Psychosocial risk and protective factors associated with perpetration of gender-based violence in a community sample of men in rural KwaZulu-Natal, South Africa

Nomusa F. Mngoma · S Fergus · ALAN H. JEEVES · Rosemary Jane Jolly

13 citations0/0 files storedSouth African Medical Journal

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Intimate Partner and Family Violence Crime Patterns and Interventions Sexual Assault and Victimization Studies

Abstract

BACKGROUND: Rates of gender-based violence (GBV) in South Africa (SA) are among the highest in the world. In societies where social ideals of masculinity encourage male dominance and control over women, gender power imbalances contribute to male perpetration and women's vulnerability. The drivers that cause men to perpetrate GBV and those that lead to HIV overlap and interact in multiple and complex ways. Multiple risk and protective factors for GBV perpetration by males operate interdependently at a number of levels; at the individual level, these include chronic anxiety and depression, which have been shown to lead to risky sexual behaviours. OBJECTIVES: (i) To examine psychosocial risk factors (symptoms of anxiety and depression) as well as protective factors (social support and self-esteem) as self-reported by a cohort of males in rural KwaZulu-Natal (KZN) Province, SA; and (ii) to determine whether there are differences in anxiety, depression, social support and self-esteem between perpetrators and non-perpetrators. METHODS: A cross-sectional study using quasi-probability cluster sampling of 13 of 28 wards in Harry Gwala District, KZN. Participants were then randomly chosen from each ward proportionate to size. RESULTS: The participants were relatively young (median age 22 years); over half were schoolgoers, and 91.3% had never married. Over 43% of the sample reported clinical levels of anxiety and depressive symptoms on the Brief Symptom Inventory. Rates of GBV perpetration were 60.9%, 23.6% and 10.0% for psychological abuse, non-sexual physical violence and sexual violence, respectively. GBV perpetration was associated with higher depression, higher anxiety, lower self-esteem and lower social support. CONCLUSIONS: Interventions to address GBV need to take modifiable individual-level factors into account.

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2012A Systematic Review of Risk Factors for Intimate Partner Violence 2013The Global Prevalence of Intimate Partner Violence Against Women 2010Intimate partner violence, relationship power inequity, and incidence of HIV infection in young women in South Africa: a cohort study 1992Development of the severity of violence against women scales 2008The intersection of intimate partner violence against women and HIV/AIDS: a review 2006Rape perpetration by young, rural South African men: Prevalence, patterns and risk factors 2012Gender‐Based Violence and HIV : Reviewing the Evidence for Links and Causal Pathways in the General Population and High‐risk Groups 2012The Prevalence of Mental Health Problems in Men Arrested for Domestic Violence

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