Pathways From Food Insecurity to Intimate Partner Violence Perpetration Among Peri-Urban Men in South Africa
Abigail M. Hatchera b c✉, Heidi Stöckld, Ruari‐Santiago McBridea, Mzwakhe Khumaloe, Nicola Joan Christofidesa
- aSchool of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
- bDepartment of Medicine, University of California, San Francisco, San Francisco, California. Electronic address: hatchera@globalhealth.ucsf.edu
- cDepartment of Medicine, University of California, San Francisco, San Francisco, California
- dGender Violence and Health Centre, London School of Hygiene and Tropical Medicine, England
- eSonke Gender Justice, Johannesburg, South Africa
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Abstract
INTRODUCTION: Although poverty is sometimes seen as a driver of intimate partner violence victimization, less is known about how it intersects with men's violence perpetration. Food insecurity is a sensitive marker of poverty that may have unique mechanisms leading to men's intimate partner violence perpetration given its association with gender roles and men "providing for the family." METHODS: Using cluster-based sampling, the team conducted an audio-assisted questionnaire in 2016 among men living in a peri-urban settlement near Johannesburg, South Africa. The aim was to examine the relationship between men's food insecurity and their use of past-year intimate partner violence, and to explore the pathways linking these two conditions. RESULTS: Among 2,006 currently partnered men, nearly half (48.4%) perpetrated intimate partner violence and more than half (61.4%) were food insecure. Food insecurity was associated with doubled odds of intimate partner violence (OR=2.15, 95% CI=1.73, 2.66). This association persisted after controlling for sociodemographics, relationship characteristics, and neighborhood clustering. In a structural equation model, food insecurity retained a direct relationship with men's violence perpetration and worked through indirect pathways of mental health and relationship quality. CONCLUSIONS: Addressing men's perpetration of intimate partner violence may require examination of broader structural challenges, such as food insecurity. Future interventions should consider livelihood strategies alongside relationship and mental health approaches.
TL;DRAddressing men's perpetration of intimate partner violence may require examination of broader structural challenges, such as food insecurity, which retained a direct relationship with men's violence perpetration and worked through indirect pathways of mental health and relationship quality. (Semantic Scholar)