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Abstract：
BACKGROUND: To assess the attitudes of women towards intimate partner violence (IPV) in Guyana.
METHODS: We used national data from the publicly available Multiple Indicator Cluster Survey (MICS) conducted in Guyana in 2019 for women aged 15 to 49 years. The prevalence of women who agreed that a husband is justified in beating his wife was analyzed. Respondent reasons included if she: \"goes out without telling him\", \"neglects the children\", \"argues with him\", \"refuses sex with him\", \"burns the food\", \"has another partner\", \"stays out late/partying\", \"refuses to cook or clean\", \"overspends\", and/or \"he doesn\'t have access to her cellphone\". Descriptive analyses were carried for all the variables. Logistic regression was used to identify factors associated with these 10 respondent reasons, separately and in combination.
RESULTS: The overall prevalence of women\'s attitudes justifying IPV against women if there was a \'yes\' response to any of the 10 reasons was 17.9% (95%CI: 16.6-19.3%), and varied from 2.7% if she \"goes out without telling him\", \"burns the food\", or \"overspends\" to 10.0% if she \"has another partner\". This prevalence ranged from 10.2% in urban areas to 19.3% in rural areas (p<0.001), and from 16.1% in coastal to 30.1% in interior areas (p<0.001). Similarly, 25.9% of women from the poorest household agreed that a husband has the right in beating his wife for any of the 10 reasons compared to 11.6% of the richest women (11.6%) (p<0.001). Rural place of residence, ethnicity, geographic region, level of education, wealth quintile, ever used of a computer, and frequency of listening to the radio were significant factors associated with women\'s attitudes justifying IPV against women (p<0.05).
CONCLUSIONS: Over one-sixth of the respondents agreed that a husband was justified in committing IPV against women in Guyana. Public health programs focusing on geographic locations, ethnicity, and economic status must be implemented to change attitudes justifying IPV and reduce this significant public health challenge.
METHODS: We used national data from the publicly available Multiple Indicator Cluster Survey (MICS) conducted in Guyana in 2019 for women aged 15 to 49 years. The prevalence of women who agreed that a husband is justified in beating his wife was analyzed. Respondent reasons included if she: \"goes out without telling him\", \"neglects the children\", \"argues with him\", \"refuses sex with him\", \"burns the food\", \"has another partner\", \"stays out late/partying\", \"refuses to cook or clean\", \"overspends\", and/or \"he doesn\'t have access to her cellphone\". Descriptive analyses were carried for all the variables. Logistic regression was used to identify factors associated with these 10 respondent reasons, separately and in combination.
RESULTS: The overall prevalence of women\'s attitudes justifying IPV against women if there was a \'yes\' response to any of the 10 reasons was 17.9% (95%CI: 16.6-19.3%), and varied from 2.7% if she \"goes out without telling him\", \"burns the food\", or \"overspends\" to 10.0% if she \"has another partner\". This prevalence ranged from 10.2% in urban areas to 19.3% in rural areas (p<0.001), and from 16.1% in coastal to 30.1% in interior areas (p<0.001). Similarly, 25.9% of women from the poorest household agreed that a husband has the right in beating his wife for any of the 10 reasons compared to 11.6% of the richest women (11.6%) (p<0.001). Rural place of residence, ethnicity, geographic region, level of education, wealth quintile, ever used of a computer, and frequency of listening to the radio were significant factors associated with women\'s attitudes justifying IPV against women (p<0.05).
CONCLUSIONS: Over one-sixth of the respondents agreed that a husband was justified in committing IPV against women in Guyana. Public health programs focusing on geographic locations, ethnicity, and economic status must be implemented to change attitudes justifying IPV and reduce this significant public health challenge.
摘要：
背景：评估圭亚那妇女对亲密伴侣暴力（IPV）的态度。
方法：我们使用了2019年在圭亚那针对15至49岁女性进行的公开多指标类集调查（MICS）的国家数据。分析了同意丈夫殴打妻子是合理的妇女的普遍性。受访者的原因包括如果她：“出去而不告诉他”，“忽略孩子们”，“和他争论”，“拒绝和他做爱”，“烧掉食物”，\"有另一个合作伙伴\",\“在外面呆得很晚/参加派对\”，“拒绝做饭或打扫”，\"超支\",和/或“他无法访问她的手机”。对所有变量进行描述性分析。Logistic回归用于确定与这10个应答原因相关的因素，分开和组合。
结果：如果对这10个原因中的任何一个做出“是”的反应，则女性对IPV的态度的总体患病率为17.9％（95CI：16.6-19.3％），如果她“不告诉他就出去”，从2.7%不等“烧掉食物”，或“超支”到10.0%，如果她“有另一个伴侣”。这一患病率从城市地区的10.2%到农村地区的19.3%不等(p<0.001)，从沿海地区的16.1%上升到内陆地区的30.1%(p<0.001)。同样，来自最贫困家庭的妇女中有25.9％同意丈夫有权出于10个原因中的任何一个殴打妻子，而最富有的妇女中有11.6％（11.6％）（p<0.001）。农村居住地，种族,地理区域,教育水平,财富五分之一，曾经用过电脑，和听收音机的频率是与女性对IPV的态度相关的重要因素（p<0.05）。
结论：超过六分之一的受访者认为丈夫对圭亚那妇女实施IPV是合理的。以地理位置为重点的公共卫生项目，种族,必须实施经济地位，以改变为IPV辩护的态度，并减少这一重大的公共卫生挑战。
方法：我们使用了2019年在圭亚那针对15至49岁女性进行的公开多指标类集调查（MICS）的国家数据。分析了同意丈夫殴打妻子是合理的妇女的普遍性。受访者的原因包括如果她：“出去而不告诉他”，“忽略孩子们”，“和他争论”，“拒绝和他做爱”，“烧掉食物”，\"有另一个合作伙伴\",\“在外面呆得很晚/参加派对\”，“拒绝做饭或打扫”，\"超支\",和/或“他无法访问她的手机”。对所有变量进行描述性分析。Logistic回归用于确定与这10个应答原因相关的因素，分开和组合。
结果：如果对这10个原因中的任何一个做出“是”的反应，则女性对IPV的态度的总体患病率为17.9％（95CI：16.6-19.3％），如果她“不告诉他就出去”，从2.7%不等“烧掉食物”，或“超支”到10.0%，如果她“有另一个伴侣”。这一患病率从城市地区的10.2%到农村地区的19.3%不等(p<0.001)，从沿海地区的16.1%上升到内陆地区的30.1%(p<0.001)。同样，来自最贫困家庭的妇女中有25.9％同意丈夫有权出于10个原因中的任何一个殴打妻子，而最富有的妇女中有11.6％（11.6％）（p<0.001）。农村居住地，种族,地理区域,教育水平,财富五分之一，曾经用过电脑，和听收音机的频率是与女性对IPV的态度相关的重要因素（p<0.05）。
结论：超过六分之一的受访者认为丈夫对圭亚那妇女实施IPV是合理的。以地理位置为重点的公共卫生项目，种族,必须实施经济地位，以改变为IPV辩护的态度，并减少这一重大的公共卫生挑战。
