistic regression models were used to estimate the individual-, relationship-, community-, and societal-level determinants of IPV. Variability at the community- and societal-level were also assessed. About 1,328 (34.1%) of 3,897 participants reported experiencing IPV (a composite measure of physical, sexual and emotional abuse). In adjusted models, the odds of lifetime IPV experience were higher among women who were older, were married before the age of 18 years, witnessed inter-parental violence during their childhood, had a partner who drank alcohol, and lived in a community with high IPV accepting norms. Alternatively, the odds of IPV were lower among women who had decision-making autonomy in the household, had the same or lower educational attainment as their partner, and lived in a community with low proportions of educated women. These findings reveal that although individual-level factors were significant determinants of IPV, higher level factors, including female education and IPV acceptance in the community, were also important influences on this major public health issue in Ethiopia. These findings suggest combined interventions at different levels may reduce IPV in this country.
- Subject
- intimate partner violence; decision making; SDG 5; Sustainable Development Goals; Ethiopia; alcohol consumption; educational attainment; alcoholism; domestic violence; substance abuse; SDG 16; SDG 3
- Identifier
- http://hdl.handle.net/1959.13/1432977
- Identifier
- uon:39141
- Identifier
- ISSN:1932-6203
- Rights
- © 2020 Tiruye et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
- Language
- eng
- Full Text
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