Relative Risk of Intimate Partner Violence According to Access to Instrumental Social Support Among Pregnant Women in Eswatini Whose Partners Do and Do Not Drink Alcohol
- 18 February 2021
- journal article
- research article
- Published by SAGE Publications in Journal of Interpersonal Violence
- Vol. 37 (13-14), NP12671-NP12684
- https://doi.org/10.1177/0886260521993925
Abstract
Intimate partner violence (IPV) affects one in three women around the world and is the tenth leading cause of death for women in Africa aged 15 to 29 years. Partner alcohol use, access to social support, and poverty all affect women’s likelihood of experiencing violence. We sought to understand how partner alcohol use differentially affected the hypothesized association between a protective role of instrumental social support (in the form of food or financial loans) against IPV for a clinic-based sample of women in the Kingdom of Eswatini (formerly known as Swaziland). We use cross-sectional data from a parent study of women recruited from urban and rural antenatal clinics in Eswatini (n = 393) to calculate the association between experiencing IPV and perception of one’s ability access to large cash loans, small cash loans, and food loans—both for the full sample and stratified by partner alcohol use. In fully adjusted models, the perception that one could access loans of food or money was associated with decreased relative risk of IPV for all women. These associations were modified by partner alcohol use. Access to instrumental support (loans of food or money) is associated with decreased risk of IPV, but this association varies according to the type of loan and whether or not a woman’s partner drinks alcohol. Economic empowerment interventions to reduce IPV must be carefully tailored to ensure they are appropriate for a woman’s specific individual, relationship, and community context.Keywords
This publication has 32 references indexed in Scilit:
- Intimate Partner Violence and Incident Depressive Symptoms and Suicide Attempts: A Systematic Review of Longitudinal StudiesPLoS Medicine, 2013
- Evaluating audio computer assisted self-interviews in urban south African communities: evidence for good suitability and reduced social desirability bias of a cross-sectional survey on sexual behaviourBMC Medical Research Methodology, 2013
- A Systematic Qualitative Review of Risk and Protective Factors for Sexual Violence PerpetrationTrauma, Violence, & Abuse, 2012
- The social context of food insecurity among persons living with HIV/AIDS in rural UgandaSocial Science & Medicine (1982), 2011
- Pregnancy, Alcohol Intake, and Intimate Partner Violence among Men and Women Attending Drinking Establishments in a Cape Town, South Africa TownshipJournal of Community Health, 2011
- Prevalence and Correlates of Forced Sex Perpetration and Victimization in Botswana and SwazilandAmerican Journal of Public Health, 2011
- Can social capital be intentionally generated? A randomized trial from rural South AfricaSocial Science & Medicine (1982), 2008
- Understanding the Impact of a Microfinance-Based Intervention on Women’s Empowerment and the Reduction of Intimate Partner Violence in South AfricaAmerican Journal of Public Health, 2007
- Individual Action and Community Context: The Health Intervention ProjectAmerican Journal of Preventive Medicine, 2007
- Economic Distress and Intimate Violence: Testing Family Stress and Resources TheoriesJournal of Marriage and Family, 2002