Agreement between husband and wife reports of domestic violence: evidence from poor refugee communities in Lebanon
Author: Khawaja M, Tewtel Salem M.
Source:
International journal of epidemiology, 33(3), 526-533.
BACKGROUND: This paper compares husband and wife reports of wife beating using
household survey data collected from poor Palestinian refugee communities in
Lebanon. METHODS: The analyses are based on a matched data file of 417 currently
married couples, drawn from a unique multi-purpose living conditions sample
survey of about 3600 Palestinian refugee households interviewed in the spring and
summer of 1999. Four outcomes (ever beaten, last year beating, beating during
pregnancy, and injuries caused by beating) were analysed using Kappa statistics
and per cent agreement. Logistic regression was used to analyse discordant
reporting of wife beating during the year preceding the survey. RESULTS: Husband
and wives' reports of the four different outcomes are in 'good' agreement as
judged by Kappa coefficients, ranging from 0.62 for 'beaten during pregnancy' to
0.69 for 'injuries resulting from beating'. Prevalence estimates of domestic
violence are also remarkably similar. However, findings from a multivariate
logistic regression model on agreement regarding 'last year beating' show that
only age of men was a significant predictor of agreement, controlling for
education level, marital duration, region of residence, household size, health
status, and consanguinity. CONCLUSIONS: Our findings show that men's self-reports
of their violent behaviour against their wives are fairly congruent with those of
their spouses, implying that the perpetrators, men, can be 'trusted' in providing
basic information on 'beating histories' in epidemiological and demographic
population-based investigations in contexts similar to ours. However, care should
be taken in studies of young men's current beating behaviour using only their
self-reports.