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

Chirwa, Esnat; Sikweyiya, Yandisa; Addo-Lartey, Adolphina; Alangea, Deda Ogum; Coker-Appiah, Dorcas; Adanu, Richard; Jewkes, Rachel

doi:10.1371/journal.pone.0191663

Cited by 45 publications

(57 citation statements)

References 45 publications

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“…Similarly, as shown in Panel C of Table 3, female perpetrators of IPV had 2.72 times greater odds of reporting ever having had suicide ideation as compared to females who had never perpetrated IPV (95% CI = 1.28, 5.79; P = 0.010), but this association was not significant for males. -Reported that a parent or adult caregiver has ever "told you that you were not loved, or did not deserve to be loved", "said they wished you had never been born or were dead", or "ridiculed you or put you down, for example said that you were stupid or useless" -AND most recent or first incident occurred within last 12…”

Section: Resultsmentioning

confidence: 99%

“…The limited LMIC studies on gender-based violence (GBV) more broadly (perpetrated by both intimate partners and non-partners), generally align with findings from upper income countries, demonstrating high rates of adverse mental health among male perpetrators [10][11][12][13]. However, all of these studies focus on male perpetrators, few use population-based sampling methods, none are nationally representative, and none specifically focus on IPV.…”

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confidence: 84%

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Perpetration of intimate partner violence and mental health outcomes: sex- and gender-disaggregated associations among adolescents and young adults in Nigeria

Stark¹,

Seff²,

Weber³

et al. 2020

Journal of Global Health

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Perpetration of intimate partner violence and mental health outcomes: sex-and genderdisaggregated associations among adolescents and young adults in Nigeria Background The association between intimate partner violence (IPV) victimisation and poor mental health outcomes is well established. Less is known about the correlation between IPV perpetration and mental health, particularly among adolescents and young adults. Using data from the nationally representative Violence Against Children Survey, this analysis examines the association between IPV perpetration and mental health for male and female adolescents and young adults in Nigeria. Methods Multivariate logistic regression models were used to examine associations between ever-perpetration of IPV and four self-reported mental health variables: severe sadness, feelings of worthlessness, suicide ideation, and alcohol use. Models were sex-disaggregated, controlled for age, marital status, and schooling, and tested with and without past exposure to violence. Standard errors were adjusted for sampling stratification and clustering. Observations were weighted to be representative of 13-24 yearolds in Nigeria. Results Males were nearly twice as likely as females to perpetrate IPV (9% v. 5%, respectively; P < 0.001), while odds of perpetration for both sexes were higher for those ever experiencing IPV (adjusted odds ratio (aOR) = 4.60 for males; aOR = 2.71 for females). Female perpetrators had 2.73 higher odds of reporting severe sadness (95% confidence interval CI = 1.44, 5.17; P = 0.002) and 2.72 times greater odds of reporting suicide ideation (1.28, 5.79; P = 0.010) than non-perpetrating females, even when controlling for past-year violence victimisation. In contrast, male perpetrators had 2.65 times greater odds of feeling worthless (1.09, 6.43; P = 0.031), and 2.36 times greater odds of reporting alcohol use in the last 30 days (1.50, 3.73; P < 0.001), as compared to non-perpetrating males. Conclusions Among adolescents and young adults in Nigeria, IPV perpetration and negative mental health outcomes are associated but differ for males and females. Mindful of the cross-sectional nature of the data, it is possible that socially determined gender norms may shape the ways in which distress from IPV perpetration is understood and expressed. Additional research is needed to clarify these associations and inform violence prevention efforts. Electronic supplementary material: The online version of this article contains supplementary material.

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Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 84%

Perpetration of intimate partner violence and mental health outcomes: sex- and gender-disaggregated associations among adolescents and young adults in Nigeria

Stark¹,

Seff²,

Weber³

et al. 2020

Journal of Global Health

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show abstract

“…This is in accordance with psychosocial concepts from the Social Learning Theory that have shown that individuals learn how to behave through observing and imitating important individuals in their social environment. 27 Family factors including having no children/having problems conceiving or having borne five or more children were also identified in this review. Women are considered responsible for growing the family size particularly in the African culture and failure to do so attracts negative judgment from society.…”

Section: Discussionmentioning

confidence: 99%

“…11,19 PERPETRATOR FACTORS Two studies were carried out among men alone and predictors reported in these studies include sexual history, previous experience of abuse, educational status, substance use, gender-biased attitude, and having experienced abuse of mother. 27,28 Men who had multiple sexual partners, who were abuse victims, who had low educational status, who were substance abusers, who had gender inequitable attitudes and who experienced abuse of mothers in the past were more likely to be perpetrators of gender-based violence.…”

