217427 Concordance in attitudes towards violence and reported physical abuse in African couples

Monday, November 8, 2010 : 2:30 PM - 2:45 PM

Amina Alio, PhD , University of South Florida College of Public Health, Department of Community and Family Health, Tampa, FL
Heather Clayton, MPH , Department of Community & Family Health, University of South Florida, College of Public Health, Tampa, FL
Hamisu Salihu, MD, PhD , Epidemiology and Biostatistics, University of South Florida, Tampa, FL
Ellen Daley, PhD , Center for Transdisciplinary Research on Women's Health, Department of Community and Family Health, College of Public Health, University of South Florida, Tampa, FL
Alfred Mbah, PhD , Department of Epidemiology and Biostatistics, University of South Florida, Tampa, FL
Madelaine Garba , Department of Obstetrics and Gynecology, La Maternite Issaka Gazoby, Niamey, Niger
Lindsey M. King, MPH , College of Public Health, University of South Florida, Tampa, FL
Purpose: High rates of IPV have been reported in Africa, however the linkage between spousal attitudes towards violence (ATV) and actual incidence of violence is poorly understood. Therefore we examined the association between African couples' concordance on ATV and risk for IPV. Methodology: 13,837 couples from six Demographic and Health Surveys (DHS) conducted between 2003 and 2007 (Liberia (2007), Kenya (2003), Malawi (2004), Rwanda (2005), Zambia (2007), and Zimbabwe (2005-2006)) were included in analyses. Concordance on ATV was defined as the justification of physical violence by both spouses, while IPV was defined as incidence of a physically violent act against the wife. We determined if an association exists between concordance in ATV and IPV using hierarchical regression modeling that adjusted for multi-level influences on risk estimates. Results: Spousal ATV concordance was associated with higher risk for IPV [Adjusted Odds Ratio (AOR) =2.27, 95% CI (2.01,2.56)]. The level of wealth, educational attainment, rural/urban residence, presence of a co-wife, religion, maternal age and parity were characteristics that predicted the occurrence of IPV within couples. Spousal ATV concordance was significantly associated with violence in every African nation included in the analysis EXCEPT Rwanda (AOR = 1.38, 95% CI (0.99,1.94)). Conclusion: African couples with high rates of ATV concordance experience higher risks for IPV, with some variation in magnitude of risk across countries. In African settings, ATV positive concordance could serve as a supplemental screening mechanism to detect spousal violence.

Learning Areas:
Social and behavioral sciences

Learning Objectives:
1. Describe the incidence of intimate partner violence in sub-Saharan African countries. 2. Explain the impact of couplesí concordance in attitudes towards IPV on reports of IPV. 3. Discuss the utility of hierarchical regression modeling for DHS surveys involving multiple countries.

Keywords: International, Violence

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a qualified presenter as I have contributed to this study.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.