A structural equation model of factors influencing intimate partner violence victimization and health outcomes among men who have sex with men in Bangkok, Thailand 10.55131/jphd/2024/220222

Main Article Content

Ajchara Seeya
Naruemon Auemaneekul
Dusit Sujirarat
Arpaporn Powwattana
Pratana Satitvipawee
Wonpen Keawpan

Abstract

Intimate partner violence (IPV) victimization is a serious public health problem. Factors influencing intimate partner violence among men who have sex with men (MSM) are not well understood in the Asian context where a powerful patriarchal system exists. In order to understand these factors, this study aimed to develop and test a structural equation model (SEM) of factors influencing intimate partner violence victimization and the resulting health outcomes. Data were collected from 382 male couples, who were registered as members of the Rainbow Sky Association of Thailand. The SEM was developed using AMOS version 24.0. that the model fits the empirical data very well (c2/df = 1.09 , p-value > 0.05, GFI = 0.975, RMSEA = 0.015) and found that 1) Intimate partner violence victimization among MSM was directly influenced by the variables of the greatest effect, younger age followed by open sexual orientation; 2) Physical health outcomes were directly influenced by presence in a risky community and history of family violence; 3) Psychological health outcomes were directly influenced by permissive parenting style, and 4) Both physical and mental health outcomes were indirectly influenced by younger age and open sexual orientation. The results suggest that intimate partner violence prevention programs among young MSM should be implemented at an early age, particularly targeting those with a history of family violence, substance abuse, low education and those living in risky communities. Authoritative parenting styles and stigmatization are also matters of concern.


 

Article Details

How to Cite
1.
Seeya A, Auemaneekul N, Sujirarat D, Powwattana A, Satitvipawee P, Keawpan W. A structural equation model of factors influencing intimate partner violence victimization and health outcomes among men who have sex with men in Bangkok, Thailand: 10.55131/jphd/2024/220222. J Public Hlth Dev [Internet]. 2024 Jun. 10 [cited 2024 Oct. 14];22(2):273-85. Available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/270011
Section
Original Articles
Author Biographies

Ajchara Seeya, Department of Public Health Nursing, Mahidol University, Bangkok, Thailand

Department of Public Health Nursing, Mahidol University, Bangkok, Thailand

Naruemon Auemaneekul, Department of Public Health Nursing, Mahidol University, Bangkok, Thailand

Department of Public Health Nursing, Mahidol University, Bangkok, Thailand

Dusit Sujirarat, Department of Epidemiology, Mahidol University, Bangkok, Thailand

Department of Epidemiology, Mahidol University, Bangkok, Thailand

Arpaporn Powwattana, Department of Public Health Nursing, Mahidol University, Bangkok, Thailand

Department of Public Health Nursing, Mahidol University, Bangkok, Thailand

Pratana Satitvipawee, Department of Biostatistics, Mahidol University, Bangkok, Thailand

Department of Biostatistics, Mahidol University, Bangkok, Thailand

Wonpen Keawpan, Department of Public Health Nursing, Mahidol University, Bangkok, Thailand

Department of Public Health Nursing, Mahidol University, Bangkok, Thailand

References

World Health Organization. Understanding and addressing violence against women [Internet]. 2012 [cited 2022 Jan 16]. Available from: http://apps.who.int/iris/bitstream/10665/77432/1/WHO_RHR_12.36_eng.pdf

Chalermyot S. Guidelines to promote prevention of sexual crime victims in Bangkok [Doctoral dissertation]. Bangkok: Suan Dusit University; 2009.

Spivak HR, Jenkins L, VanAudenhove K, Lee D, Kelly M, Iskander J. CDC Grand Rounds: a public health approach to prevention of intimate partner violence. MMWR Morb Mortal Wkly Rep. 2014;63(2):38-41.

Pantalone DW, Schneider KL, Valentine SE, Simoni JM. Investigating partner abuse among HIV-positive men who have sex with men. AIDS Behav. 2012;16(4):1031-43. doi: 10.1007/ s10461-011-0011-2.

Yodhong C. Thai Constitutional Court ruling against gender diversity and marriage Equality [Internet]. 2021. [cited 2022 Jan 16]. Available from: https://www.apcom.org/thai-constitutional-court-ruling-against-gender-diversity-and-marriage-equality/

Puengkogsung S. Men who have Sex with Men: sexual abuse victims emphasized the government made policy to solve problem [Internet]. 2013. [cited 2016 Nov 18]. Available from: http://tcijthai.com/tcijthainews/ view.php?ids=3467.

Vajirayanavaroros, Supreme Patriarch. Ordination in Buddhism. 2nd Ed. Bangkok: Mahamakut Buddhist University; 2005.

Archavanitkul K. Sexuality transition in Thai society [Internet]. 2011 [cited 2019 Aug 18]. Available from: http://www2.ipsr.mahidol.ac.th/ConferenceVII/Download/2011-Article-03.pdf.

Houston E, McKirnan DJ. Intimate partner abuse among gay and bisexual men: risk correlates and health outcomes. J Urban Health. 2007;84(5):681-90. doi: 10.1007/ s11524-007-9188-0.

Krug EG et al., eds. World report on violence and health. Geneva, World Health Organization; 2002.