Section: Victim Factorsmentioning

confidence: 99%

Predictors and facilitators of gender-based violence in sub-Saharan Africa: a rapid review

Akamike¹,

Uneke²,

Uro-Chukwu³

et al. 2019

Journal of Global Health Reports

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Back Background ground An understanding of factors associated with gender-based violence is essential for developing evidence-based interventions that are necessary for the prevention of violence against women. The objective of this study was to summarize the predictors of gender-based violence. Methods Methods A PubMed search was carried out in January 2019 and identified primary quantitative research studies that measured predictors of any form of gender-based violence in sub-Saharan Africa and were published in the English language between January 2000 and December 2018. The categories of keywords used for the search were facilitators, barriers, predictors, gender-based violence, Africa. R Results esults A total of 21 studies were reviewed. The prevalence of gender-based violence in this review ranges from 11.6% to 75.6%. The results show that predictors include factors such as socio-demographic factors, individual factors, family factors, spouse's/partner's habit, and experience in the past. Ten studies reported socioeconomic predictors of gender-based violence while eight of the studies cited predictors specific to the individual. Eight of the studies reported predictors due to partner/spouse's habits, and only two studies reported family-related predictors. Seven studies reported predictors due to previous experience. Lower educational status, being married, being involved in sex work, having experienced abuse in the past, substance abuse by partner, having a gender-biased attitude, younger age, lower socioeconomic status, urban residence, having a promiscuous partner, and poor social support were found to be predictors of gender-based violence. Perpetrator factors identified include sexual history, previous experience of abuse, educational status, substance use, gender-biased attitude, and having experienced abuse of the mother.

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“…a cluster-randomized trial in Ghana, 23% reported past year perpetration of IPV [31]. In South Africa, nearly a third of rural, sexually experienced men 15-26 years (31.8%) reported lifetime violence against women [32].…”

Section: Plos Onementioning

confidence: 99%

Results from a cluster-randomized trial to evaluate a microfinance and peer health leadership intervention to prevent HIV and intimate partner violence among social networks of Tanzanian men

et al. 2020

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Despite calls to engage men in HIV and intimate partner violence (IPV) prevention efforts, effective approaches to reach and engage men in low-resource, high-HIV prevalence settings are limited. We identified and engaged social networks of mostly young men in a study designed to evaluate the efficacy of a combined microfinance and peer health leadership intervention to prevent HIV and IPV. We conducted a cluster-randomized trial among 60 social networks locally referred to as "camps" within Dar es Salaam, Tanzania. Camps were randomly assigned (1:1) to a microfinance and peer health leadership intervention or a control condition that received a brief delayed intervention after the study's conclusion. Allocation was not masked to participants or researchers. Behavioral assessments were conducted at baseline and 30-months post-intervention launch, with biological samples drawn at 30-months to test for sexually-transmitted infections (STIs). Primary outcomes included prevalence of STIs and past-year IPV perpetration. Secondary outcomes included STI sexual risk behaviors and past-year HIV testing. Proximal intervention targets included inequitable gender norm attitudes and hope. A modified Poisson regression approach was used to estimate intention-to-treat intervention effects on outcomes assessed at the 30month follow-up. We enrolled 1,258 men within 60 camps. Of these men, 1,029 (81.8%) completed the 30-month follow-up. There were no differences by condition in STI prevalence, IPV perpetration, or sexual risk behaviors at the 30-month follow-up. Intervention participants reported greater levels of past-year HIV testing, controlling for baseline testing (aRR 1.13 95% CI 1.005-1.28). They also reported significantly lower levels of inequitable gender norm attitudes (adjusted effect-0.11, 95% CI-0.21-0.003). We successfully engaged and retained social networks of men in this multilevel intervention study. While we

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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

Cited by 45 publications

References 45 publications

Perpetration of intimate partner violence and mental health outcomes: sex- and gender-disaggregated associations among adolescents and young adults in Nigeria

Perpetration of intimate partner violence and mental health outcomes: sex- and gender-disaggregated associations among adolescents and young adults in Nigeria

Predictors and facilitators of gender-based violence in sub-Saharan Africa: a rapid review

Results from a cluster-randomized trial to evaluate a microfinance and peer health leadership intervention to prevent HIV and intimate partner violence among social networks of Tanzanian men

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