This study sought to determine how power and control in intimate relationships influenced women's exposure to sexual violence. Multilevel modeling was used to determine the risk of partner sexual violence in the past 12 months among 2240 women aged 15–49 years who were currently married or cohabiting. The data were drawn from the 2000 Haiti Demographic and Health Survey. Strong positive effects on intimate partner sexual violence were found for husband's jealousy and perpetration of controlling behavior and women's endorsement of traditional norms concerning a husband's rights to beat his wife. Female dominance in decision making about purchases for daily household needs was positively associated with intimate partner sexual violence but its effects were mediated by relationship quality. The effect of wife's education on intimate partner violence was nonlinear. The analysis also showed that high community female headship rates were independently associated with higher risks of partner sexual violence. The findings highlight the importance of adopting a multidimensional approach to the measurement of power in sexual relationships and the need for programs to work at multiple levels to address gender-based norms and the structural factors that put women at increased risk of sexual violence.
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References
Anderson, K. L. (1997). Gender, status, and domestic violence: An integration of feminist and family violence approaches. Journal of Marriage and the Family, 59, 655–669.
Babcock, J. C., Waltz, J., Jacobson, N. S., & Gottman, J. M. (1994). Power and violence: The relationship between communication patterns, power discrepancies, and domestic violence. Journal of Counseling and Clinical Psychology, 61, 40–50.
Blanc, A. K. (2001). The effect of power in sexual relationships on sexual and reproductive health: An examination of the evidence. Studies in Family Planning, 32, 189–213.
Braitstein, P., Li, K., Tyndall, M., Spittal, P., O'Shaughnessy, M.‘V., Schilder, A., et al. (2003). Sexual violence among a cohort of injection drug users. Social Science and Medicine, 57, 561–569.
Brooks-Gunn, J., Duncan, G. J., Klebanov, P. K., & Sealand, N. (1993). Do neighborhoods influence child and adolescent development? American Journal of Sociology, 99, 353–395.
Brownridge, D. A., & Halli, S. S. (2002). Double jeopardy?: Violence against immigrant women in Canada. Violence and Victims, 17, 455–471.
Buzi, R. S., Tortolero, S. R., Roberts, R. E., Ross, M. W., Markham, C. M., & Fleschler, M. (2003). Gender differences in the consequences of coercive sexual experience among adolescents attending alternative schools. Journal of School Health, 73, 191–196.
Cáceres, C. F., Vanoss Marín, B., & Sid Hues, E. (2000). Sexual coercion among youth and young adults in Lima, Peru. Journal of Adolescent Health, 27, 361–367.
Campbell, J. C. (2002). Health consequences of intimate partner violence. Lancet, 359, 1331–1336.
Cayemittes, M., Placide, M. F., Barrère, B., Mariko, S., & Sévère, B. (2000). Enqute Mortalité, Morbidité et Utilisation des Services, Haïti 2000. Calverton, MD: Ministère de la Santé Publique et de la Population, Institut Haïtien de l'Enfance and ORC Macro.
Centre Haïtien des Recherches et d'Actions pour la Promotion Féminine. (1996). Violence Exercées sur les Femmes et les Filles en Haïti. Port-au-Prince, Haïti: Centres de Recherches et d'Actions Pour la Promotion Féminine.
Coker, A. L., Smith, P. H., Bethea, L., King, M. R., & McKeown, R. E. (2000). Physical health consequences of physical and psychological intimate partner violence. Archives of Family Medicine, 9, 451–457.
Coleman, D. H., & Straus, M. A. (1986). Marital power, conflict, and violence in a nationally representative sample of American couples. Violence and Victims, 1, 141–157.
Coulton, C. J., Korbin, J. E., & Su, M. (1999). Neighborhoods and child maltreatment: A multi-level study. Child Abuse and Neglect, 23, 1019–1040.
Dobash, E. R., & Dobash, R. P. (1979). Violence against wives: A case against the patriarchy. New York: The Free Press.
Dobash, R. E., & Dobash, R. P. (1988). Research as social action: The struggle for battered women. In K. Yllö & M. Bograd (Eds.), Feminist perspectives on wife abuse (pp. 51–74). Newbury Park, CA: Sage.
