Partners' controlling behaviors and intimate partner sexual violence among married women in Uganda Global health

Background: Studies on the association between partners' controlling behaviors and intimate partner sexual violence (IPSV) in Uganda are limited. The aim of this paper was to investigate the association between IPSV and partners' controlling behaviors among married women in Uganda. Methods: We used the 2011 Uganda Demographic and Health Survey (UDHS) data, and selected a weighted sample of 1,307 women who were in a union, out of those considered for the domestic violence module. We used chi-squared tests and multivariable logistic regressions to investigate the factors associated with IPSV, including partners' controlling behaviors. Results: More than a quarter (27%) of women who were in a union in Uganda reported IPSV. The odds of reporting IPSV were higher among women whose partners were jealous if they talked with other men (OR∈=∈1.81; 95% CI: 1.22-2.68), if their partners accused them of unfaithfulness (OR∈=∈1.50; 95% CI: 1.03-2.19) and if their partners did not permit them to meet with female friends (OR∈=∈1.63; 95% CI: 1.11-2.39). The odds of IPSV were also higher among women whose partners tried to limit contact with their family (OR∈=∈1.73; 95% CI: 1.11-2.67) and often got drunk (OR∈=∈1.80; 95% CI: 1.15-2.81). Finally, women who were sometimes or often afraid of their partners (OR∈=∈1.78; 95% CI: 1.21-2.60 and OR∈=∈1.56; 95% CI: 1.04-2.40 respectively) were more likely to report IPSV. Conclusion: In Uganda, women's socio-economic and demographic background and empowerment had no mitigating effect on IPSV in the face of their partners' dysfunctional behaviors. Interventions addressing IPSV should place more emphasis on reducing partners' controlling behaviors and the prevention of problem drinking.