Determinants of witnessed parental physical violence among university students in transitional Albania

We aimed to assess the extent and the socioeconomic correlates of witnessed parental physical violence among university students in Albania, a country in transition from rigidly structured socialism to a market-oriented system. 2797 students (93% of all students) at the Medical Faculty, Tirana, filled out an anonymous structured questionnaire in April-June 2009. Information on witnessed father-to-mother physical violence during childhood and/or adolescence and sociodemographic and socioeconomic data were collected. The association of witnessed parental violence with socioeconomic factors was assessed with multivariable-adjusted logistic regression. 736 (26.7%) of students witnessed father-to-mother physical violence, and 36 (1.3%) reported 'very often' witnessing episodes. In multivariable-adjusted models, independent predictors of witnessed violence were: low family income [odds ratio (OR) = 2.4, 95% confidence interval (CI) = 1.7-3.2], rural origin (OR = 1.9, 95% CI = 1.5-2.5), father's lower education and unemployment (OR = 5.4, 95% CI = 4.1-7.1 and OR = 2.5, 95% CI = 1.9-3.2, respectively) and mother's educational and employment advantage compared with the spouse (OR = 2.7, 95% CI = 1.9-3.8 and OR = 2.2, 95% CI = 1.6-2.8, respectively). Father's socioeconomic disadvantage and mother's socioeconomic empowerment were each independently related to increased risk for witnessed father-to-mother physical violence among university students in this transitional patriarchal society. Health professionals in post-communist Albania should be aware of the ways in which witnessed domestic violence influences physical and psychological health of young adults.