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      Intimate partner violence among adolescents and young women: prevalence and associated factors in nine countries: a cross-sectional study

      research-article
      , , , , on behalf of the WHO Multi-country Study team
      BMC Public Health
      BioMed Central
      Intimate partner violence, Prevalence, Risk factors, Adolescents, Young women, Population-based survey

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          Abstract

          Background

          Little is known about the prevalence of intimate partner violence (IPV) and its associated factors among adolescents and younger women.

          Methods

          This study analyzed data from nine countries of the WHO Multi-country Study on Women’s Health and Domestic Violence against Women, a population based survey conducted in ten countries between 2000 and 2004.

          Results

          The lifetime prevalence of IPV ranged from 19 to 66 percent among women aged 15 to 24, with most sites reporting prevalence above 50 percent. Factors significantly associated with IPV across most sites included witnessing violence against the mother, partner’s heavy drinking and involvement in fights, women’s experience of unwanted first sex, frequent quarrels and partner’s controlling behavior. Adolescent and young women face a substantially higher risk of experiencing IPV than older women.

          Conclusion

          Adolescence and early adulthood is an important period in laying the foundation for healthy and stable relationships, and women’s health and well-being overall. Ensuring that adolescents and young women enjoy relationships free of violence is an important investment in their future.

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          Most cited references50

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          Global health. The global prevalence of intimate partner violence against women.

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            Adolescence: a foundation for future health

            Adolescence is a life phase in which the opportunities for health are great and future patterns of adult health are established. Health in adolescence is the result of interactions between prenatal and early childhood development and the specific biological and social-role changes that accompany puberty, shaped by social determinants and risk and protective factors that affect the uptake of health-related behaviours. The shape of adolescence is rapidly changing-the age of onset of puberty is decreasing and the age at which mature social roles are achieved is rising. New understandings of the diverse and dynamic effects on adolescent health include insights into the effects of puberty and brain development, together with social media. A focus on adolescence is central to the success of many public health agendas, including the Millennium Development Goals aiming to reduce child and maternal mortality and HIV/AIDS, and the more recent emphases on mental health, injuries, and non-communicable diseases. Greater attention to adolescence is needed within each of these public health domains if global health targets are to be met. Strategies that place the adolescent years centre stage-rather than focusing only on specific health agendas-provide important opportunities to improve health, both in adolescence and later in life. Copyright © 2012 Elsevier Ltd. All rights reserved.
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              What factors are associated with recent intimate partner violence? findings from the WHO multi-country study on women's health and domestic violence

              Background Intimate partner violence (IPV) against women is a global public health and human rights concern. Despite a growing body of research into risk factors for IPV, methodological differences limit the extent to which comparisons can be made between studies. We used data from ten countries included in the WHO Multi-country Study on Women's Health and Domestic Violence to identify factors that are consistently associated with abuse across sites, in order to inform the design of IPV prevention programs. Methods Standardised population-based household surveys were done between 2000 and 2003. One woman aged 15-49 years was randomly selected from each sampled household. Those who had ever had a male partner were asked about their experiences of physically and sexually violent acts. We performed multivariate logistic regression to identify predictors of physical and/or sexual partner violence within the past 12 months. Results Despite wide variations in the prevalence of IPV, many factors affected IPV risk similarly across sites. Secondary education, high SES, and formal marriage offered protection, while alcohol abuse, cohabitation, young age, attitudes supportive of wife beating, having outside sexual partners, experiencing childhood abuse, growing up with domestic violence, and experiencing or perpetrating other forms of violence in adulthood, increased the risk of IPV. The strength of the association was greatest when both the woman and her partner had the risk factor. Conclusions IPV prevention programs should increase focus on transforming gender norms and attitudes, addressing childhood abuse, and reducing harmful drinking. Development initiatives to improve access to education for girls and boys may also have an important role in violence prevention.
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                Author and article information

                Contributors
                heidi.stoeckl@lshtm.ac.uk
                laura.march@inserm.fr
                pallittoc@who.int
                garciamorenoc@who.int
                Journal
                BMC Public Health
                BMC Public Health
                BMC Public Health
                BioMed Central (London )
                1471-2458
                25 July 2014
                25 July 2014
                2014
                : 14
                : 1
                : 751
                Affiliations
                [ ]Department of Global Health and Development, Gender Violence & Health Centre, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH UK
                [ ]INSERM, U912 (SESSTIM), 23 rue Stanislas Torrents, 13006 Marseille, France
                [ ]Aix Marseille University, IRD, UMR-S912 Marseille, France
                [ ]ORS PACA, Observatoire Régional de la Santé Provence Alpes Côte d’Azur, Marseille, France
                [ ]Department of Reproductive Health and Research, World Health Organisation, Avenue Appia 20, 1202 Geneva, Switzerland
                [ ]Department of Reproductive Health and Research, Reproductive Rights and Adolescence, World Health Organisation, Avenue Appia 20, 1202 Geneva, Switzerland
                Article
                6919
                10.1186/1471-2458-14-751
                4133076
                25059423
                c1fe66ac-baa9-41ae-bd6c-5ea26b0c3028
                © Stöckl et al.; licensee BioMed Central Ltd. 2014

                This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 31 January 2014
                : 10 July 2014
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2014

                Public health
                intimate partner violence,prevalence,risk factors,adolescents,young women,population-based survey

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