A cross-sectional study of community perceptions of stigmatization amongst women affected by UN-peacekeeper perpetrated sexual exploitation and abuse.

A cross-sectional study of community perceptions of stigmatization amongst women affected by UN-peacekeeper perpetrated sexual exploitation and abuse.
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DOI:
10.1186/s12889-021-12221-6
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发表时间:
2021-12-18
期刊:
影响因子:
4.5
通讯作者:
Stuart H
Stuart H
中科院分区:
医学2区
文献类型:
--
作者:
Gray S;Bartels SA;Lee S;Stuart H

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联合国维和人员对当地妇女和女孩的性剥削和性虐待是刚果民主共和国(DRC)的一个关切问题。虽然与性暴力和基于性别的暴力有关的污名化有更广泛的记录,但对与维和人员实施性剥削和性虐待有关的污名化却知之甚少。本研究的目的是探讨如何暴露于SEA的程度影响社区的看法,妇女或女孩的(1)社会地位(公众耻辱)和(2)机构支持,在她的社区(结构性耻辱)。两个泊松回归模型与稳健的方差估计,利用社区调查数据的SEA经验,从刚果民主共和国东部(n = 2867),以量化这些协会。评估相关人口统计学变量的混杂因素和效应修正。公共羞辱和结构性羞辱的发生率分别为62.9%和19.3%。SEA暴露水平与社会地位下降之间存在正相关关系,其中经历中度SEA的妇女和女孩在调整混杂因素后面临公众污名化的风险最大(RR:1.94; CI:1.66-2.26)。同样,暴露于SEA和不足的机构支持之间的正相关关系被证明为女性叙述者,其中妇女和女孩经历了高度的SEA是6.53倍,可能会得到不充分的支持(RR:6.53; CI:3.63,11.73)。这与男性叙述的故事,有没有显着的关联之间的SEA暴露水平和机构的支持。高度暴露于联合国维和人员性剥削和性虐待的妇女/女孩最有可能受到公众和结构性的污名化,在维和背景下对性剥削和性虐待的后果进行概念化时,应更经常地考虑到这一点。公共和结构性污名化的频繁发生,加上不同性别的不同看法,表明有必要采取多方面的方法来减少污名化。
Sexual exploitation and abuse (SEA) by UN peacekeepers perpetrated against local women and girls is a concern in the Democratic Republic of Congo (DRC). While stigma associated with sexual and gender-based violence is well documented more broadly, little is known about stigma associated with peacekeeper-perpetrated SEA. The aim of this study was to examine how the degree of exposure to SEA affects community perceptions of a woman or girl’s (1) social status (public stigma) and (2) institutional support in her community (structural stigma). Two poisson regression models with robust variance estimation were constructed utilizing community survey data of SEA experiences from eastern DRC (n = 2867) to quantify these associations. Relevant demographic variables were assessed for confounding and effect modification. The prevalence of public and structural stigma were 62.9 and 19.3% respectively across the sample. A positive relationship was demonstrated between level of exposure of SEA and diminished social status in which women and girls experiencing moderate levels of SEA were at the greatest risk of public stigmatization after adjusting for confounding (RR: 1.94; CI: 1.66–2.26). Similarly, a positive relationship between exposure to SEA and inadequate institutional support was shown for female narrators wherein women and girls experiencing a high degree of SEA were 6.53 times as likely to receive inadequate support (RR: 6.53; CI: 3.63, 11.73). This contrasted with male narrated stories for whom there was no significant association between the SEA exposure level and institutional support. Women/girls with high exposure levels to UN peacekeeper-perpetrated SEA are at the highest risk of public and structural stigmatization, which should be more routinely considered when conceptualizing the consequences of SEA in peacekeeping contexts. The frequent occurrence of both public and structural stigma, coupled with the varying perceptions by sex, demonstrates the need for a multi-faceted approach for stigma reduction.
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