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计划已扩展到南非的三个省。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。我们将接受团体小额贷款和性别培训的妇女纳入规模更大的IMAGE队列研究(n = 860)。我们提出了关于参与者特征和干预参与的横断面分析,并使用多元逻辑回归来探索关联。 17%的女性报告终生(95%CI为15至20%),去年为7%(95%CI为5至9%)IPV,9%为去年经济状况(95%CI为7至11%)和11%年的情感虐待(95%CI为9%至14%)。 35岁以下的妇女有较高的IPV和情绪虐待。 53%的妇女参加了所有培训,83%的妇女不断借钱,98%的女性同意培训对她们的生活产生了重大影响。出勤与改善伴侣关系有关(χ2p<0.001),但不会降低IPV风险。过去一年IPV的患病率降低了妇女从小组成员那里获得的支持类型(例如建议)(aOR 0.27,报告所有支持的妇女中p <0.001,而不是全部或部分)。经济上的虐待也有类似的现象,但情感上的虐待却没有。扩大IMAGE干预措施是可以广泛接受的,并且可以支持改善伴侣关系,但是需要针对年轻女性。团体支持似乎是干预的潜在重要组成部分。

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