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

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. The findings showed that the model fits the empirical data very well (χ2/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.