Abstract

BackgroundViolence against women is a global public health problem occurring in multitude of contexts and domestic violence is considered to be the most pervasive one. Poor enforcement of policies, limitation of researches and expertise in this field largely accounts for persistence of this problem and nature of domestic violence and its associated factors are poorly understood.ObjectivesThis research aimed to estimate the magnitude of different forms of domestic violence and identify its associated factors.MethodsCommunity based cross sectional study was conducted among 355 married women of reproductive age group of Kusheshwor, Sindhuli, Nepal. The questionnaire adapted from the World Health Organization Multi-Country Study was used for the face to face interviews. Occurrence of current domestic violence was used as outcome variable in logistic regression. Descriptive and multivariate analysis were performed in order to assess the magnitude of domestic violence and to identify its associated factors respectively.ResultsSelf-reported lifetime prevalence of physical violence was 29.6 % and past year prevalence was 15.2 %, while corresponding figures for sexual violence were 6.8 and 2.3 %, and for psychological violence were 31.0 and 18.3 %. Lifetime domestic violence was 38.6 % while in past 12 months, prevalence was 23.1 %. Furthermore, 12.4 % of women were experiencing all forms of violence concurrently. Women with controlling husband and having poor mental health were found to be at higher risk of domestic violence.ConclusionsDomestic violence is still rampant in our society with several forms of violence occurring together. In a country like Nepal, differentials power in relationship and poor mental health was found to be positively associated with violent episodes. This study highlights the infringement of women rights which can be the cause for serious public health consequences.

Highlights

  • Violence against women is a global public health problem occurring in multitude of contexts and domestic violence is considered to be the most pervasive one

  • In a country like Nepal, differentials power in relationship and poor mental health was found to be positively associated with violent episodes

  • Perceived factors of violence by women were explored where half of the respondents (51.1 %) reported alcohol as the prime reason followed by norms supporting violence (43.1 %) which includes male dominated society, women accepting violence, women who perceive wife beating as justified act of husband etc

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Summary

Introduction

Violence against women is a global public health problem occurring in multitude of contexts and domestic violence is considered to be the most pervasive one. Violence against women (VAW) is a global issue with consequences in all dimensions of women’s health. Though violence occurs in different forms and settings, ‘domestic violence’ (DV) is considered as the most pervasive form [1]. It includes violence perpetrated by spouse, Globally, it has been a subject of research interest since 1970s but the detailed data indices is low in developing world [3]. VAW is considered as a legitimate human right issue as well as a significant threat to women’s health and well-being [4]. According to Nepal Demographic Health Survey (NDHS) 2011, overall 1/3rd of women of reproductive age group had ever

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