250274 Intimate partner violence and women's health in Botswana: The Maun Women's Study

Wednesday, November 2, 2011

Francis Barchi, MBE, PhD , Center for Bioethics, University of Pennsylvania, Philadelphia, PA
Phyllis Solomon, PhD , Social Policy and Practice, University of Pennsylvania, Philadelphia, PA
Danielle Dougherty , University of Michigan School of Medicine, Ann Arbor, MI
Peggie Ndwapi Ramaphane , Women Against Rape, Maun, Botswana
Objectives: IPV is a significant public health problem worldwide impacting the physical and mental health of millions of women. This study examines IPV in northern Botswana and identifies factors that may protect a woman from or predispose her to violence. Background: Despite research in other settings linking IPV to various risk factors including poverty, education, alcohol use and HIV status, very little empirical data exists about the phenomenon in Botswana. Methods: Structured interviews were administered to a random sample of 469 women aged 18 years and older in Maun, Botswana to gather socio-demographic information and assess women's experience with IPV. Logistic regression was used to identify factors predictive intimate partner violence in the past year. Results: 45% of respondents reported IPV in the past year. Major predictors of IPV included respondent alcohol use (OR 2.6, CI95 1.5, 4.6, p = .001), partner alcohol use (OR 2.4, CI95 1.5, 4.0, p = .001), depression (OR 1.95, CI95 1.1, 3.4, p = .02) and suicide ideation (OR 2.6, CI95 1.3, 5.4, p = .01). Higher levels of household income had a protective effect, reducing the likelihood of IPV by two-thirds when compared to women living in poverty (OR 0.4, CI95 0.2, 0.8, p = .01). Whether or not a woman lived with a serious chronic disease did not increase the likelihood of IPV in this population. Implications: Screening and treatment for alcohol abuse and mental health disorders should be integral to public health strategies to reduce violence against women in Botswana.

Learning Areas:
Assessment of individual and community needs for health education
Provision of health care to the public
Social and behavioral sciences

Learning Objectives:
Describe the nature and extent of intimate partner violence against women in northern Botswana. Identify risk factors for intimate partner violence in this population. Discuss relationship of mental health disorders and alcohol to intimate partner violence in this population. Identify targets for public health interventions to reduce intimate partner violence in northern Botswana.

Keywords: Women's Health, Violence

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: This topic is the subject of my doctoral research. I have been working in Botswana for the past five years and am the director of the Penn Center for Bioethics Botswana Program.
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.