TY  - JOUR
PY  - 2018//
TI  - Armed conflict, alcohol misuse, decision-making, and intimate partner violence among women in Northeastern Uganda: a population level study
JO  - Conflict and health
A1  - Mootz, Jennifer J.
A1  - Muhanguzi, Florence Kyoheirwe
A1  - Panko, Pavel
A1  - Mangen, Patrick Onyango
A1  - Wainberg, Milton L.
A1  - Pinsky, Ilana
A1  - Khoshnood, Kaveh
SP  - 37
EP  - 37
VL  - 12
IS  - 
N2  - BACKGROUND: Relations among and interactions between exposure to armed conflict, alcohol misuse, low socioeconomic status, gender (in)equitable decision-making, and intimate partner violence (IPV) represent serious global health concerns. Our objective was to determine extent of exposure to these variables and test pathways between these indicators of interest. <br><br>METHODS: We surveyed 605 women aged 13 to 49 who were randomly selected via multistage sampling across three districts in Northeastern Uganda in 2016. We used Mplus 7.4 to estimate a moderated structural equation model of indirect pathways between armed conflict and intimate partner violence for currently partnered women (<i>n</i> = 558) to evaluate the strength of the relationships between the latent factors and determine the goodness-of-fit of the proposed model with the population data. <br><br>RESULTS: Most respondents (88.8%) experienced conflict-related violence. The lifetime/ past 12 month prevalence of experiencing intimate partner violence was 65.3%/ 50.9% (psychological) and 59.9%/ 43.8% (physical). One-third (30.7%) of women's partners reportedly consumed alcohol daily. The relative fit of the structural model was superior (CFI = 0.989; TLI = 0.989). The absolute fit (RMSEA = 0.029) closely matched the population data. The partner and joint decision-making groups significantly differed on the indirect effect through partner alcohol use (<i>a</i><sub>                          <i>1</i>                      </sub><i>b</i><sub>                          <i>1</i>                      </sub>  = 0.209 [0.017: 0.467]). <br><br>CONCLUSIONS: This study demonstrates that male partner alcohol misuse is associated with exposure to armed conflict and intimate partner violence-a relationship moderated by healthcare decision-making. These findings encourage the extension of integrated alcohol misuse and intimate partner violence policy and emergency humanitarian programming to include exposure to armed conflict and gendered decision-making practices.<p />  <p>Language: en</p>
LA  - en
SN  - 1752-1505
UR  - http://dx.doi.org/10.1186/s13031-018-0173-x
ID  - ref1
ER  -