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Sex Composition of Children and Spousal Sexual Violence in Sub-Saharan Africa

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Abstract

Objective In societies with a cultural preference for sons over daughters, women who do not bear sons may be at increased risk for spousal violence. This study examined whether women with daughters only are at an elevated risk for spousal sexual violence compared to women with sons only in Sub-Saharan Africa. The study tested the hypothesis that the association between sex composition of children and spousal sexual violence would be observed only in large families. Methods Data were from the most recent (as at February, 2016) Demographic and Health Surveys conducted in 22 Sub-Saharan African countries for 37,915 women. Odds ratios comparing experience of spousal sexual violence of women with sons only to those with daughters only were estimated, separately for women with three or fewer children and those with four or more children, controlling for age, age at first cohabitation, age at first birth, educational attainment, urban residence, and household wealth. Results Having daughters only was associated with a greater likelihood of spousal sexual violence among women with many children (adjusted odds ratio [AOR] = 1.53; 95% CI 1.02–2.30) but not among those with few children (AOR = 0.92; 95% CI 0.82–1.04). Conclusions for Practice A higher risk of sexual violence for women without sons suggests that son preference may have implications on women’s health and wellbeing. Efforts to further understand and address increased risk of sexual violence for women without sons should consider son preference and intra-couple conflict concerning fertility intentions.

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References

  • Abrevaya, J. (2009). Are there missing girls in the United States? Evidence from birth data. American Economic Journal: Applied Economics, 1(2), 1–34.

    Google Scholar 

  • Adebowale, S. A., Yusuf, O. B., & Palmuleni, E. A. (2014). Child’s gender preference: what is the regional situation among women in Nigeria? Gender and Behaviour, 12(3), 5868–5884.

    Google Scholar 

  • Almond, D., Edlund, L., & Milligan, K. (2013). Son preference and the persistence of culture: evidence from South and East Asian immigrants to Canada. Population and Development Review, 39(1), 75–95.

    Google Scholar 

  • Basu, D., & De Jong, R. (2010). Son targeting fertility behavior: some consequences and determinants. Demography, 47(2), 521–536.

    PubMed  PubMed Central  Google Scholar 

  • Bongaarts, J. (2001). Fertility and reproductive preferences in post-transitional societies. Population and Development Review, 27, 260–281.

    Google Scholar 

  • Bongaarts, J. (2013). The implementation of preferences for male offspring. Population and Development Review, 39(2), 185–208.

    Google Scholar 

  • Campbell, E. K. (1991). Sex preferences for offspring among men in the western area of Sierra Leone. Journal of Biosocial Science, 23(3), 337–342.

    CAS  PubMed  Google Scholar 

  • Campbell, J. C. (2002). Health consequences of intimate partner violence. Lancet, 359(9314), 1331–1336.

    PubMed  Google Scholar 

  • Darroch, J. E., & Singh, S. (2013). Trends in contraceptive need and use in developing countries in 2003, 2008, and 2012: an analysis of national surveys. The Lancet, 381(9879), 1756–1762.

    Google Scholar 

  • Das Gupta, M., Chung, W., & Shuzhuo, L. (2009). Evidence for an incipient decline in numbers of missing girls in China and India. Population and Development Review, 35(2), 401–416.

    Google Scholar 

  • Dodoo, F. N., & Van Landewijk, P. (1996). Men, women, and the fertility question in Sub-Saharan Africa: an example from Ghana. African Studies Review, 39(3), 29–41.

    Google Scholar 

  • Ebenstein, A. (2011). Estimating a dynamic model of sex selection in China. Demography, 48(2), 783.

    PubMed  Google Scholar 

  • Ellsberg, M., Jansen, H. A., Heise, L., Watts, C. H., & Garcia-Moreno, C. (2008). Intimate partner violence and women’s physical and mental health in the WHO multi-country study on women’s health and domestic violence: an observational study. The Lancet, 371(9619), 1165–1172.

    Google Scholar 

  • Ellsberg, M., Peña, R., Herrera, A., Liljestrand, J., & Winkvist, A. (2000). Candies in hell: women’s experiences of violence in Nicaragua. Social Science and Medicine, 51(11), 1595–1610.

