Abstract

Body mass index and intimate partner violence among Kenyan women

Rahma Mkuu, PhD, MPH, CPH1, Tamika Gilreath, PhD1, Anna Gabriela Reyes1, Nafissatou Cisse-Egbuonye, PhD, MPH2, Elfreda Samman, MPH, MS, CHES1 and Idethia Harvey, DrPH1
(1)Texas A&M University, College Station, TX, (2)Black Hawk County Health Department, Waterloo, IA, Waterloo, IA

APHA 2017 Annual Meeting & Expo (Nov. 4 - Nov. 8)

Introduction: Approximately 1 in 3 women have experienced either physical and/or intimate partner violence globally. In Kenya, 41% of women report experiencing physical and/or sexual intimate partner violence in their lifetime. In low-middle income countries (LMICs), there is some evidence that low body mass index (BMI) is associated with increased intimate partner violence. To the best of our knowledge, the association between BMI and physical/or intimate partner violence hasn’t been explored in Kenya. Methods: We used the nationally representative 2014 Kenya Demographic Health Survey data. A regression model was analyzed to identify correlates of increasing BMI amongst 4, 469 married women. Independent variables included age, urban/rural location, highest level of education attained, score on wealth index, and whether the woman had experienced physical injuries perpetrated by her husband. Results: All covariates were significantly associated with BMI. Women who reported any physical injuries (e.g., bruises, burns, broken bones) had lower BMI than those who had reported none (b=-.40, s.e., =0.18). Women in rural areas had lower BMI (b=-0.33, s.e.=0.15). Higher scores on the wealth index increased BMI (b=1.17, s.e., =0.06) as did higher levels of education (primary, secondary, higher education) compared to no formal education. Discussion: Our findings suggest that in the Kenyan context domestic violence may be both a health and women’s rights issue. Other studies have found that domestic violence can lead to being underweight. Strategies aimed to tackle fundamental causes of disparities such as empowering women’s socio-economic status are needed.

Chronic disease management and prevention Implementation of health education strategies, interventions and programs Planning of health education strategies, interventions, and programs Public health or related public policy Public health or related research