{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T03:01:09Z","timestamp":1776654069066,"version":"3.51.2"},"reference-count":53,"publisher":"Public Library of Science (PLoS)","issue":"2","license":[{"start":{"date-parts":[[2022,2,28]],"date-time":"2022-02-28T00:00:00Z","timestamp":1646006400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"\n Introduction<\/jats:title>\n Intimate Partner Violence (IPV) is the most serious and pervasive yet under-recognized human rights violation in the world, particularly in Ethiopia. Hence, the objective of this study was to find the spatial distribution of IPV and its determinant factors in Ethiopia.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Secondary data analysis was conducted among 2,687 reproductive age group women (15\u201349 years). The distribution of IPV across the country was observed by ArcGIS software. In SaTScan software, the Bernoulli model was fitted by Kulldorff methods to identify the purely spatial clusters of IPV. Besides, Generalized Structural Equation Model (GSEM) was used to determine factors associated with each domain of IPV (physical, emotional & sexual violence).<\/jats:p>\n <\/jats:sec>\n \n Result<\/jats:title>\n The spatial distribution of IPV was found to be clustered in Ethiopia with Global Moran\u2019s I 0.09 (p < 0.001), and the highest IPV cluster was observed in Oromia (p < 0.001), Somali (p < 0.001) and SNNP (p<0.001) regions. Watching television and not having attitudes toward wife beating were negatively associated with physical violence. Being rich and nonsmoker were inversely associated with emotional violence. The odds of experiencing sexual violence were high among pregnant women and wives of uneducated husbands\/partners. In addition, women\u2019s decision-making autonomy and husband\/partner drinking alcohol have positive and negative associations with all domains of IPV respectively.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n There was a significant clustering of IPV in Ethiopia and the highest IPV cluster was observed in Oromia, Somali and SNNP regions. Being rich, watching television, not having attitudes toward wife beating, women\u2019s decision-making autonomy, and husband\u2019s\/partner\u2019s high education and non-alcohol drinker status were negatively associated with IPV. The likelihood of experiencing IPV was also high among smokers and pregnant women. Thus, we recommend that improving the economic status of the household through social protection and empowerment of women in decision-making autonomy by education and employment and increasing community awareness about the consequences of IPV with particular emphasis on Oromia, Somali and SNNP regions is essential.<\/jats:p>\n <\/jats:sec>","DOI":"10.1371\/journal.pone.0263811","type":"journal-article","created":{"date-parts":[[2022,2,28]],"date-time":"2022-02-28T13:22:54Z","timestamp":1646054574000},"page":"e0263811","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":19,"title":["Spatial distribution and determinant factors of intimate partner violence among reproductive age group women in Ethiopia: Using generalized structural equation modeling"],"prefix":"10.1371","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4362-0851","authenticated-orcid":true,"given":"Biruk Shalmeno","family":"Tusa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sewnet Adem","family":"Kebede","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adisu Birhanu","family":"Weldesenbet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2022,2,28]]},"reference":[{"key":"pone.0263811.ref001","unstructured":"Organization WH. Responding to intimate partner violence and sexual violence against women: WHO clinical and policy guidelines: World Health Organization; 2013."},{"key":"pone.0263811.ref002","unstructured":"Organization WH. Researching violence against women: Practical guidelines for researchers and activists: World Health Organization; 2005."},{"key":"pone.0263811.ref003","unstructured":"Butchart A, Garcia-Moreno C, Mikton C. Preventing intimate partner and sexual violence against women: taking action and generating evidence. 2010."},{"key":"pone.0263811.ref004","unstructured":"Black M, Basile K, Breiding M, Smith S, Walters M, Merrick M, et al. National intimate partner and sexual violence survey: 2010 summary report. 2011."},{"issue":"9339","key":"pone.0263811.ref005","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.1016\/S0140-6736(02)11133-0","article-title":"The world report on violence and health","volume":"360","author":"EG Krug","year":"2002","journal-title":"The lancet"},{"issue":"2","key":"pone.0263811.ref006","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1007\/s10995-012-0986-y","article-title":"The effects of intimate partner violence before, during, and after pregnancy in nurse visited first time mothers","volume":"17","author":"PV Scribano","year":"2013","journal-title":"Maternal and child health journal"},{"issue":"1","key":"pone.0263811.ref007","doi-asserted-by":"crossref","first-page":"18","DOI":"10.3109\/13625187.2010.534515","article-title":"Contraception, reproductive health and pregnancy outcomes among women exposed to intimate partner violence in Nigeria","volume":"16","author":"L Okenwa","year":"2011","journal-title":"The European