Spousal violence against women is a serious public health problem that is prevalent in all societies, with one in three women around the world experiencing violence in their lifetime. This study examined the prevalence of spousal violence, and its determinants, in Afghanistan using data from the 2015 Afghanistan Demographic and Health Survey. Univariate, bivariate and logistic regression statistical techniques were used to assess the association of socioeconomic variables with spousal violence. The study sample comprised 20,827 currently married women aged 15–49. Fifty-two per cent of women reported experiencing some form of violence by their husband. A significant association was found between women’s justification of violence, women’s participation in decision-making in their household (COR=0.476; CI=0.446–0.509) and lower risk of experiencing spousal violence. After adjustment for demographic and socioeconomic factors, women’s participation in all of four household decisions, either alone or jointly, was found to be associated with a lower risk of experiencing spousal violence (AOR=0.472; CI=0.431–0.516). In both the crude and adjusted models, the risk of experiencing spousal violence was high if the husband’s desire for children was different from that of his wife. In the case of inequality in property ownership, the risk of spousal violence was significantly higher (COR=1.263; CI=1.178–1.353; AOR=1.159; CI=1.051–1.278) when women were joint owners of property compared with when they did not own any property. The findings point to an immediate need for legal and social interventions to prevent spousal violence against women, or at least reduce its prevalence, in Afghanistan.

中文翻译：

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阿富汗妇女遭受配偶暴力的流行率和预测因素：来自人口和健康调查数据的证据

配偶对妇女的暴力行为是一个严重的公共卫生问题，在所有社会都普遍存在，全世界有三分之一的妇女在其一生中经历过暴力。本研究使用 2015 年阿富汗人口与健康调查的数据，调查了阿富汗的配偶暴力发生率及其决定因素。单变量、双变量和逻辑回归统计技术用于评估社会经济变量与配偶暴力的关联。研究样本包括 20,827 名年龄在 15-49 岁之间的已婚女性。52% 的女性报告说她们曾遭受过丈夫某种形式的暴力。女性对暴力的辩护与女性参与家庭决策之间存在显着关联（COR=0.476；CI=0.446-0. 509) 并降低遭受配偶暴力的风险。在调整人口和社会经济因素后，发现女性单独或共同参与所有四个家庭决策与遭受配偶暴力的风险较低有关（AOR=0.472；CI=0.431-0.516）。在粗略和调整后的模型中，如果丈夫对孩子的渴望与妻子不同，则遭受配偶暴力的风险很高。在财产所有权不平等的情况下，与女性共同拥有财产时，配偶暴力的风险显着更高（COR=1.263；CI=1.178–1.353；AOR=1.159；CI=1.051–1.278）不拥有任何财产。调查结果表明，迫切需要采取法律和社会干预措施来防止配偶对妇女的暴力，