@article{ref1,
title="Predictors of help-seeking behaviour among women exposed to violence in Nigeria: A multilevel analysis to evaluate the impact of contextual and individual factors",
journal="Journal of epidemiology and community health",
year="2014",
author="Kawachi, Ichiro and Subramanian, S. V. and Berkman, Lisa and Slopen, Natalie and Linos, Natalia",
volume="68",
number="3",
pages="211-217",
abstract="OBJECTIVES: To simultaneously examine contextual and individual-level predictors of help-seeking behaviour among women exposed to physical and sexual violence in Nigeria. DESIGN: A multi-level cross-sectional study. We fit three 3-level random intercepts models to examine contextual and individual-level characteristics associated with help seeking, simultaneously. SETTING: Nigerian Demographic and Health Survey for 2008. PARTICIPANTS: 5553 women (15-49 years) who reported physical or sexual violence, drawn from 23 715 women in the Nigerian Demographic and Health Survey that responded to questions on violence exposure. MAIN OUTCOME MEASURES: Help seeking to prevent future victimisation was based on self-report. RESULTS: In our sample of women exposed to physical and sexual violence, 39.7% reported that they sought help to stop the perpetrator from hurting them again. Rates of help seeking were geographically patterned by state (range: 12% to 65%). State-level development, measured by the Human Development Index (z-score), was positively associated with help seeking (OR=1.30, 95% CI 1.05 to 1.61), after adjusting for individual-level characteristics. State-level prevalence of violence against women (z-score) was negatively associated with help-seeking (OR=0.68, 95% CI 0.55 to 0.84), suggesting that service providers who may target their programmes to areas with high prevalence of violence, may need to simultaneously address barriers to help seeking. Few individual-level characteristics were associated with help seeking, including wealth, marital status, employment status, ethnicity, history of witnessing domestic violence and relationship to perpetrator. CONCLUSIONS: Efforts to support female survivors of violence should consider broader social and contextual determinants that are associated with help-seeking behaviours.<p /> <p>Language: en</p>",
language="en",
issn="0143-005X",
doi="10.1136/jech-2012-202187",
url="http://dx.doi.org/10.1136/jech-2012-202187"
}