Duncan, G. J., & Aber, J. L. (1997). Neighborhood models and measures. In J. Brooks-Gunn, G. J. Duncan, & J. L. Aber (Eds.), Neighborhood poverty: Context and consequences for children (pp. 62–78). New York: Russell Sage Foundation.
Dunkle, K. L., Jewkes, R. K., Brown, H. C., Gray, G. E., McIntyre, J. A., & Harlow, S. D. (2004). Transactional sex among women in Soweto, South Africa: Prevalence, risk factors and association with HIV infection. Social Science and Medicine, 59, 1581–1592.
Dutton, D. G., & Stazomski, A. J. (1994). Psychological differences between court-referred and self-referred wife assaulters. Criminal Justice and Behavior, 21, 203–222.
Dutton, D. G., & Strachan, C. E. (1987). Motivational needs for power and spouse-specific assertiveness in assaultive and nonassaultive men. Violence and Victims, 2, 145–156.
Dutton, D. G., van Ginkel, C., & Landolt, M. A. (1996). Jealousy, intimate abusiveness, and intrusiveness. Journal of Family Violence, 11, 411–423.
Ellsberg, M. C., Pena, R., Herrera, A., Liljestrand, J., & Winkvist, A. (2000). Candies in hell: Women's experiences of violence in Nicaragua. Social Science and Medicine, 51, 1595–1610.
Emerson, R. M. (1981). Social exchange theory. In M. Rosenberg & R. H. Turner (Eds.), Social psychology: Sociological perspectives (pp. 30–65). New York: Basic Books.
Fischbach, R. L., & Herbert, B. (1997). Domestic violence and mental health: Correlates and conundrums within and across cultures. Social Science and Medicine, 45, 1161–1171.
Gelles, R. J. (1974). The violent home. Beverly Hills, CA: Sage.
Goode, W. J. (1971). Force and violence in the family. Journal of Marriage and the Family, 33, 624–636.
Granados, S. M. (1996). Salud Reproductiva y Violencia Contra la Mujer: Un Análysis de la Perspectiva de Género. Nuevo Léon: Asociación Mexicana de Población, Colegio de México.
Gutiérrez, L., Oh, H. J., & Gillmore, M. R. (2000). Toward an understanding of (em)power(ment) for HIV/AIDS prevention with adolescent women. Sex Roles, 42, 581–611.
Hadi, A. (2000). Prevalence and correlates of the risk of marital sexual violence in Bangladesh. Journal of Interpersonal Violence, 15, 787–805.
Haj-Yahi, M. M., & Tamish, S. (2001). The rates of child sexual abuse and its psychological consequences as revealed by a study among Palestinian university students. Child Abuse and Neglect, 25, 1303–1327.
Halcon, L., Blum, R. W., Beuhring, T., Pate, E., Campbell-Forrester, S., & Venema, A. (2003). Adolescent health in the Caribbean: A regional portrait. American Journal of Public Health, 93, 1851–1857.
Heise, L., Ellsberg, M., & Gottmoeller, M. (2002). A global overview of gender-based violence. International Journal of Gynaecology and Obstetrics, 78(Suppl. 1), S5–S14.
Hindin, M. J., & Adair, L. S. (2002). Who's at risk? Factors associated with intimate partner violence in the Philippines. Social Science and Medicine, 55, 1385–1399.
Hogan, D. P., Berhanu, B., & Hailemariam, A. (1999). Household organization, women's autonomy, and contraceptive behavior in southern Ethiopia. Studies in Family Planning, 30, 302–314.
Hornung, C. A., McCullough, B. C., & Sugimoto, T. (1981). Status relations in marriage: Risk factors in spouse abuse. Journal of Marriage and the Family, 3, 675–692.
Jejeebhoy, S. J. (1998). Wife-beating in rural India: A husband's right? Evidence from survey data. Economic and Political Weekly, 33, 855–862.
Jejeebhoy, S. J., & Cook, R. J. (1997). State accountability for wife-beating: The Indian challenge. Lancet, 349, S110–S112.
Jenkins, S. R. (2000). Introduction to the special issue: Defining gender, relationships, and power. Sex Roles, 42, 467–493.
Jewkes, R. (2002). Intimate partner violence: Causes and prevention. Lancet, 359, 1423–1429.
