Contextual determinants of intimate partner violence: a multi-level analysis in six European cities

Int J Public Health. 2020 Dec;65(9):1669-1679. doi: 10.1007/s00038-020-01516-x. Epub 2020 Nov 3.

Abstract

Objectives: To assess whether city-level characteristics influence the risk of intimate partner violence (IPV) victimization across six European cities.

Methods: The DOVE study included 3496 participants from Athens-Greece, Budapest-Hungary, London-UK, Östersund-Sweden, Porto-Portugal and Stuttgart-Germany. IPV victimization was assessed using the Revised Conflict Tactics Scales, and several contextual variables were included: GINI coefficient, gender equality index, an index of social support, unemployment rate and proportion of residents with tertiary education. Multilevel models were fitted to estimate the associations (odds ratio, 95% confidence intervals) between each type of victimization and contextual and individual-level variables.

Results: 62.3% of the participants reported being a victim of IPV during the previous year, with large between-city differences (53.9%-72.4%). Contextual variables accounted for a substantial amount of this heterogeneity. Unemployment rates were associated with psychological (1.05, 1.01-1.08) and physical IPV (1.07, 1.01-1.13). GINI coefficient showed a positive association with any form of IPV (1.06, 1.01-1.11) and sexual coercion (1.13, 1.01-1.25).

Conclusions: We found significant associations between contextual determinants and IPV, which emphasizes the importance of considering contextual socioeconomic conditions when policy measures are designed to address IPV.

Keywords: Inequalities; Intimate partner violence; Multilevel analysis; Social support; Socioeconomic factors.

MeSH terms

  • Adolescent
  • Adult
  • Cities
  • Crime Victims / statistics & numerical data*
  • Cross-Sectional Studies
  • Educational Status
  • Europe / epidemiology
  • Female
  • Gender Role
  • Humans
  • Intimate Partner Violence / statistics & numerical data*
  • Male
  • Middle Aged
  • Odds Ratio
  • Social Support
  • Socioeconomic Factors
  • Unemployment
  • Urban Population
  • Young Adult