The prevalence and determinants of sexual violence against young married women by husbands in rural Nepal

Abstract

BackgroundSexual violence within marriage is a public health and human rights issue; yet it remains a much neglected research area, especially in Nepal. This paper represents one of the first attempts to quantify the extent of sexual violence and its determinants among young married women in Nepal.MethodsA cross-sectional survey was conducted among 1,296 married women aged 15–24 years in four major ethnic groups in rural Nepal. The survey data were used to estimate the prevalence and identify determinants of sexual violence. The relative importance of different correlates of sexual violence in the past 12 months at the individual, household and community levels were examined by using a multi-level multivariate statistical approach.ResultsOf the young women surveyed 46% had experienced sexual violence at some point and 31% had experienced sexual violence in the past 12 months. Women’s autonomy was found to be particularly protective against sexual violence both at the individual and community level. Women’s educational level was not found to be protective, while the educational level of the husband was found to be highly protective.ConclusionsThe high prevalence of sexual violence against young women by husbands found in this study is a matter for serious concern and underscores the need for a comprehensive response by policymakers.

Association Between Intimate Partner Violence Against Women and HIV-Risk Behaviors

“…Evidence from various countries, including Nepal, has shown that the episode and severity of IPV against women increases due to alcohol use among male partners (Abramsky et al, 2011; Joshi et al, 2012; Kiss et al, 2012; Oshiro, Poudyal, Poudel, Jimba, & Hokama, 2011; Puri, Frost, Tamang, Lamichhane, & Shah, 2012; WHO, 2010). A study by Oshiro and colleagues among ever-married women between the ages of 15 and 49 years in Kathmandu, the capital city of Nepal, showed a strong association between the husband’s drinking and intimate partner violence (Oshiro et al, 2011).…”

Intimate partner violence (physical and sexual) and sexually transmitted infection: results from Nepal Demographic Health Survey 2011

“…A cross sectional study conducted among 1,296 rural married women of 15–24 years of age representing four major ethnic groups of four districts (Dolkha, Sindhupalchowk, Dang, and Kapilbastu) in Nepal reported that 46% had experienced sexual violence from husbands at some point of life and 31% experienced sexual violence in the last 12 months 3. Another cross sectional study among 1,536 reproductive age married women of four districts (Achham, Gulmi, Rupendehi, and Ilam) reported that 58% had experienced sexual violence from their husbands at some point in their lives 4.…”

Evlilik İçi Cinsel Saldırı Olgularını Ruhsal Bulgular Olmadan Tespit Etmek Mümkün mü?

“…Evlilik içi cinsel saldırı tanısı çok güç olan önemli bir halk sağlığı sorunudur (12)(13)(14)(15). Dünya'da evli kadınların % 15-71'inin eşleri tarafından tecavüze uğradıkları bildirilmiştir (16).…”

“…Literatürde, evlilik içi cinsel saldırı için, küçük yaşta evliliklerin, eğitim seviyesinin düşük olmasının önemli risk faktörleri olduğunu göstermektedir (12)(13)(14)(15)(16)22,23,25). Çalışmamızda literatür ile uyumlu olarak, olguların % 48,2'sinin 17-24 yaş grubunda oldukları, cinsel saldırının genellikle evlilik ile başladığı anlaşılmaktadır.…”