TY - JOUR
T1 - Water and food insecurity and linkages with physical and sexual intimate partner violence among urban refugee youth in Kampala, Uganda
T2 - cross-sectional survey findings
AU - Logie, Carmen H.
AU - Okumu, Moses
AU - Tailor, Lauren S.
AU - Taing, Lina
AU - Dorea, Caetano
AU - Mbuagbaw, Lawrence
AU - Hakiza, Robert
AU - Kibuuka-Musoke, Daniel
AU - Katisi, Brenda
AU - Nakitende, Aidah
AU - Kyambadde, Peter
AU - Mackenzie, Frannie
AU - Admassu, Zerihun
N1 - Publisher Copyright:
© 2024 The Authors.
PY - 2024
Y1 - 2024
N2 - Water insecurity (WI) and food insecurity (FI), each associated with violence exposure, are understudied in urban humanitarian settings. We conducted a cross-sectional survey with urban refugee youth in Kampala, Uganda to examine: (a) social-ecological correlates of WI, FI, and concurrent FI and WI; (b) associations between WI and FI with recent sexual and physical intimate partner violence (IPV); and (c) associations between an Index of Vulnerability (IoV) comprised of social-ecological stressors (e.g., FI, WI) and recent physical/sexual IPV. Among participants (n = 340; mean age: 21.1 years, standard deviation: 2.6) almost half (47.8%) reported WI and two-thirds (65.0%) FI. In adjusted analyses, time in Uganda, age, and insecure housing were associated with increased odds of WI and concurrent FI and WI; household toilet sharing and insecure housing were associated with increased odds of FI. In adjusted analyses, WI, concurrent FI and WI, housing insecurity, and parenthood were associated with higher sexual IPV odds. FI and parenthood were associated with increased odds of physical IPV. IoV scores were associated with physical/sexual IPV, and IoV scores accounted for more variance in physical/sexual IPV than any individual indicator. Future research can address WI and co-occurring resource insecurities to reduce gender-based water-related violence risks.
AB - Water insecurity (WI) and food insecurity (FI), each associated with violence exposure, are understudied in urban humanitarian settings. We conducted a cross-sectional survey with urban refugee youth in Kampala, Uganda to examine: (a) social-ecological correlates of WI, FI, and concurrent FI and WI; (b) associations between WI and FI with recent sexual and physical intimate partner violence (IPV); and (c) associations between an Index of Vulnerability (IoV) comprised of social-ecological stressors (e.g., FI, WI) and recent physical/sexual IPV. Among participants (n = 340; mean age: 21.1 years, standard deviation: 2.6) almost half (47.8%) reported WI and two-thirds (65.0%) FI. In adjusted analyses, time in Uganda, age, and insecure housing were associated with increased odds of WI and concurrent FI and WI; household toilet sharing and insecure housing were associated with increased odds of FI. In adjusted analyses, WI, concurrent FI and WI, housing insecurity, and parenthood were associated with higher sexual IPV odds. FI and parenthood were associated with increased odds of physical IPV. IoV scores were associated with physical/sexual IPV, and IoV scores accounted for more variance in physical/sexual IPV than any individual indicator. Future research can address WI and co-occurring resource insecurities to reduce gender-based water-related violence risks.
KW - food insecurity
KW - intimate partner violence
KW - refugees
KW - sexual violence
KW - water insecurity
KW - youth
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U2 - 10.2166/washdev.2024.298
DO - 10.2166/washdev.2024.298
M3 - Article
AN - SCOPUS:85190863298
SN - 2043-9083
VL - 14
SP - 261
EP - 276
JO - Journal of Water Sanitation and Hygiene for Development
JF - Journal of Water Sanitation and Hygiene for Development
IS - 3
ER -