Association Between Girl-child Marriage and Intimate Partner Violence in Sub-Saharan Africa: Insights From a Multicountry Analysis of Demographic and Health Surveys

Onayemi, Olayinka Modupe; Seidu, Abdul‐Aziz; Awopegba, Oluwafemi Emmanuel; Ajayi, Anthony Idowu

doi:10.1177/08862605211005139

Cited by 25 publications

(20 citation statements)

References 43 publications

(69 reference statements)

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“…Studies have shown that child brides have decreased autonomy and bargaining power within their household, as well as limited or no access to household funds [ 5 , 40 , 41 ]. Child brides, compared to their peers married as adults, experience more controlling behaviors from their husband and their husband’s family [ 42 ] and bear a greater risk of experiencing IPV [ 43 , 44 ], which could further exacerbate obstacles accessing health services, as seen in studies related to maternal and child healthcare [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

Child Marriage and Problems Accessing Healthcare in Adulthood: Evidence from India

2022

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The association between child marriage and the access to or utilization of maternal and antenatal healthcare has been widely studied. However, little is known about child brides’ access to healthcare for illnesses later in life. Using data on 496,283 married women aged 18 to 49 years from the India National Family and Health Survey 2015–2016, we developed an 11-point composite score (ranging from 0 to 10) outlining the extent of problems accessing healthcare, as follows: (i) no/little problem (score 0 to 2), (ii) some problems (score 3 to 6), and (iii) big problems (score 7 to 10). The differences between child brides and their peers married as adults were assessed by the relative risk ratios obtained from multinomial logistic regressions. The adjusted risk of having “some problems” and “big problems” accessing healthcare relative to “no/little problem” for child brides was found to be 1.22 (95% CI: 1.20–1.25) and 1.26 (95% CI: 1.22–1.29) times that of those married as adults, respectively. These findings highlight the disproportionate barriers to healthcare access faced by women married as children compared to women married as adults and the need for further research to inform policies regarding effective public health interventions to improve healthcare access.

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Section: Discussionmentioning

confidence: 99%

Child Marriage and Problems Accessing Healthcare in Adulthood: Evidence from India

2022

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“…IPV variables were derived from the domestic violence model, which used a modified version of the conflict tactics scale to ask questions [33,34]. The questions used to assess physical, emotional, and sexual violence have been published elsewhere in the literature [35][36][37][38][39]. The response options to each of the questions were "never" "often" "sometimes" and "yes, but not in the last 12 months".…”

Section: Variablesmentioning

confidence: 99%

Exposure to interparental violence and intimate partner violence among women in Papua New Guinea

et al. 2023

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Introduction Evidence suggests that childhood exposure to interparental violence increases the risk of intimate partner violence (IPV) experience or perpetration in adolescence or adulthood. However, it is unclear if exposure to interparental violence increases the risk of IPV among women in Papua New Guinea. This study, therefore, seeks to fill this gap in the literature by examining the association between childhood exposure to interparental violence and IPV among women in Papua New Guinea. Methods We used data from the most recent 2016–18 Papua New Guinea Demographic and Health Survey. We included 3,512 women in our analyses. Past-year experience of IPV was the outcome variable in this study. Exposure to interparental violence was the key explanatory variable. We used a multilevel binary logistic regression to examine the association between exposure to interparental violence and IPV. Results We found a higher probability of experiencing IPV among women exposed to interparental violence [aOR = 1.45, 95% CI = 1.13, 1.86] relative to women who were not exposed. Furthermore, we found that women living in rural areas had a lower likelihood of IPV experience [aOR = O.50, 95% CI = 0.32, 0.80] compared to those in urban settings. Finally, a greater odd of IPV experience was found among women staying in the Highlands Region [aOR = 1.44, 95% CI = 1.06, 1.96] compared to those staying in the Southern Region. Conclusion Exposure to interparental violence was found to be significantly associated with IPV among women in Papua New Guinea. The findings of this study suggest the need for proven operational strategies to reduce IPV, such as improving anti-IPV laws in Papua New Guinea. We recommend the development and implementation of intercession strategies to reduce the experience and justification of violence among women exposed to interparental violence. In addition, health professionals should implement counseling and health education initiatives to tackle the consequences of IPV on women's well-being.

