The objective of this study is to clarify the individual- and community-level mechanisms by which a woman's empowerment is associated with her risk of experiencing intimate partner violence (IPV) in rural Bangladesh. It employs four innovative methodological strategies to achieve this objective. First, much of the existing research on women's empowerment has used relatively few items to capture a narrow range of dimensions of this concept. This project builds on a prior NIH developmental grant on women's empowerment in Bangladesh (#1R21HD053580 - 01 PI Schuler) by incorporating a comprehensive and contextually appropriate set of indicators of women's empowerment. Second, prior research on attitudes and norms about IPV has used a narrow range of items to capture these concepts, and such items may have been variously (mis)understood by the survey respondents. Here, new measures of attitudes regarding IPV in rural Bangladesh, developed through another developmental research grant from NIH (#1R21HD058173-01 PIs Schuler and Yount) are used. Third, prior studies of contextual influences on IPV have suffered from limited measures of both IPV and community context. This project uses a comprehensive set of measures to characterize the gendered social context, which will appropriately situate individual-level processes of women's empowerment. It also includes a comprehensive set of measures that capture the type and timing of IPV that women experience. Finally, the project combines the strengths of quantitative and qualitative methods to enhance interpretation of the mechanisms by which individual-, couple- and community-level variables operate and interact to influence a woman's risk of experiencing IPV. The quantitative data collection will combine a three-wave (a baseline plus two follow-ups) panel survey of 3500 recently married women (RMW) with one cross-sectional survey, administered at baseline, of 1500 ever-married men(EMM) and 1500 ever-married women (EMW). The survey data elicited from RWM, EMW, and EMM will make it possible to generate 3 categories of indicators to test the study hypotheses in a multilevel analytic framework: independent variables at both the village level and individual levels, individual- level IPV outcomes, and control variables. Qualitative data will consist of 1) life history narratives of young married women with relatively high levels of empowerment in which the evolution of empowerment and IPV in their lives are simultaneously elicited;and 2) group discussions with young married men, young married women (married 2-6 years), and older men and women.

Public Health Relevance

This study uses a combination of research methods to better understand the relationship between women's empowerment and intimate partner violence in a society where gender norms are in rapid flux, and the ways that characteristics of the communities in which women live modify this relationship. Elucidation of the social processes involved will provide a better basis for developing interventions to mitigate the elevated risks of violence against women and maximize the protective factors associated with transitions toward greater gender equality.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Research Project (R01)
Project #
5R01HD061630-05
Application #
8729357
Study Section
Community Influences on Health Behavior (CIHB)
Program Officer
Newcomer, Susan
Project Start
2010-09-24
Project End
2014-11-30
Budget Start
2013-12-01
Budget End
2014-11-30
Support Year
5
Fiscal Year
2014
Total Cost
$426,923
Indirect Cost
$54,974
Name
Family Health International
Department
Type
DUNS #
067180786
City
Durham
State
NC
Country
United States
Zip Code
27713
Schuler, Sidney Ruth; Lenzi, Rachel; Nazneen, Sohela et al. (2013) Perceived decline in intimate partner violence against women in Bangladesh: qualitative evidence. Stud Fam Plann 44:243-57