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RESEARCH AND PRACTICE |
Naeemah Abrahams and Rachel Jewkes are with the Gender and Health Research Unit, South African Medical Research Council, Tygerberg.
Correspondence: Requests for reprints should be sent to Naeemah Abra-hams, PhD, RN, RM, MPH, Gender and Health Research Unit, Medical Research Council, PO Box 19070, Tyger-berg 7505, South Africa (e-mail: naeema.abrahams{at}mrc.ac.za).
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ABSTRACT |
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 TOP ABSTRACT INTRODUCTIONMETHODSRESULTSDISCUSSIONReferences |
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Objectives. We sought to assess the effects of witnessing violence against their mothers in childhood on men’s use of violence in a range of settings in adulthood.
Methods. We conducted a cross-sectional questionnaire survey of 1368 randomly selected male municipal workers in Cape Town, South Africa.
Results. Almost a quarter (23.5%; 95% confidence interval [CI]=21.2, 25.7) of the men reported witnessing abuse of their mother, and having witnessed such events was associated with men’s later involvement in physical conflicts in their community (odds ratio [OR]=1.72; 95% CI=1.29, 2.30) and at their place of work (OR = 1.83; 95% CI = 1.30, 2.58), use of physical violence against their partners (OR = 2.61; 95% CI = 1.94, 3.54), and arrest for possession of illegal firearms (OR=2.86; 95% CI=1.29, 6.32).
Conclusions. Our results show strong links between "publicly" violent behavior among men and childhood experiences of "private" violence against their mothers. Prevention of domestic violence is essential both in its own right and as part of efforts to reduce broader violence and crime in society.
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INTRODUCTION |
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TOPABSTRACTINTRODUCTIONMETHODSRESULTSDISCUSSIONReferences |
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Research on intimate partner violence in South Africa has shown that 1 in 4 women in the general population have experienced physical violence6 at some time in their lives, a rate comparable to rates reported in the United States (22%)7 and Canada (29%).8 Among women who attend antenatal clinics and young women aged 17–23 years, the prevalence doubles,9–11 reaching levels observed in the general populations of countries with the highest rates, including Papua New Guinea (67%), Turkey (58%), Bangladesh (47%), and Ethiopia (45%).12
Violence is a widely accepted means of resolving conflict in South African society. This acceptability has been contested by the government and civil society groups, and the government has enacted laws criminalizing intimate partner violence and corporal punishment in schools. Nonetheless, widespread use of violence in South Africa in many different circumstances suggests that, if not condoned legally, it is normative and generally accepted by communities. Violence is used as a form of punishment, an expression of anger, and a means of gaining and asserting power, and it can be observed in disputes between neighbors,6,13 in disputes occurring in work-places14 and health care settings,15 and in schools, where, even though it is now illegal, corporal punishment is still very common.16
Research on violence committed against intimate partners has shown that many people, including women, regard such violence as acceptable if it does not injure or leave a mark.17 In a survey conducted among female residents of 3 provinces in South Africa, more than a third of the respondents agreed that a man beating a woman was a sign of love.6 In this regard, South Africa is similar to many patriarchal societies, in which men are traditionally regarded as having a right to inflict physical punishment on their wives.2
In view of the high prevalence of intimate partner violence in South Africa, it is not surprising that much of this violence is witnessed by children in the home. Studies conducted in developed countries have shown that boys who experienced frequent episodes of parental conflict in early childhood are at greater risk of being violent themselves in adolescence and adulthood.18,19 Witnessing of abuse is usually combined with other childhood experiences that negatively affect children’s emotional and social functioning, such as harsh discipline, lack of emotional support and affection, and poor parental supervision, all of which have been shown to be associated with subsequent violent behavior.19–22 Young boys’ witnessing of abuse of their mothers, however, has been identified as the most consistent risk factor for engaging in intimate partner violence later in life.23–27
Despite South Africa’s high prevalence of intimate partner violence, research on witnessing maternal abuse has not been conducted in South Africa, and further exploration is required to identify the pathways linking the witnessing of maternal abuse to subsequent violence. An opportunity to investigate this issue was provided by a study of men’s use of violence against their intimate female partners. Retrospective data were collected on witnessing abuse in childhood as well as current use of violence in adulthood. We explored the association between childhood exposure to domestic violence and South African men’s later use of violence in adulthood, including their use of violence in intimate relationships with women.
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METHODS |
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TOPABSTRACTINTRODUCTIONMETHODSRESULTSDISCUSSIONReferences |
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Among the 1800 names generated, 37 were found to be those of women. In addition, 28 men reported not having had any female partners within the past 10 years, 66 refused to participate in the study, 283 were unavailable (as a result of absenteeism or leave), and 18 interviews were not completed. The overall response rate was 78.8%, and our analyses were based on 1368 completed interviews.