    CAS  PubMed  Google Scholar 

  • Fayehun, O., Omololu, O., & Isiugo-Abanihe, U. (2011). Sex of preceding child and birth spacing among Nigerian ethnic groups. African Journal of Reproductive Health, 15(2), 79.

    CAS  PubMed  Google Scholar 

  • Flatø, M. (2018). The differential mortality of undesired infants in sub-Saharan Africa. Demography, 55(1), 271–294.

    PubMed  Google Scholar 

  • Frempong, G. A., & Codjoe, S. N. A. (2017). Sex preferences for children in Ghana: the influence of educational attainment. Journal of Population Research, 34(4), 313–325.

    Google Scholar 

  • Friedman, J., & Schady, N. (2013). How many infants likely died in Africa as a result of the 2008–2009 global financial crisis? Health Economics, 22(5), 611–622.

    PubMed  Google Scholar 

  • Garcia-Moreno, C., Jansen, H. A., Ellsberg, M., Heise, L., & Watts, C. H. (2006). Prevalence of intimate partner violence: findings from the WHO multi-country study on women’s health and domestic violence. The Lancet, 368(9543), 1260–1269.

    Google Scholar 

  • Gyimah, S. O., & Fernando, R. (2004). Intentional replacement of dead children in Sub-Saharan Africa: evidence from Ghana and Kenya. Canadian Studies in Population, 31(1), 33–53.

    Google Scholar 

  • Hesketh, T., & Xing, Z. W. (2006). Abnormal sex ratios in human populations: causes and consequences. Proceedings of the National academy of Sciences of the United States of America, 103(36), 13271–13275.

    CAS  PubMed  PubMed Central  Google Scholar 

  • Hung, K. J., Scott, J., Ricciotti, H. A., Johnson, T. R., & Tsai, A. C. (2012). Community-level and individual-level influences of intimate partner violence on birth spacing in Sub-Saharan Africa. Obstetrics and Gynecology, 119(5), 975–982.

    PubMed  Google Scholar 

  • Ibisomi, L., & Odimegwu, C. (2011). Understanding resolution of differential fertility preferences among couples in Nigeria. International Journal of Business and Social Science, 2(4), 98–105.

    Google Scholar 

  • ICF International. (2007). Ethical and safety guidelines for implementing the DHS domestic violence module. Retrieved from https://www.dhsprogram.com/topics/gender-Corner/upload/DHS_Domestic_Violence_Module_Ethical_Guidelines.pdf. Accessed 25 Mar 2019.

  • ICF International. (2019). The DHS program STATcompiler. Retrieved from https://www.statcompiler.com/en/#cc=AO,BF,BU,CM,TD,KM,CD,CI,ET,GA,GM,GH,KE,LB,MW,ML,MZ,NM,NG,RW,ST,SN,SL,ZA,TZ,TG,UG,ZM,ZW&ic=DV_FSVL_W_PSX,DV_FSVL_W_NUM,DV_FSVL_W_UNW&scl=381001&scc=AO,BF,BU,CM,TD,KM,CD,CI,ET,GA,GM,GH,KE,LB,MW,ML,MZ,NM,NG,RW,ST,SN,SL,ZA,TZ,TG,UG,ZM,ZW&dt=0&pt=0&ss=1&gr=1. Accessed 25 Mar 2019.

  • Institute for Health Metrics and Evaluation (IHME). (2014a). Health service provision in Kenya: Assessing facility capacity, costs of care, and patient perspectives. Seattle: IHME.

    Google Scholar 

  • Institute for Health Metrics and Evaluation (IHME). (2014b). Health service provision in Uganda: Assessing facility capacity, costs of care, and patient perspectives. Seattle: IHME.

    Google Scholar 

  • Institute for Health Metrics and Evaluation (IHME). (2014c). Health service provision in Zambia: Assessing facility capacity, costs of care, and patient perspectives. Seattle: IHME.

