Non-Partner Violence in Sub-Saharan Africa and the Built Environment: A Multicountry Analysis of the Effects of Sanitation, Water Access, and Urban Settings

Violence Against Women. 2020 Aug;26(10):1101-1119. doi: 10.1177/1077801219853370. Epub 2019 Jun 24.

Abstract

This multicountry study used Demographic and Health Surveys (DHS) data from 138,097 women to explore the relationship between non-partner violence (NPV) and sanitation, water, and urbanization in sub-Saharan Africa (SSA). One out of 15 women reports having experienced physical and/or sexual violence by a non-partner during the previous 12 months; within the region, prevalence ranges from 2.3-11.3%. Explanatory models of NPV improve in 11 of the 20 countries when the built environment variables are included. The results suggest that sanitation and water access are associated with risk of NPV in a number of countries in the region, particularly in urban settings.

Keywords: non-partner violence; sanitation; sub-Saharan Africa; urbanization; water.

MeSH terms

  • Adolescent
  • Adult
  • Africa South of the Sahara / epidemiology
  • Built Environment / statistics & numerical data*
  • Cross-Sectional Studies
  • Female
  • Humans
  • Middle Aged
  • Prevalence
  • Risk Factors
  • Sanitation / statistics & numerical data*
  • Sex Offenses / statistics & numerical data
  • Urban Population / statistics & numerical data*
  • Violence / statistics & numerical data*
  • Water
  • Water Supply / statistics & numerical data*
  • Young Adult

Substances

  • Water