Determinants of Violence Types among Reproductive Age Women: A Cross-Sectional Study in Sarab City

Background and Purpose: Violence against reproductive age women harms other health priorities; such as family planning and maternal health. This study aimed to identify the determinants of violence among reproductive age women. Materials and Methods: This cross-sectional study was conducted among ۱۸۲ married women, ۱۵-۴۹ years old in Sarab City, Iran, through simple random sampling in ۲۰۱۸. Data were collected by a self-designed questionnaire including demographic characteristics, physical, psychological, verbal, economic, and sexual violence. Then, it was analyzed using an independent samples t-test, one-way ANOVA, Pearson Correlation, and multivariate linear regression. Results: The prevalence of physical, psychological, sexual, economic and verbal violence in women was ۱۱ (۶%), ۱۴(۷.۷%), ۱۸(۹.۹%), ۲۴(۱۳.۲%), and ۳۷(۲۰.۳%), respectively. Husband's older age and husband's older age of marriage increased (B=۰.۱۴, ۹۵% CI= ۰.۰۰ to ۰.۲۸) and decreased (B= -۱.۱۷, CI= -۰.۲۷ to -۰.۰۶) verbal violence against women. Illiteracy in spouses reduced physical violence (B=-۲.۴۳, CI= -۴.۵۸ to -۰.۲۷) and sexual violence (B= -۱.۶۲, CI= -۳.۰۸ to -۰.۱۶) and in women, it reduced psychological violence (B=-۲.۶۳, CI= -۴.۸۱ to -۰.۴۵). Spousal smoking reduced physical (B= -۰.۹۷, CI= -۱.۷۸ to -۰.۱۷), psychological (B= -۱.۱۷, CI= -۲.۰۱ to -۰.۳۳), and verbal (B= -۱.۲۲, CI= - ۱.۹۶ to -۰.۴۸) violence; however, women's alcoholism (B= ۷.۳۱, CI= ۰.۲۷ to ۴.۴۳) and having children from a previous marriage of the woman (B= ۰.۰۶, CI=۰.۰۴ to ۱.۱۶) increased physical violence. The highest economic violence was seen in female employees (B= ۱.۳۱, CI=۰.۳۵ to ۲.۲۷). Psychological (B= -۴.۹۲, CI= -۷.۸۹ to -۱.۴۹) and sexual (B= -۲.۱۶, CI= - ۴.۰۹ to -۰.۲۲) violence was less experienced in men's second marriage. Conclusion: Considering the high prevalence of verbal violence and related factors, conducting the necessary screenings to recognize it in time, teaching communication skills and anger management to husbands seems essential.

Keywords:

Violence , Risk Factors , Determinant , Women , Fertility , Reproductive