Jewkes, R., Vundule, C., Maforah, F., & Jordan, E. (2001). Relationship dynamics and teen pregnancy in South Africa. Social Science and Medicine, 52, 733–744.
Johnson, M. P. (1995). Patriarchal terrorism and common couple violence: Two forms of violence against women. Journal of Marriage and the Family, 57, 283–294.
Kaura, S. A., & Allen, C. M. (2004). Dissatisfaction with relationship power and dating violence perpetration by men and women. Journal of Interpersonal Violence, 19, 576–588.
Kishor, S. (2000). Empowerment of women in Egypt and links to the survival and health of their infants. In H. B. Presser & G. Sen (Eds.), Women's empowerment and demographic processes: Moving beyond Cairo (pp. 119–156). Oxford: Clarendon Press.
Koenig, M. A., Lutalo, T., Zhao, F., Nalugoda, F., Kiwanuka, N., Wabwire-Mangen, F., et al. (2004). Coercive sex in rural Uganda: Prevalence and associated risk factors. Social Science and Medicine, 58, 787–798.
Koenig, M. A., Ahmed, S., Hossain, M. B., & Khorshed Alam Mozumder, A. B. M. (2003). Women's status and domestic violence in rural Bangladesh: Individual- and community-level effects. Demography, 40, 269–288.
Kuhn, A. (1964). The study of society. Homewood, IL: Dorsey Press.
Le Clere, F. B., Rogers, R. G., & Peters, K. (1998) Neighborhood social context and racial differences in women's heart disease mortality. Journal of Health and Social Behavior, 39, 91–107.
Levinson, D. (1989). Family violence in cross-cultural perspective. Newbury Park, CA: Sage.
Liebeschutz, J., Savetsky, J. B., Saitz, R., Horton, N. J., Lloyd-Travaglini, C., & Samet, J. H. (2002). The relationship between sexual and physical abuse and substance abuse consequences. Journal of Substance Abuse Treatment, 22, 121–128.
Mason, K. O., & Smith, H. L. (2000). Husbands' versus wives' fertility goals and use of contraception: The influence of gender context in five Asian countries. Demography, 37, 299–311.
McNay, K., Ariokiasamy, P., & Cassen, R. H. (2003). Why are uneducated women in India using contraception? A multilevel analysis. Population Studies, 57, 21–40.
Molnar, B. E., Berkman, L. F., & Buka, S. L. (2001). Psychopathology, childhood sexual abuse and other childhood adversities: Relative links to subsequent suicidal behavior in the US. Psychological Medicine, 31, 965–1077.
Pence, E., & Paymar, M. (1985). Power and control: Tactics of men who batter. Duluth, MN: Domestic Abuse Intervention Project.
Pulerwitz, J., Amaro, H., De Jong, W., Gortmaker, S. L., & Rudd, R. (2002). Relationship power, condom use and HIV risk among women in the USA. AIDS Care, 14, 789–800.
Pulerwitz, J., Gortmaker, S. L., & DeJong, W. (2000). Measuring sexual relationship power in HIV/STD research. Sex Roles, 42, 637–660.
Raj, A., Silverman, J. G., & Amaro, H. (2004). Abused women report greater male partner risk and gender-based risk for HIV: Findings from a community-based study with Hispanic women. AIDS Care, 16, 519–529.
Raju, S., & Leonard, A. E. (2000). Men as supportive partners in reproductive health: Moving from rhetoric to reality. New Delhi, India: Population Council, South and East Asia Regional Office.
Rasbash, J., Browne, W., Goldstein, H., Yang, M., Plewis, I., Healy, M., et al. (2000). A user's guide to MLwiN, Version 2.1. London: Multilevel Models Project, Institute of Education, University of London.
Raudenbush, S. W. (1998). Educational applications of hierarchical linear models: A review. Journal of Educational Statistics, 13, 115–116.
Rickert, V. I., Wiemann, C. M., Harrykissoon, S. D., Berenson, A. B., & Kolb, E. (2002). The relationship among demographics, reproductive characteristics, and intimate partner violence. American Journal of Obstetrics and Gynecology, 187, 1002–1007.
Romans, S., Belaise, C., Martin, J., Morris, E., & Raffi, A. (2002). Childhood abuse and later medical disorders in women. An epidemiological study. Psychotherapy and Psychosomatics, 71, 141–150.
