The Intervention with Microfinance for AIDS and Gender Equity (IMAGE) programme has been scaled up to three provinces in South Africa. This paper explores associations between women's engagement in the intervention, intimate partner violence (IPV) and factors associated with IPV and partner abuse. We enrolled women receiving group-based microfinance loans plus gender training into the scaled-up IMAGE cohort study (n = 860). We present cross-sectional analysis on participants' characteristics and intervention engagement and use multivariate logistic regression to explore associations. 17% of women reported lifetime (95% CI 15 to 20%) and 7% past year (95% CI 5 to 9%) IPV, 9% past-year economic (95% CI 7 to 11%) and 11% past-year emotional (95% CI 9 to 14%) abuse. Women under 35 years had higher levels of IPV and emotional abuse. 53% of women attended all the trainings, 83% continuously borrowed and 98% agreed the training had a major impact on their life. Attendance was associated with improved partner relationships (χ2p < 0.001), but not lower IPV risk. Odds of past-year IPV decreased the more types of support (e.g. advice) women received from group members (aOR 0.27, p < 0.001 among those reporting all support versus none or some). A similar pattern was seen for economic, but not emotional, abuse. The scaled-up IMAGE intervention is widely acceptable and may support improvements in partner relationships, but younger women need to be targeted. Group support appears to be a potentially important component of the intervention.

译文

针对艾滋病和性别平等的小额信贷干预 (IMAGE) 计划已扩大到南非的三个省。本文探讨了妇女参与干预,亲密伴侣暴力 (IPV) 以及与IPV和伴侣虐待相关的因素之间的关联。我们将接受基于小组的小额信贷贷款加上性别培训的女性纳入了放大图像队列研究 (n = 860)。我们对参与者的特征和干预参与度进行了横断面分析,并使用多元逻辑回归来探索关联。17% 的女性报告了一生 (95% CI 15至20%) 和7% 过去一年 (95% CI 5至9%) IPV,9% 过去一年的经济 (95% CI 7至11%) 和11% 过去一年的情感 (95% CI 9至14%) 滥用。35岁以下的妇女的IPV和情感虐待水平较高。53% 的妇女参加了所有培训,83% 不断借阅,98% 同意培训对她们的生活产生了重大影响。出勤与改善的伴侣关系相关 (χ2p <0.001),但不降低IPV风险。过去一年IPV的几率降低了从小组成员获得的更多类型的支持 (例如,建议) (aOR 0.27,在报告所有支持的人中,p <0.001,而没有或一些)。在经济上,但没有情感上的虐待,也看到了类似的模式。扩大形象干预是广泛接受的,可能支持改善伴侣关系,但年轻女性需要成为目标。团体支持似乎是干预的潜在重要组成部分。

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