2021
DOI: 10.1136/bmjopen-2020-045427
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Household food insecurity and its association with self-reported male perpetration of intimate partner violence: a survey of two districts in central and western Uganda

Abstract: ObjectivesThis study aimed to determine the lifetime prevalence of male-perpetrated intimate partner violence (IPV), and to assess the association with food insecurity, sociodemographic factors and health risk behaviours in Uganda in the year preceding COVID-19-associated lockdowns.DesignPopulation-based, cross-sectional household survey.SettingUrban, semiurban and rural communities of the Wakiso and Hoima districts in Uganda.ParticipantsA total of N=2014 males aged 13–80 years participated in the survey. The … Show more

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Cited by 20 publications
(21 citation statements)
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“…This finding has revealed odds of IPV among women who had household food insecurity is high than women who had no food security problem. This finding supported by previous published study where women in African-American had a higher prevalence of food insecurity and were added report severe intimate partner violence [ 56 ], in Uganda food insecurity increase risk of both physical and sexual violence [ 57 ], South Africa, food insecurity double the odds of intimate partner violence [ 58 ], USA food insecurity associated with violence [ 59 ], California USA, women who have high prevalence of food insecurity were more prone to report severe intimate partner violence [ 56 ]. The possible justification is that food insecurity causes poor nutritional status [ 60 ], that contribute to develop mental disorder such as depression [ 61 ], Which may also make a contribution to accelerated marital misery and violence [ 62 , 63 ], and due to many macro-structural reasons including women considered as homemade and culturally dominated by men this causes power inequality that cause greater risk of experiencing food insecurity.…”
Section: Discussionsupporting
confidence: 87%
“…This finding has revealed odds of IPV among women who had household food insecurity is high than women who had no food security problem. This finding supported by previous published study where women in African-American had a higher prevalence of food insecurity and were added report severe intimate partner violence [ 56 ], in Uganda food insecurity increase risk of both physical and sexual violence [ 57 ], South Africa, food insecurity double the odds of intimate partner violence [ 58 ], USA food insecurity associated with violence [ 59 ], California USA, women who have high prevalence of food insecurity were more prone to report severe intimate partner violence [ 56 ]. The possible justification is that food insecurity causes poor nutritional status [ 60 ], that contribute to develop mental disorder such as depression [ 61 ], Which may also make a contribution to accelerated marital misery and violence [ 62 , 63 ], and due to many macro-structural reasons including women considered as homemade and culturally dominated by men this causes power inequality that cause greater risk of experiencing food insecurity.…”
Section: Discussionsupporting
confidence: 87%
“…IPV is prevalent in Wakiso, Uganda; a previous round of the APHS found that 26.7% of women reported lifetime physical and/or sexual IPV [ 87 ]. In the present study, 12.1%, 7.4% and 28.5% of women reported recent (past six months) physical, sexual, and verbal IPV victimization, respectively.…”
Section: Discussionmentioning
confidence: 99%
“…Under normal economic circumstances, in the rural communities of Wakiso, many individuals have only enough resources to meet their basic needs. To purchase alcohol during the lockdown, even if it was readily available, would have been challenging in a setting where nearly a quarter of people experienced food insecurity prior to the pandemic [ 87 ]. In contrast, the US experienced increased alcohol use during COVID-19; there, grocery stores (which sell alcohol in most states) remained open throughout the lockdown, and many states eased rules around restaurant sale of alcohol for offsite consumption and on demand delivery services (e.g., the phone app Drizly skyrocketed in popularity) [ 96 , 97 ].…”
Section: Discussionmentioning
confidence: 99%
“…If a household has worried in the past year about being able to afford food to feed their family, this may create an environment which may be conducive to IPV. Studies have also demonstrated that there is a strong positive association between food insecurity and IPV [ 12 , 13 ]. Food insecurity in this group might be a predictable indicator about stability in the home and opens opportunities for interventions to address both food insecurity and IPV.…”
Section: Discussionmentioning
confidence: 99%