Data Collection and Variables
A structured questionnaire administered by face-to-face interview was used to collect data; 6 male interviewers conducted interviews in respondents’ language of choice: Afrikaans (n = 973), isiXhosa (n = 334), or English (n = 61). The interviewers possessed at least some college-level education in psychology, sociology, or education and resembled the sample in age, race, and language distribution. Their training included exploration of their own perceptions and attitudes toward violence and women and the importance of developing rapport and trust with respondents and ensuring a safe, nonjudg-mental atmosphere during the interviews. The World Health Organization’s guidelines on ethics and safety issues in studies of violence against women were adapted for use with male respondents.28,29
Sociodemographic information collected included respondents’ age, ethnicity, education level, occupation, and type of housing. Each respondent was asked to identify the person who had raised him, how often he had seen his biological father, the type and frequency of physical punishment he had experienced as a child, and whether he had witnessed his mother being abused. We solicited information on witnessing abuse by asking respondents whether, as a child, they had ever seen or heard their mother being beaten by their father or by their mother’s partner. This question has been used widely in studies of violence, including the World Health Organization Multi-Country Study on Women’s Health and Domestic Violence Against Women.30
The term beaten was translated into isiXhosa and Afrikaans as ukubetha and slaan, respectively; these terms also describe slapping and punching. "Beaten" in Cape Town’s colloquial English is similarly inclusive of these actions. It is possible, however, that some of the violent actions witnessed by respondents (e.g., objects being thrown at their mother) were not captured by the question asked in this study.
We also assessed whether respondents had engaged in physical violence against an intimate partner during the past 10 years and whether they had engaged in such violence against their partner within the preceding year. Respondents were asked to identify all female partners with whom they had had meaningful relationships within the previous 10 years and to describe how they had managed conflicts. A respondent was identified as having used physical violence if he reporting having "hit," "grabbed," "pushed," "smacked," or "thrown an object at" a partner within the past 10 years. We assessed current episodes of physical violence against relationship partners by asking respondents whether they had "hit a partner within the last year."
We examined episodes of sexual abuse by asking respondents whether they had "tried to force a partner to have sex" or "forced sex" on a partner. Data on emotional abuse were gathered by asking respondents whether they had threatened to leave the relationship, damaged valuables belonging to their partner, smashed or kicked an object, embarrassed their partner in front of her friends or family, evicted their partner from the house, threatened to hit their partner or to throw an object at her, or threatened their partner with a gun. Respondents were also asked whether they considered it acceptable to hit a woman.
In addition, respondents were queried about antisocial behavior such as gang membership, whether they had been arrested by the police (for violent behavior, theft, or possession of an illegal gun), whether they had served a prison sentence, and whether they ever used other forms of violence (e.g., involvement in physical fights at work or in the community). Respondents who reported "past" or "current" drug or alcohol use were asked whether they used drugs or alcohol "on most days," "mainly on weekends," "2–3 days per week," or "less often" and whether their substance use had ever created problems for them.
Data Analysis
Stata 7 was used to conduct the data analysis.31 Descriptive statistics were used to examine the frequency with which respondents had witnessed abuse of their mother as children. Unadjusted odds ratios (ORs) and 95% confidence intervals (CIs) were calculated for risk factor variables (Table 1
). Race, education level, and occupation category were considered potential confounders, and therefore possible interactions of these variables with risk factors were examined with log-likelihood tests; no significant effects were found. Backward stepwise elimination was used to conduct the multiple regression analyses.
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RESULTS |
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TOPABSTRACTINTRODUCTIONMETHODSRESULTSDISCUSSIONReferences |
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Crude (unadjusted) associations between witnessing abuse and various predictors are presented in Table 1
. Younger men were more likely than older men (aged 50 years or older) to report having witnessed abuse. No associations were found with education level, but skilled, semiskilled, and unskilled men were more likely than men in the professional occupation category to report that they had witnessed abuse. Men who witnessed abuse were more likely to report having experienced frequent physical punishment as a child. In addition, they were more likely to report having used drugs in the past and having problems associated with alcohol use.
Significant positive associations were found between witnessing abuse and several forms of antisocial behavior in adulthood, including involvement in physical fights in the community and at work, gang membership, arrest, and incarceration. Positive associations were found between the witnessing of abuse during childhood and arrest as a result of theft, violent behavior, or illegal possession of a gun. Positive associations were also found between the witnessing of abuse and reports of perpetration in adulthood of all of the forms of intimate partner violence assessed. The strongest association was found between the witnessing of abuse during childhood and use of physical violence against a partner (OR = 2.93; 95% CI = 2.25, 3.82).
Results of the multiple logistic regression models for adult antisocial and violent behaviors are presented in Table 2. The first set of models was adjusted for sociodemographic variables (age, race, and occupation category [i.e., professional, skilled, semiskilled, unskilled]), interviewer effects, and physical punishment experienced during childhood. Childhood experience of physical punishment was found to be strongly associated with the witnessing of abuse before adjustment, so we considered it important to control for this potential confounder.