Ronfeldt, H. M., Kimerling, R., & Arias, I. (1998). Satisfaction with relationship power and the perpetration of dating violence. Journal of Marriage and the Family, 60, 70–78.
Simon, T. R., Anderson, M., Thompson, M. P., Crosby, A. E., Shelley, G., & Sacks, J. J. (2001). Attitudinal acceptance of intimate partner violence among U.S. adults. Violence and Victims, 16, 115–126.
Smith, M. D. (1990). Patriarchal ideology and wife beating: A test of a feminist hypothesis. Violence and Victims, 5, 257–274.
Smith Fawzi, M. C., Lambert, W., Singler, J. M., Tanagho, Y., Léandre, F., Nevil, P., et al. (2005). Factors associated with forced sex among women accessing health services in rural Haiti: Implications for the prevention of HIV infection and other sexually transmitted diseases. Social Science and Medicine, 60, 679–689.
Steinmetz, S. K. (1987). Family violence: Past, present, and future. In M. B. Sussman (Ed.), Handbook of marriage and the family (pp. 725–765). New York: Plenum Press.
Straus, M. A., Gelles, R. J., & Steinmetz, S. (1980). Behind closed doors: Violence in the American family. Garden City, NJ: Transaction Publisher.
Straus, M. A., Hamby, S. L., Boney-McCoy, S., & Sugarman, D. B. (1996). The revised Conflict Tactics Scales (CTS2). Journal of Family Issues, 17, 283–316.
Sugarman, D. B., & Frankel, S. L. (1996). Patriarchal ideology and wife-assault: A meta-analytic review. Journal of Family Violence, 11, 13–40.
Sugihara, Y., & Warner, J. A. (2002). Dominance and domestic abuse among Mexican Americans: Gender differences in the etiology of violence in intimate relationships. Journal of Family Violence, 17, 315–245.
Umberson, D., Anderson, K., Glick, J., & Shapiro, A. (1998). Domestic violence, personal control, and gender. Journal of Marriage and the Family, 60, 442–452.
UNAIDS. (2004). UNAIDS/WHO epidemiological fact sheets on HIV/AIDS and Sexually Transmitted Infections, 2004 Update: Haiti. Geneva: UNAIDS.
United Nations. (2000). Integration of the human rights of women and the gender perspective: Violence against women. Report on the Mission to Haiti. Geneva, Switzerland: Office of the United Nations High Commissioner for Human Rights.
United Nations Development Programme. (1999). Human development report. New York: UNDP.
van der Straten, A., King, R., Grinstead, E., Vittinghoff, E., Serufilira, A., & Allen, S. (1998). Sexual coercion, physical violence, and HIV infection among women in steady relationships in Kigali, Rwanda. AIDS and Behavior, 2, 61–73.
Watts, C., Keough, E., Ndlovu, M., & Kwaramba, R. (1998). Withholding of sex and forced sex: Dimensions of violence against Zimbabwean women. Reproductive Health Matters, 6, 57–65.
Wingwood, G. M., DiClemente, R. J., McCree, D. H., Harrington, K., & Davies, S. L. (2001). Dating violence and the sexual health of black adolescent females. Pediatrics, 107, E72.
Wolff, B., Blanc, A. K., & Gage, A. J. (2001). Who decides? Women's status and negotiation of sex in Uganda. Culture, Health and Sexuality, 3, 303–322.
World Health Organization. (2001). Putting women first: Ethical and safety recommendations for research on domestic violence against women. Geneva, Switzerland: World Health Organization.
Yllo, K., & Straus, M. A. (1990). Patriarchy and violence against wives: The impact of structural and normative factors. In M. A. Strauss & R. J. Gelles (Eds.), Physical violence in American families: Risk factors and adaptations to violence in 8145 families (pp. 383–399). New Brunswick, NJ: Transaction Publisher.
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Gage, A.J., Hutchinson, P.L. Power, Control, and Intimate Partner Sexual Violence in Haiti. Arch Sex Behav 35, 11–24 (2006). https://doi.org/10.1007/s10508-006-8991-0
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DOI: https://doi.org/10.1007/s10508-006-8991-0