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Intimate partner violence as a predictor of marital disruption in rural Rakai, Uganda: a longitudinal study

Author

Listed:
  • Jennifer A. Wagman

    (University of California San Diego)

  • Blake Charvat

    (Johns Hopkins Bloomberg School of Public Health)

  • Marie E. Thoma

    (University of Maryland)

  • Anthony Ndyanabo

    (Rakai Health Sciences Program, Uganda Virus Research Institute)

  • Fred Nalugoda

    (Rakai Health Sciences Program, Uganda Virus Research Institute)

  • Joseph Ssekasanvu

    (Johns Hopkins Bloomberg School of Public Health)

  • Grace Kigozi

    (Rakai Health Sciences Program, Uganda Virus Research Institute)

  • David Serwadda

    (Makerere University School of Public Health)

  • Joseph Kagaayi

    (Rakai Health Sciences Program, Uganda Virus Research Institute)

  • Maria J. Wawer

    (Johns Hopkins Bloomberg School of Public Health)

  • Ronald H. Gray

    (Johns Hopkins Bloomberg School of Public Health)

Abstract

Objectives We assessed the association between intimate partner violence (IPV) and union disruption (divorce or separation) in the rural Ugandan setting of Rakai District. Methods We analyzed longitudinal data collected from April 1999 to June 2006, from 6834 women (15–49 years) living in 50 communities in Rakai. Participants were either officially married, traditionally married or in a consensual union during one or more surveys and completed at least one follow-up survey. The primary outcome was union disruption through divorce or separation from the primary sexual partner. Results Past year IPV ranged from 6.49 % (severe physical abuse) to 31.99 % (emotional abuse). Severe physical IPV was significantly associated with divorce/separation, after adjusting for other covariates (aOR = 1.80, 95 % CI 1.01–3.22). Another predictor of union disruption was a woman having two or more sexual partners in the past year (aOR = 8.42, 95 % CI 5.97–11.89). Factors protecting against divorce/separation included an increasing number of co-resident biological children and longer duration of union. Conclusions IPV, particularly severe physical abuse, is an important risk factor for union disruption. Marital counseling, health education and interventions should address the role of IPV on the wellbeing of women and the stability of couples in Uganda.

Suggested Citation

  • Jennifer A. Wagman & Blake Charvat & Marie E. Thoma & Anthony Ndyanabo & Fred Nalugoda & Joseph Ssekasanvu & Grace Kigozi & David Serwadda & Joseph Kagaayi & Maria J. Wawer & Ronald H. Gray, 2016. "Intimate partner violence as a predictor of marital disruption in rural Rakai, Uganda: a longitudinal study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(8), pages 961-970, November.
    • Handle: RePEc:spr:ijphth:v:61:y:2016:i:8:d:10.1007_s00038-016-0891-z
    DOI: 10.1007/s00038-016-0891-z
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    References listed on IDEAS

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    Cited by:

    1. Benson John & Natalie Nitsche, 2022. "Marital life courses in sub-Saharan Africa: all cause union dissolution, its timing, and time spent outside marriage," MPIDR Working Papers WP-2022-017, Max Planck Institute for Demographic Research, Rostock, Germany.
    2. Melissa Meinhart & Ilana Seff & Katrina Troy & Samantha McNelly & Luissa Vahedi & Catherine Poulton & Lindsay Stark, 2021. "Identifying the Impact of Intimate Partner Violence in Humanitarian Settings: Using an Ecological Framework to Review 15 Years of Evidence," IJERPH, MDPI, vol. 18(13), pages 1-19, June.
    3. Ben Malinga John & Natalie Nitsche, 2022. "Dynamics of Union Dissolution in Sub‐Saharan Africa," Population and Development Review, The Population Council, Inc., vol. 48(4), pages 1163-1201, December.
    4. Gizachew Worku Dagnew & Melash Belachew Asresie & Gedefaw Abeje Fekadu & Yared Mulu Gelaw, 2020. "Factors associated with divorce from first union among women in Ethiopia: Further analysis of the 2016 Ethiopia demographic and health survey data," PLOS ONE, Public Library of Science, vol. 15(12), pages 1-12, December.

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