Journal of Contraception & Reproductive Health Care"},{"issue":"3","key":"pone.0263811.ref008","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1080\/01443610802042415","article-title":"The impact of intimate partner violence on women\u2019s reproductive health and pregnancy outcome","volume":"28","author":"N. Sarkar","year":"2008","journal-title":"Journal of Obstetrics and Gynaecology"},{"issue":"1","key":"pone.0263811.ref009","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1111\/j.1466-7657.2007.00580.x","article-title":"Intimate partner violence and reproductive health of women in Kenya","volume":"55","author":"E Emenike","year":"2008","journal-title":"International nursing review"},{"issue":"2","key":"pone.0263811.ref010","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1023\/A:1022079418229","article-title":"Intimate partner violence as a risk factor for mental disorders: A meta-analysis","volume":"14","author":"JM Golding","year":"1999","journal-title":"Journal of family violence"},{"issue":"9314","key":"pone.0263811.ref011","doi-asserted-by":"crossref","first-page":"1331","DOI":"10.1016\/S0140-6736(02)08336-8","article-title":"Health consequences of intimate partner violence","volume":"359","author":"JC Campbell","year":"2002","journal-title":"The lancet"},{"issue":"4","key":"pone.0263811.ref012","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1080\/17457300802423224","article-title":"The intersection of intimate partner violence against women and HIV\/AIDS: a review","volume":"15","author":"JC Campbell","year":"2008","journal-title":"International Journal of Injury Control and Safety Promotion"},{"issue":"8","key":"pone.0263811.ref013","first-page":"869","article-title":"Intimate partner violence against married women in Uganda","volume":"29","author":"EG Ogland","year":"2014","journal-title":"JJofv"},{"key":"pone.0263811.ref014","unstructured":"Garc\u00eda-Moreno C, Pallitto C, Devries K, St\u00f6ckl H, Watts C, Abrahams N. Global and regional estimates of violence against women: prevalence and health effects of intimate partner violence and non-partner sexual violence: World Health Organization; 2013."},{"issue":"1","key":"pone.0263811.ref015","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1186\/s12978-015-0072-1","article-title":"Domestic violence against women and associated factors in Ethiopia; systematic review","volume":"12","author":"A Semahegn","year":"2015","journal-title":"Reproductive health"},{"issue":"1","key":"pone.0263811.ref016","first-page":"58","article-title":"The spatial epidemiology of intimate partner violence: do neighborhoods matter?","volume":"182","author":"E Gracia","year":"2015","journal-title":"Ajoe"},{"key":"pone.0263811.ref017","unstructured":"Agency CS, ICF. Ethiopia Demographic and Health Survey 2016: Key Indicators Report. Addis Ababa, Ethiopia, and Rockville, Maryland, USA. CSA and ICF. 2016."},{"issue":"1","key":"pone.0263811.ref018","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1186\/s12905-015-0273-3","article-title":"Correlates of gender characteristics, health and empowerment of women in Ethiopia","volume":"15","author":"YA Lailulo","year":"2015","journal-title":"BMC women\u2019s health"},{"issue":"3","key":"pone.0263811.ref019","first-page":"133","article-title":"Domestic violence around Gondar in northwest Ethiopia","volume":"18","author":"T Yigzaw","year":"2004","journal-title":"Ethiopian Journal of Health Development"},{"issue":"1","key":"pone.0263811.ref020","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1186\/1742-4755-10-63","article-title":"Domestic violence and its predictors among married women in reproductive age in Fagitalekoma Woreda, Awi zone, Amhara regional state, North Western Ethiopia","volume":"10","author":"A Semahegn","year":"2013","journal-title":"Reproductive health"},{"issue":"1","key":"pone.0263811.ref021","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1186\/1471-2458-12-125","article-title":"Intimate partner physical violence among women in Shimelba refugee camp, northern Ethiopia","volume":"12","author":"G Feseha","year":"2012","journal-title":"BMC public health"},{"issue":"2","key":"pone.0263811.ref022","first-page":"99","article-title":"Magnitude and risk factors of intimate partner violence against women in Agaro Town, Southwest Ethiopia","volume":"17","author":"A Deribew","year":"2007","journal-title":"Ethiopian Journal of Health Sciences"},{"issue":"1","key":"pone.0263811.ref023","doi-asserted-by":"crossref","first-page":"913","DOI":"10.1186\/1471-2458-11-913","article-title":"Intimate partner violence against women in western Ethiopia: prevalence, patterns, and associated factors","volume":"11","author":"SG Abeya","year":"2011","journal-title":"BMC public health"},{"issue":"1","key":"pone.0263811.ref024","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1186\/1745-0179-5-8","article-title":"Intimate partner violence and depression among women in rural Ethiopia: a cross-sectional study","volume":"5","author":"N Deyessa","year":"2009","journal-title":"Clinical practice and epidemiology in mental health"},{"issue":"1","key":"pone.0263811.ref025","first-page":"1","article-title":"Spatial distribution and determinants of intimate partner violence among reproductive-age women in Ethiopia: Spatial and Multilevel analysis","volume":"21","author":"DA Angaw","year":"2021","journal-title":"JBwsh"},{"key":"pone.0263811.ref026","unstructured":"United Nations Department of Economics and Social Affairs PD. Worldometer; [cited 2020 6\/2\/2020]. https:\/\/www.worldometers.info\/world-population\/ethiopia-population\/."