| Literature DB >> 31722985 |
Laila Rahman1, Janice Du Mont2,3, Patricia O'Campo2,4,5, Gillian Einstein2,3,6,7.
Abstract
BACKGROUND: In Bangladesh, little is known about community-level factors shaping married women's experiences of male intimate partner physical violence (MIPPV); it is also unknown if these factors interact with each other. We examined the (1) association between four residential community characteristics defined by the attributes of ever married women in those communities-younger age, lower education, higher participation in earning an income and poverty; and (2) two-way interactions between these community-level MIPPV correlates.Entities:
Keywords: gender; international health; neighborhood/place; public health; violence
Year: 2019 PMID: 31722985 PMCID: PMC6993019 DOI: 10.1136/jech-2019-212295
Source DB: PubMed Journal: J Epidemiol Community Health ISSN: 0143-005X Impact factor: 3.710
Figure 1Flow chart of the individual-level and community-level women samples in Bangladesh.
Individual women and residential community characteristics in Bangladesh (Bangladesh violence against women survey 2015; weighted n=32 697 808; unweighted n=14 557, community n=911)
| Individual-level characteristics/social locations | % of women | 95% CI | Weighted |
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| Younger age (<30 years) | 34.1 | 33.0 to 35.1 | 11 136 843 |
| Older age (≥30 years) | 65.9 | 64.9 to 67.0 | 21 560 965 |
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| Lower education (<5th grade) | 49.2 | 47.9 to 50.6 | 16 091 353 |
| Higher education (≥5th grade) | 50.8 | 49.4 to 52.1 | 16 606 456 |
|
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| Yes | 19.1 | 17.7 to 20.6 | 6 239 795 |
| No | 80.9 | 79.4 to 82.3 | 26 458 013 |
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| Yes | 23.0 | 21.5 to 24.5 | 7 505 118 |
| No | 77.0 | 75.5 to 78.5 | 25 192 690 |
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| Yes | 25.1 | 23.8 to 26.5 | 8 210 002 |
| No | 74.9 | 73.5 to 76.2 | 24 487 806 |
Note: community characteristics 1, 2 and 4 were defined by women’s characteristics (younger age <30 years; lower level of education below the fifth grade; and living in a poor household) of 19 987 (unweighted) ever-married 15 years or older women who lived in 911 communities. Community characteristic 3 was created using 16 762 (unweighted) ever-married women 15 years or older. Mean plus 1 SD cut-off points were calculated to mark communities where higher proportions of women had the relevant characteristics.
Multilevel logistic regression estimates (coefficients (95% CI)) of women’s community-level locations of their male intimate partner physical violence) experiences in the past year (Bangladesh violence against women survey 2015; weighted n=32 697 808; unweighted n=14 557, community n=911)
| Residential community characteristics | Model 1 | Model 2 | Model 3 | Model 4 | Model 5 | Model 6 |
| Higher proportions of women | −0.02 | −0.02 | ||||
| Higher proportions of women | −0.01 | −0.02 | ||||
| Higher proportions of women earn an income | 0.10 | 0.10 | ||||
| Higher proportions of women live in poverty | 0.04 | 0.04 | ||||
| Random effects, between community variance (95% CI) | 0.67 | 0.65 | 0.65 | 0.64 | 0.65 | 0.64 |
| Intraclass correlation (SE) | 0.17 | 0.16 | 0.16 | 0.16 | 0.16 | 0.16 |
| Akaike Information Criterion | 21 800 000 | 21 500 000 | 21 500 000 | 21 500 000 | 21 500 000 | 21 500 000 |
1. N includes currently married women, 15 years or older, who were living with their husbands during the survey in 2015.
2. Communities indicate primary sampling units (PSUs). Minimum, maximum and average number of observations per PSU are 6, 24, and 16, respectively.
3. Basic dataset related information: (A) type of survey and dataset: nationally representative, cross-sectional dataset covering all the then seven divisions of Bangladesh; (B) design: stratified two-stage cluster survey design; (C) year for the survey: 2015; (D) sample: 22 775; successfully interviewed: 21 688 women and girls of 15 years and older; of them, 19 987 respondents were ever-married and 1701 were never married; (E) response rate: 95.2%; (F) survey administrator and owner of the dataset: Bangladesh Bureau of Statistics (BBS), Government of Bangladesh. BBS conducted this survey following the safety and ethical guidelines.4
4. Mean variance adaptive Gauss–Hermite quadrature integration method34 has been used. Unstructured covariance structure estimated all variances and covariances.
5. Model 1 is the null model. Models 2–6 have accounted for women’s individual-level younger age, lower level of education, earning an income, living in poverty, religion, rural location and their husband’s younger age and lower level of education.
Multilevel logistic regression estimates (coefficients (95% CI)) of women’s community-level colocations of their male intimate partner physical violence (MIPPV) experiences in the past year (Bangladesh violence against women survey 2015; weighted n=32 697 808; unweighted n=14 557, community n=911)
| Residential community characteristics | Model 7 | Model 8 | Model 9 | Model 10 | Model 11 | Model 12 | Model 13 |
| A. Higher proportions of women are younger than 30 years of age | −0.05 | 0.01 | 0.04 | 0.02 | |||
| B. Higher proportions of women have below fifth grade of education | −0.04 | 0.13 | 0.00 | 0.07 | |||
| C. Higher proportions of women earn an income | 0.13 | 0.28* | 0.22† | 0.38** | |||
| D. Higher proportions of women live in poverty | 0.10 | 0.06 | 0.14 | 0.19 | |||
| 1. Younger, lower educated communities | 0.25 | 0.47 | |||||
| 2. Younger, higher earning participation communities (A × C) | −0.16 | −0.21 | |||||
| 3. Younger, poorer communities (A × D) | −0.27 | −0.27 | |||||
| 4. Lower education, higher earning participation communities (B × C) | −0.78** | −0.71* | |||||
| 5. Lower education, poor communities | −0.07 | 0.01 | |||||
| 6. Higher earning participation, poor communities (C × D) | −0.65* | −0.46 | |||||
| Random effects, between community variance (SE) | 0.65 | 0.64 | 0.64 | 0.63 | 0.65 | 0.63 | 0.62 |
| Intraclass correlation (SE) | 0.16 | 0.16 | 0.16 | 0.16 | 0.16 | 0.16 | 0.16 |
| Akaike Information Criterion | 21 500 000 | 21 500 000 | 21 500 000 | 21 500 000 | 21 500 000 | 21 500 000 | 21 400 000 |
1. Texts in brackets indicate the two-way interaction between letter-numbered community-level variables.
2. All models have been adjusted for women’s individual-level younger age, lower level of education, earning an income, living in poverty, religion, rural location and their husband’s younger age and lower level of education variables.
*P<0.05; **p<0.01.
†P<0.10.
Figure 2Currently married women’s predicted probabilities of experiencing male intimate partner physical violence (MIPPV) across their intersectional community locations in Bangladesh (weighted n=32 697 808; unweighted n=14 557 nested within 911 communities) using multilevel logistic regression model 13 (table 3). See online supplementary file: table S2 for all hypothesised relationships between women’s community-level intersectional locations and MIPPV.