Pournaghash-Tehrani S, Feizabadi Z. Comparing demographic characteristics of male victim of domestic violence. J Applied Sci. 2007; 7(14):1930-35.

Department of Children and Youth. Promoting Gender Equality in Government Sectors of the Office of Women's Affairs and Family Institutions [Internet]. 2020 [cited 2022 May 1]. Available from: https://www. dcy.go.th/woman_man/data/278.pdf.

Daniel WW. Biostatistics: a foundation for analysis in the health sciences. 6th ed. New York: John Wiley & Sons. Inc.; 1995.

Fincham FD, Cui M, Braithwaite S, Pasley K. Attitudes toward intimate partner violence in dating relationships. Psychol Assess. 2008;20(3):260-69.

Baumrind D. Current Patterns of Parental Authority. Developmental Psychology Monographs. 1971;4(1, Pt.2):1-103.

Ministry of social development and human security. The operational guide for measuring social situations in surveillance and warning of individuals in the family in domestic violence [Internet]. 2011 (cited 2017 April 16). Available from https://www.m-society.go.th/ewtadmin/ewt/mso_web/download/article/article_20150206144414.pdf.

Carvalho AF, Lewis RJ, Derlega VJ, Winstead BA, Viggiano C. Internalized sexual minority stressors and same-sex intimate partner violence. J Fam Viol. 2011;26(7):501-9. doi: 10.1007/ s10896-011-9384-2.

Díaz RM, Ayala G, Bein E, Henne J, Marin BV. The impact of homophobia, poverty, and racism on the mental health of gay and bisexual Latino men: Findings from 3 US cities. Am J Public Health. 2001;91(6):927-32. doi: 10.2105/ajph.91.6.927.

Mohr JJ, Fassinger R. Measuring dimensions of lesbian and gay male experience. Measurement and Evaluation in Counseling and Development. 2000;33(2):66-90.

Straus MA, Hamby SL. Measuring Physical and Psychological Maltreatment of Children with the Conflict Tactics Scales. In Kantor GK, Jasinski JL (Ed), Out of the Darkness: Contemporary Research Perspectives on Family Violence. Thousand Oaks, CA: Sage; 1996. p.119-35

Sitthilutrakul N. Violence against nurses and the consequences (Thesis). Bangkok: Mahidol University; 2003.

Anderson JC, Gerbing DW. Structural equation modeling in practice: A review and recommended two-step approach. Psychological Bulletin. 1988;103(3):411–23.

Stults CB, Javdani S, Kapadia F, Halkitis PN. Determinants of Intimate Partner Violence Among Young Men Who Have Sex With Men: The P18 Cohort Study. J Interpers Violence. 2021;36(15-16):7018-42. doi: 10.1177/ 0886260519831374.

Black MC, Basile KC, Breiding MJ, Smith SG, Walters ML, Merrick MT, et al. The national intimate partner and sexual violence survey (NISVS): 2010 summary report. Atlanta, GA: National center for injury prevention and control, Centers for disease control and prevention; 2011.

Cunradi CB, Todd M, Duke M, Ames G. Problem Drinking, Unemployment, and Intimate Partner Violence among a Sample of Construction Industry Workers and their Partners. J Fam Violence. 2009;24(2):63-74. doi: 10.1007/s10896-008-9209-0.

Stephenson R, Rentsch C, Salazar LF, Sullivan PS. Dyadic Characteristics and Intimate Partner Violence among Men Who Have Sex with Men. West J Emerg Med. 2011;12(3):324-32.

Bartholomew K, Regan KV, Oram D, White MA. Correlates of partner abuse in male same-sex relationships. Violence Vict. 2008;23(3):344-60. doi: 10.1891/0886-6708.23.3.344.

Hong JS, Kim DH, W.deLara E, Wei HS, Prisner A, Alexander NB. Parenting Style and Bullying and Victimization: Comparing Foreign-Born Asian, U.S.-Born Asian, and White American Adolescents. J Fam Viol. 2021:36;799–811.

Mugoya GCT, Witte TH, Ernst KC. Sociocultural and victimization factors that impact attitudes toward intimate partner violence among Kenya women. J Interpers Violence. 2015; 30(16): 2851–71. doi: 10.1177/0886260514 554287.

Eckhardt CI, Crane CA. Male perpetrators of intimate partner violence and implicit attitude toward violence: Associations with treatment outcomes. Cognit Ther Res. 2014; 38(3):291-301. doi: 10.1007/s10608-013-9593-5.

Finneran C, Chard A, Sineath C, Sullivan P, Stephenson R. Intimate partner violence and social pressure among gay men in six countries. West J Emerg Med. 2012;13(3):260-71.

Zapanta S, Kim T, Messinger AM. Dating Violence Southern California academic center of excellence on youth violence prevention. California: University of California, riverside; 2010.

Meyer IH. Minority stress and mental health in gay men. J Health Soc Behav. 1995;36(1):38-56.

Davis DA, Rock A, Santa Luce R, McNaughton-Reyes L, Barrington C. Intimate Partner Violence Victimization and Mental Health Among Men Who Have Sex With Men Living With HIV in Guatemala. J Interpers Violence. 2022;37(3-4): Np1637-np57. doi: 10.1177/08862605 20928960.