尽管童年创伤和暴力侵害妇女行为是全球公共卫生问题,关于低收入和中等收入国家之间联系的基于人口的数据很少。我们提供了联合国亚洲及太平洋男性与暴力多国研究的数据,探索不同形式的童年创伤和暴力侵害妇女行为之间的路径。
在这项多国研究中,我们采访了男性和女性的多阶段代表性样本,18-49岁,在亚洲和太平洋地区,使用标准化的基于人口的家庭调查。在六个国家接受了男性采访,女人在四个。受访者被问及有关其亲密伴侣暴力或非伴侣性暴力的行为或经历的问题,童年创伤,和严厉的育儿(打他们的孩子作为一种纪律)。我们使用最大似然多变量logit模型来探索童年创伤和暴力侵害妇女行为之间的关联,和拟合的路径模型,以探索虐待儿童的经历和行为之间的关联。
在2011年1月1日至2012年12月1日之间,10178名男性和3106名女性在这项研究中完成了访谈,每个站点有815至1812名男性,每个站点有477至1103名女性。经历过童年创伤的男性比例在59%(n=478,95%CI54·0-63·3;印度尼西亚农村地区)和92%(n=791,89·4-93·8;布干维尔,巴布亚新几内亚)。对女人来说,结果范围从44%(n=272,37·7-50·8;斯里兰卡)到84%(n=725,80·7-86·8;布干维尔,巴布亚新几内亚)。对于男人来说,所有形式的童年创伤都与所有形式的亲密伴侣暴力行为有关.对女人来说,所有形式的童年创伤都与亲密伴侣的身体暴力有关,身体和性亲密伴侣暴力。有显著的,经常有性别,男女之间的路径和童年创伤的经历,亲密伴侣的身体暴力,严厉的养育,和其他因素。
数据指出了共现和滥用的循环,童年创伤导致暴力侵害妇女和进一步虐待儿童,这反过来又增加了成年期间经历或实施暴力的风险。防止这两种形式暴力的努力将受益于有意义的综合办法。干预措施应促进积极的育儿,解决生命过程中的不平等和暴力正常化,改变男人对女人和孩子的权力。
预防合作伙伴。国家研究由联合国人口基金在孟加拉国和中国资助,柬埔寨和印度尼西亚的妇女署,巴布亚新几内亚联合国发展计划,斯里兰卡的关怀。
Although childhood trauma and violence against women are global public health issues, few population-based data from low-income and middle-income countries exist about the links between them. We present data from the UN Multi-country Study on Men and Violence in Asia and the Pacific, exploring the pathways between different forms of childhood trauma and violence against women.
In this multicountry study, we interviewed multistage representative samples of men and women, aged 18-49 years, in Asia and the Pacific, using standardised population-based household surveys. Men were interviewed in six countries, and women in four. Respondents were asked questions about their perpetration or experience of intimate partner violence or non-partner sexual violence, childhood trauma, and harsh parenting (smacking their children as a form of discipline). We used maximum likelihood multivariate logit models to explore associations between childhood trauma and violence against women, and fitted path models to explore associations between experience and perpetration of child maltreatment.
Between Jan 1, 2011, and Dec 1, 2012, 10 178 men and 3106 women completed interviews in this study, with between 815 and 1812 men per site and 477 and 1103 women per site. The proportion of men who experienced any childhood trauma varied between 59% (n=478, 95% CI 54·0-63·3; Indonesia rural site) and 92% (n=791, 89·4-93·8; Bougainville, Papua New Guinea). For women, the results ranged from 44% (n=272, 37·7-50·8; Sri Lanka) to 84% (n=725, 80·7-86·8; Bougainville, Papua New Guinea). For men, all forms of childhood trauma were associated with all forms of intimate partner violence perpetration. For women, all forms of childhood trauma were associated with physical intimate partner violence, and both physical and sexual intimate partner violence. There were significant, often gendered, pathways between men\'s and women\'s perpetration and experiences of childhood trauma, physical intimate partner violence, harsh parenting, and other factors.
The data point to both a co-occurrence and a cycle of abuse, with childhood trauma leading to violence against women and further child maltreatment, which in turn increases the risk of experience or perpetration of violence during adulthood. Efforts to prevent both forms of violence would benefit from a meaningful integrated approach. Interventions should promote positive parenting, address inequality and the normalisation of violence across the life course, and transform men\'s power over women and children.
Partners for Prevention. National studies were funded by the UN Population Fund in Bangladesh and
China, UN Women in Cambodia and Indonesia, UN Develoment Programme in Papua New Guinea, and CARE in Sri Lanka.