Abstract

BackgroundViolence against women by an intimate partner (DV) is a serious public health and human rights issue. Attitudes justifying DV strongly predict its perpetration and victimisation. This paper presents gendered ecological analyses of the societal acceptance of DV in 49 low- and middle-income countries (LMICs) across geographical regions.Methods and findingsWe utilised data from 49 Demographic and Health Surveys conducted between 2005 and 2017, United Nations Statistics and topic-specific meta-databases. DV acceptance was measured as the justification of ‘wife-beating’ in at least one of five circumstances, and by the summative scale. Stepwise multiple linear regression examined country-level social, economic and political empowerment predictors of societal acceptance of DV amongst women, men, and the aggregate gender difference. Women were more likely than men to justify DV in Sub-Saharan Africa and South (east) Asia with societal acceptance of DV being more widespread in these regions compared with Latin America, the Caribbean, Central/West Asia and Europe. Political conflict and limited economic rights for women were associated with higher levels of DV acceptance amongst women and men. Men in more democratic countries were less likely to justify DV. Amongst women, higher national female literacy rates predicted lower levels of justification. There were higher levels of DV acceptance amongst women and a wider aggregate gender difference in countries with a larger representation of women in national parliament.ConclusionJustification of DV is widespread amongst women and men in LMICs with acceptance rates varying across countries and regions. Gender differences in the impact of contextual factors on DV acceptance supports a gendered approach to national-level interventions. Our findings highlight the need for tailored interventions targeting DV acceptance in conflict-impacted societies. The emphasis of inter(national) policies on the ‘empowerment’ domains of widely-used gender (in)equality indices need to be coupled with strategies tackling discriminatory gender norms.

Highlights

  • Societal attitudes to domestic violence against women by an intimate partner (DV) play a key role in the perpetration of DV, women’s responses to their victimisation, disclosure and helpseeking behaviour, and the wider community’s and society’s responses to DV [1]

  • Women were more likely than men to justify DV in Sub-Saharan Africa and South Asia with societal acceptance of DV being more widespread in these regions compared with Latin America, the Caribbean, Central/ West Asia and Europe

  • Justification of DV is widespread amongst women and men in lowand middle-income countries (LMICs) with acceptance rates varying across countries and regions

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Summary

Introduction

Societal attitudes to domestic violence against women by an intimate partner (DV) play a key role in the perpetration of DV, women’s responses to their victimisation, disclosure and helpseeking behaviour, and the wider community’s and society’s responses to DV [1]. Given that one in three women globally have experienced physical/sexual violence from an intimate partner at least once in their lifetime [14, 15], DV is the most common form of violence against women It is a human rights violation and has been recognised as a public health issue of epidemic proportions with negative short- and long-term impacts on women’s and children’s physical and psychological health and well-being. It has socio-economic consequences for families, and more widely impacts on the social and economic development of countries [16]. This paper presents gendered ecological analyses of the societal acceptance of DV in 49 lowand middle-income countries (LMICs) across geographical regions

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