    Google Scholar 

  • Instituto Nacional de Estadísticas y Censos (INEC/Nicaragua), & Macro International. (1999). Nicaragua encuesta nicaragüense de demografía y salud 1998. Calverton, MD, USA: INEC/Nicaragua and Macro International. Retrieved from http://dhsprogram.com/pubs/pdf/FR100/FR100.pdf. Accessed 25 Mar 2019.

  • Jones, K. M. (2014). Growing up together: cohort composition and child investment. Demography, 51(1), 229–255.

    PubMed  Google Scholar 

  • Kacanek, D., Bostrom, A., Montgomery, E. T., Ramjee, G., de Bruyn, G., Blanchard, K., et al. (2013). Intimate partner violence and condom and diaphragm nonadherence among women in an HIV prevention trial in Southern Africa. JAIDS Journal of Acquired Immune Deficiency Syndromes, 64(4), 400–408.

    PubMed  Google Scholar 

  • Kiriti, T. W., & Tisdell, C. (2005). Family size, economics and child gender preference: a case study in the Nyeri district of Kenya. International Journal of Social Economics, 32(6), 492–509.

    Google Scholar 

  • Kishor, S., & Johnson, K. (2006). Reproductive health and domestic violence: are the poorest women uniquely disadvantaged? Demography, 43(2), 293–307.

    PubMed  Google Scholar 

  • Li, L., & Wu, X. (2011). Gender of children, bargaining power, and intrahousehold resource allocation in China. Journal of Human Resources, 46(2), 295–316.

    Google Scholar 

  • Mace, R. (1996). When to have another baby: a dynamic model of reproductive decision-making and evidence from Gabbra pastoralists. Ethology and Sociobiology, 14(4), 263–273.

    Google Scholar 

  • Mace, R., & Sear, R. (1997). Birth interval and the sex of children in a traditional African population; an evolutionary analysis. Journal of Biosocial Science, 29(04), 499–507.

    CAS  PubMed  Google Scholar 

  • Maxwell, L., Devries, K., Zionts, D., Alhusen, J. L., & Campbell, J. (2015). Estimating the effect of intimate partner violence on women’s use of contraception: a systematic review and meta-analysis. PLoS ONE, 10(2), e0118234.

    PubMed  PubMed Central  Google Scholar 

  • Maxwell, L., Nandi, A., Benedetti, A., Devries, K., Wagman, J., & García-Moreno, C. (2018). Intimate partner violence and pregnancy spacing: results from a meta-analysis of individual participant time-to-event data from 29 low-and-middle-income countries. BMJ Global Health, 3(1), e000304.

    PubMed  PubMed Central  Google Scholar 

  • Measure DHS. (2012). Demographic and health survey sampling and household listing manual. Calverton, MD: ICF International. Retrieved from https://dhsprogram.com/publications/publication-DHSM4-DHS-Questionnaires-and-Manuals.cfm. Accessed 25 Mar 2019.

  • Milazzo, A. (2014). Son preference, fertility and family structure: Evidence from reproductive behavior among Nigerian women. (No. 6869). Washington, DC: World Bank Group. Retrieved from http://documents.worldbank.org/curated/en/233891468333531636/Son-preference-fertility-and-family-structure-evidence-from-reproductive-behavior-among-Nigerian-women. Accessed 25 Mar 2019.

  • Minnesota Population Center. (2017). Integrated public use microdata series, international: Version 6.5. Minneapolis: University of Minnesota. https://doi.org/10.18128/D020.V6.5.

    Book  Google Scholar 

  • Mishra, V., Roy, T. K., & Retherford, R. D. (2004). Sex differentials in childhood feeding, health care, and nutritional status in India. Population and Development Review, 30(2), 269–295.

    Google Scholar 

  • Moya, C., Snopkowski, K., & Sear, R. (2016). What do men want? Re-examining whether men benefit from higher fertility than is optimal for women. Philosophical Transactions of the Royal Society B: Biological Sciences, 371(1692), 20150149.

    Google Scholar 

  • Mulder, M. B. (2009). Tradeoffs and sexual conflict over women’s fertility preferences in Mpimbwe. American Journal of Human Biology: The Official Journal of the Human Biology Association, 21(4), 478–487.