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“…The specific questions used to measure the outcome variables were derived from the modified version of the conflict tactics scale [10,11]. The questions used to assess the outcome variables are available in previous studies [12][13][14]. The responses for each question were "never" "often" "sometimes" and "yes, but not in the last 12 months".…”

Section: Plos Onementioning

confidence: 99%

“…The response options were recoded into "No [those that responded 'never' and yes, but not in the last 12 months']" and "Yes [those who responded as often and sometimes']". The recoding of the response options have been used in previous studies [12][13][14]. Key explanatory variable.…”

Section: Plos Onementioning

confidence: 99%

Partner alcohol consumption and intimate partner violence against women in sexual unions in sub-Saharan Africa

et al. 2022

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Introduction Intimate partner violence is increasingly gaining attention as the leading form of violence against women globally, particularly sub-Saharan Africa. Given that substance abuse, especially alcohol consumption has long been associated with aggressive behaviour, emotional abuse, and sexual misconduct, it is surprising that studies on the potential association between partner’s alcohol consumption and intimate partner violence are scarce. The current study seeks to fill this gap in the literature by examining the association between partner’s alcohol consumption and intimate partner violence among women in sub-Saharan Africa. Methods Cross-sectional survey data of 89,229 women aged 15 to 49 in sexual unions from 21 sub-Saharan African countries were pooled from the Demographic and Health Surveys. Percentages with their corresponding confidence intervals (CIs) were used to present the results of the prevalence of partner’s alcohol consumption and intimate partner violence. Multivariable binary logistic regression analysis was used to examine the association between partner’s alcohol consumption and intimate partner violence. The regression analysis results were presented using adjusted odds ratio (aOR) with 95% CI. Statistical significance was set at p<0.05. Results The pooled prevalence of partner alcohol consumption was 36.3% [36.0–36.6]. The highest prevalence of partner alcohol consumption was found in Burundi (67.1%) with Mali (3.9%) recording the lowest prevalence. Similarly, the overall prevalence of physical violence, emotional violence, and sexual violence among the women were 19.7% [19.2–20.2], 25.0% [24.5–25.5], and 9.7% [9.3–10.1], respectively. In the pooled data, women whose partners consumed alcohol were more likely to experience physical violence [aOR = 2.37, 95% CI = 2.24–2.50], emotional violence [aOR = 1.96, 95% CI = 1.86–2.07], and sexual violence [aOR = 2.03, 95% CI = 1.89–2.18] compared to those whose partners did not consume alcohol. In all the 21 countries, women whose partners consumed alcohol had higher odds for physical and emotional violence. The odds of sexual violence was higher among women whose partners consumed alcohol compared to their counterparts whose partners did not in 20 countries, except Namibia. Conclusions We found that partner’s alcohol consumption increases women’s likelihood of experiencing physical, emotional, and sexual violence in sub-Saharan Africa. There is the need to implement behavioural change interventions targeted at male partners to reduce alcohol consumption. The findings call for the need to effectively create and organize support networks in addressing intimate partner violence among married and cohabiting women.

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Association Between Girl-child Marriage and Intimate Partner Violence in Sub-Saharan Africa: Insights From a Multicountry Analysis of Demographic and Health Surveys

Cited by 25 publications

References 43 publications

Child Marriage and Problems Accessing Healthcare in Adulthood: Evidence from India

Child Marriage and Problems Accessing Healthcare in Adulthood: Evidence from India

Exposure to interparental violence and intimate partner violence among women in Papua New Guinea

Partner alcohol consumption and intimate partner violence against women in sexual unions in sub-Saharan Africa

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