Risk factors for domestic violence: findings from a South African cross-sectional study


Jewkes, R; Levin, J; Penn-Kekana, L; (2002) Risk factors for domestic violence: findings from a South African cross-sectional study. Social science & medicine (1982), 55 (9). pp. 1603-17. ISSN 0277-9536 DOI: https://doi.org/10.1016/S0277-9536(01)00294-5

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Abstract

In 1998 a cross-sectional study of violence against women was undertaken in three provinces of South Africa. The objectives were to measure the prevalence of physical, sexual and emotional abuse of women, to identify risk factors and associated health problems and health service use. A multi-stage sampling design was used with clusters sampled with probability proportional to number of households and households were randomly selected from within clusters. One randomly selected woman aged 18-49 years was interviewed in each selected home. Interviews were held with a total 1306 women, the response rate was 90.3% of eligible women. For the risk factor analysis, multiple logistic regression models were fitted from a large pool of candidate explanatory variables, while allowing for sampling design and interviewer effects. The lifetime prevalence of experiencing physical violence from a current or ex-husband or boyfriend was 24.6%, and 9.5% had been assaulted in the previous year. Domestic violence was significantly positively associated with violence in her childhood, her having no further education, liberal ideas on women's roles, drinking alcohol, having another partner in the year, having a confidant(e), his boy child preference, conflict over his drinking, either partner financially supporting the home, frequent conflict generally, and living outside the Northern Province. No significant associations were found with partners' ages, employment, migrant status, financial disparity, cohabitation, household possessions, urbanisation, marital status, crowding, communication, his having other partners, his education, her attitudes towards violence or her perceptions of cultural norms on women's role. The findings suggest that domestic violence is most strongly related to the status of women in a society and to the normative use of violence in conflict situations or as part of the exercise of power. We conclude by discussing implications for developing theory on causal factors in domestic violence.

Item Type: Article
Keywords: Adolescent, Adult, Attitude, Battered Women/psychology/*statistics & numerical data, Causality, Conflict (Psychology), Cross-Sectional Studies, Domestic Violence/*statistics & numerical data, Family Characteristics, Female, Health Services/utilization, Human, Logistic Models, Middle Age, Power (Psychology), Prevalence, Questionnaires, Risk Factors, Sampling Studies, Sex Offenses/*statistics & numerical data, Social Control, Informal, Socioeconomic Factors, South Africa/epidemiology, Support, Non-U.S. Gov't, Adolescent, Adult, Attitude, Battered Women, psychology, statistics & numerical data, Causality, Conflict (Psychology), Cross-Sectional Studies, Domestic Violence, statistics & numerical data, Family Characteristics, Female, Health Services, utilization, Human, Logistic Models, Middle Age, Power (Psychology), Prevalence, Questionnaires, Risk Factors, Sampling Studies, Sex Offenses, statistics & numerical data, Social Control, Informal, Socioeconomic Factors, South Africa, epidemiology, Support, Non-U.S. Gov't
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Faculty of Public Health and Policy > Dept of Social and Environmental Health Research
PubMed ID: 12297246
Web of Science ID: 178838600010
URI: http://researchonline.lshtm.ac.uk/id/eprint/15777

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