Area-Level Normative Social Context and Intimate Partner Physical Violence in Mozambique.

Violence against women is considered a serious public health problem. It is estimated that about 30% of women who have been in a relationship in the world have experienced some form of physical or sexual violence from their intimate partners. In sub-Saharan Africa, one of the regions in the world with the highest prevalence of intimate partner violence, there have been studies of factors associated with intimate partner violence. However, few studies have explicitly examined the influence of the normative social context on women's accepting attitudes toward spousal abuse and their risk of experiencing intimate partner violence in the region. Using data from the 2011 Demographic and Health Survey in Mozambique, we employ multilevel logistic regression to examine the influence of area-level normative social context factors on 4,864 women's accepting attitudes toward spousal abuse and their likelihood of experiencing intimate partner physical violence in Mozambique. Our findings revealed the importance of religious norms in geographic areas as key predictors of women's acceptance of intimate partner violence. Specifically, area-level normative religious predictors were negatively associated with women's acceptance of spousal abuse. The prevalence of early marriages in a given geographic area was positively associated with both acceptance of spousal abuse and experiencing intimate partner physical violence. The level of female education in a geographic area was negatively associated with accepting spousal abuse and having experienced intimate partner physical violence. As intimate partner physical violence in sub-Saharan Africa continues unabated, programs and interventions to address the problem will need to consider the normative context of geographic areas.