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DISCUSSION |
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TOPABSTRACTINTRODUCTIONMETHODSRESULTSDISCUSSIONReferences |
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Our results indicate that witnessing the abuse of one’s mother as a child is associated with engaging in several types of violent behavior in adulthood, such as using violence against an intimate partner, engaging in violence at work and in the community, being arrested as a result of both violent actions and antisocial behavior, and being arrested for possession of an illegal firearm. Adjustment for problematic alcohol use resulted in only small changes in the sizes of the odds ratios for most of these violent behaviors. The consistent associations across violent behaviors highlight both the link between domestic violence and other forms of violence and the importance of preventing of intimate partner violence in efforts to reduce overall levels of crime and violence in society.
Our findings suggest that the violent behavior engaged in by male respondents in adulthood might have been prevented or diminished had they not witnessed the abuse of their mothers as children. These childhood experiences appeared to be strongly predictive of both physical violence against partners (27%) and possible violent crime (arrest as a result of illegal possession of a gun) (30%).
Our findings are particularly important for South Africa, which is currently grappling with high levels of violent crime and its associated consequences. It is estimated, for example, that violence committed in work settings costs the country $5.7 billion (R40 billion) per year.34 In addition, a need for reliable data has been identified in light of the ongoing public debate among policymakers, researchers, and activists about the trustworthiness of South Africa’s data in terms of particular rape statistics, such as the South Afri-can government’s statistics on the number of rapes that were reported to South African Police Services.35
Our study involved certain limitations. The sample was based on men working in 3 municipalities and is therefore not representative of the overall population of men residing in Cape Town. Also, the witnessing of abuse may have been underreported, given that (1) we did not explicitly reference certain violent actions (e.g., throwing objects), (2) respondents may have been too upset or ashamed to acknowledge having witnessed the abuse of their mothers, and (3) respondents may have repressed their memories of these events or may have failed to acknowledge their experience because they wished to appear more socially acceptable to the interviewers.
Interviewers reported that the maternal abuse question was the most sensitive for the men. Some began to cry while relating their experiences and noted that they had never before been asked about this aspect of their childhoods. However, given that respondents did not express a reluctance to talk about the issue of maternal abuse and were willing to disclose their own use of violence, we do not believe that such emotionnal instances had a substantial effect on our results. The men may have been as willing as they were to discuss their use of violence because violence is a common practice and experience—one that, to some degree, has been normalized—among this group. It is important to note that other areas of violence, such as violence occurring more than 10 years before the study and violence committed against casual partners, were not addressed.
Our findings also suggest that interventions that effectively reduce societal levels of intimate partner violence may have an important impact on other forms of violence as well. Considerable additional research is required, however, to ascertain the pathways leading from childhood experiences to adult behaviors. Although we found that associations persisted after adjustment for other indicators of a harsh childhood environment, associations between use of violence in adulthood and a wide range of forms of childhood maltreatment must be explored further. Such research should also include assessments of the normative status of various forms of violence and the social and structural factors that sustain and even promote harsh childhood environments. It would be erroneous to examine only the psychological dimensions of a harsh childhood in determining transmission of violence from generation to generation. Clearly, environmental factors play a significant role, given that children exposed to violence learn that violence is normative and that conflicts are legitimately resolved through the use of violence.
There is also a clear need to develop appropriate interventions for children at risk. Our findings point to the need to help children who have been exposed to violence reframe their ideas regarding the acceptability of the use of violence in different settings and to provide them with alternative means for handling conflict, anger, and aggression. These vulnerable children also need support to improve their social and emotional functioning. Interventions need to be directed at parents, or future parents, to build awareness of the links between childhood experiences and social functioning in adolescence and adulthood and the effects of parenting on child development. Such interventions could help establish positive parent–child relationships as the building blocks for learning positive behavior.
Finally, the results of our study show very strong links between forms of "public" violent behavior engaged in by men and experiences of "private" violence against their mothers witnessed in childhood. Our findings strongly suggest that not only is prevention of intimate partner violence important in and of itself, prevention will also contribute to reducing broader forms of violence and crime in society as a whole.
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Acknowledgments |
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We would like to thank Dr M. Hoffman, Dr R. Ehrlich, and Dr E. van der Merwe for their comments and the researchers from the National Female Homicide Study (South Africa) for providing additional rate calculations.
Human Participant Protection
This study was approved by the Ethical Committee of the South African Medical Research Council. Informed consent was taken in accordance with the World Health Organization’s ethical and safety guidelines for research on domestic violence against women.
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Footnotes |
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Contributors
N. Abrahams and R. Jewkes originated the study. N. Abrahams was responsible for implementation of the study and led the analysis and writing. R. Jewkes assisted with the analyses and with interpretation of findings and reviewed drafts of the article.
Accepted for publication January 18, 2005.
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References |
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