},{"issue":"5","key":"pone.0263811.ref027","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1891\/vivi.19.5.507.63686","article-title":"A short form of the Revised Conflict Tactics Scales, and typologies for severity and mutuality","volume":"19","author":"MA Straus","year":"2004","journal-title":"Violence and victims"},{"key":"pone.0263811.ref028","unstructured":"International journal of environmental research and public health. Epub 2019\/03\/16."},{"issue":"1","key":"pone.0263811.ref029","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1186\/1472-6874-7-11","article-title":"Risk factors for domestic physical violence: national cross-sectional household surveys in eight southern African countries","volume":"7","author":"N Andersson","year":"2007","journal-title":"BMC women\u2019s health"},{"key":"pone.0263811.ref030","unstructured":"Hindin MJ, Sunita Kishor, and Donna L. Ansara. Intimate Partner Violence among Couples in 10 DHS Countries: Predictors and Health Outcomes. Calverton, Maryland, USA: 2008. DHS Analytical Studies."},{"issue":"2","key":"pone.0263811.ref031","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1891\/vivi.21.2.247","article-title":"Intimate partner violence: prevalence and risk factors for men in Cape Town, South Africa","volume":"21","author":"N Abrahams","year":"2006","journal-title":"Violence and victims"},{"issue":"3","key":"pone.0263811.ref032","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1177\/1077801204272129","article-title":"Individual, family, and community risk markers for domestic violence in Peru","volume":"11","author":"DF Flake","year":"2005","journal-title":"Violence against women"},{"issue":"5","key":"pone.0263811.ref033","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1017\/S0021932007001836","article-title":"Physical spousal violence against women in India: some risk factors","volume":"39","author":"L Jeyaseelan","year":"2007","journal-title":"Journal of biosocial science"},{"issue":"1","key":"pone.0263811.ref034","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1177\/1077801206295112","article-title":"Exploring couple attributes and attitudes and marital violence in Vietnam","volume":"13","author":"N Luke","year":"2007","journal-title":"Violence against women"},{"issue":"5","key":"pone.0263811.ref035","doi-asserted-by":"crossref","first-page":"1580","DOI":"10.1093\/ije\/dyy299","article-title":"Assessing the role of women\u2019s autonomy and acceptability of intimate-partner violence in maternal health-care utilization in 63 low- and middle-income countries","volume":"48","author":"P Sripad","year":"2019","journal-title":"International journal of epidemiology"},{"issue":"1","key":"pone.0263811.ref036","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1111\/padr.12127","article-title":"Cooperative Decision-Making and Intimate Partner Violence in Peru","volume":"44","author":"J Svec","year":"2018","journal-title":"Popul Dev 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Interpers Violence"},{"issue":"1","key":"pone.0263811.ref040","doi-asserted-by":"crossref","first-page":"5","DOI":"10.3390\/safety5010005","article-title":"Alcohol drinking by husbands\/partners is associated with higher intimate partner violence against women in Angola","volume":"5","author":"S Yaya","year":"2019","journal-title":"Safety"},{"key":"pone.0263811.ref041","doi-asserted-by":"crossref","first-page":"100442","DOI":"10.1016\/j.ssmph.2019.100442","article-title":"Household decision-making and its association with intimate partner violence: Examining differences in men\u2019s and women\u2019s perceptions in Uganda","volume":"8","author":"S Zegenhagen","year":"2019","journal-title":"SSM\u2014population health"},{"key":"pone.0263811.ref042","article-title":"Differentiating characteristics of intimate partner violence: do relationship status, state, and duration matter?","author":"D Sutton","year":"2018","journal-title":"Journal of interpersonal 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psychological abuse with and without co-occurrence of physical and sexual abuse","volume":"98","author":"HJ Jun","year":"2008","journal-title":"American journal of public health"},{"issue":"6","key":"pone.0263811.ref046","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1089\/152460902760277912","article-title":"Preventive healthcare use, smoking, and alcohol use among Rhode Island women experiencing intimate partner violence","volume":"11","author":"SC Lemon","year":"2002","journal-title":"Journal of women\u2019s health & gender-based medicine"},{"issue":"8","key":"pone.0263811.ref047","doi-asserted-by":"crossref","first-page":"1408","DOI":"10.2105\/AJPH.2006.109397","article-title":"Continued smoking and smoking cessation among urban young adult women: findings from the Reach for Health longitudinal study","volume":"97","author":"A Stueve","year":"2007","journal-title":"American journal of public 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