    Google Scholar 

  • Mwageni, E. A., Ankomah, A., & Powell, R. A. (2001). Sex preference and contraceptive behaviour among men in Mbeya region, Tanzania. The Journal of Family Planning and Reproductive Health Care, 27(2), 85–89.

    CAS  PubMed  Google Scholar 

  • Odimegwu, C., Bamiwuye, O. S., & Adedini, S. A. (2015). Gender-based violence as a new proximate determinant of fertility in Sub-Saharan Africa. Southern African Journal of Demography, 16(1), 87–121.

    Google Scholar 

  • Office of the Registrar General and Census Commissioner. (2017). CensusInfo India 2011. Retrieved from http://www.censusindia.gov.in/2011-Common/CensusInfo.html. Accessed 25 Mar 2019.

  • Pallitto, C. C., García-Moreno, C., Jansen, H. A., Heise, L., Ellsberg, M., Watts, C., et al. (2013). Intimate partner violence, abortion, and unintended pregnancy: results from the WHO Multi-country study on women’s health and domestic violence. International Journal of Gynecology & Obstetrics, 120(1), 3–9.

    Google Scholar 

  • Palmuleni, E. (2014). Child’s gender preference: what is the regional situation among women in Nigeria?. Gender and Behaviour, 12(3), 5868–5884.

    Google Scholar 

  • Root, L., & Johnson-Hanks, J. (2016). Gender, honor, and aggregate fertility. American Journal of Economics and Sociology, 75(4), 904–928.

    Google Scholar 

  • Rossi, P., & Rouanet, L. (2015). Gender preferences in Africa: a comparative analysis of fertility choices. World Development, 72, 326–345.

    Google Scholar 

  • Rutstein, S. O., & Rojas, G. (2006). In MEASURE DHS/ICF International (Ed.), Guide to DHS statistics. USAID: Calverton.

    Google Scholar 

  • Sabarwal, S., Subramanian, S., McCormick, M. C., & Silverman, J. G. (2012). Husband’s preference for a son and women’s nutrition: examining the role of actual and desired family composition on women’s anaemia and body mass index in India. Paediatric and Perinatal Epidemiology, 26(1), 77–88.

    PubMed  Google Scholar 

  • Salem, R. M. (2004). Men’s surveys: new findings. Population Reports. Series M: Special Topics, Series M(18), 1–23.

  • Short, S. E., & Kiros, G. (2002). Husbands, wives, sons, and daughters: fertility preferences and the demand for contraception in Ethiopia. Population Research and Policy Review, 21(5), 377–402.

    Google Scholar 

  • Stark, R. (1997). The rise of Christianity: how the obscure, marginal Jesus movement became the dominant religious force in the Western world in a few centuries. San Francisco: Harper Collins.

    Google Scholar 

  • Strauss, M. A. (1990). Measuring intrafamily conflict and violence: The conflict tactics (CT) scales. In M. A. Strauss & R. J. Gelles (Eds.), Physical violence in American families: Risk factors and adaptations to violence in 8,145 families (pp. 39–47). New Brunswick: Transaction Publishers.

    Google Scholar 

  • World Health Organization. (2013). Global and regional estimates of violence against women: Prevalence and health effects of intimate partner violence and non-partner sexual violence. Geneva, Switzerland: World Health Organization. Retrieved from http://www.who.int/reproductivehealth/publications/violence/9789241564625/en/. Accessed 25 Mar 2019.

  • World Health Organization. (2014). Sixty-seventh world health assembly: Strengthening the role of the health system in addressing violence, in particular against women and girls, and against children. Retrieved from http://www.who.int/violence_injury_prevention/media/news/2014/24_05/en/. Accessed 25 Mar 2019.

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  1. Rutgers, The State University of New Jersey, 536 George St., New Brunswick, NJ, 08901, USA

    Felix M. Muchomba

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Muchomba, F.M. Sex Composition of Children and Spousal Sexual Violence in Sub-Saharan Africa. Matern Child Health J 23, 1130–1139 (2019). https://doi.org/10.1007/s10995-019-02761-0

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