Patterns of sexual violence against adults and children during the COVID-19 pandemic in Kenya: a prospective cross-sectional study.

Patterns of sexual violence against adults and children during the COVID-19 pandemic in Kenya: a prospective cross-sectional study.
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DOI:
10.1136/bmjopen-2021-048636
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发表时间:
2021-09-06
期刊:
影响因子:
2.9
通讯作者:
Flowe HD
Flowe HD
中科院分区:
医学3区
文献类型:
--
作者:
Rockowitz S;Stevens LM;Rockey JC;Smith LL;Ritchie J;Colloff MF;Kanja W;Cotton J;Njoroge D;Kamau C;Flowe HD

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本研究调查了 COVID-19 大流行期间肯尼亚针对成人和儿童的性暴力模式,为性暴力预防、保护和应对工作提供信息。采用前瞻性横断面研究设计,收集 2020 年 3 月至 8 月收集的数据。肯尼亚。 317 名成人,224 名儿童。肇事者和幸存者的人口统计数据、袭击的特征。双变量分析发现,儿童比成人更有可能在白天(59% vs 44%,p<0.001)在私人场所而不是公共场所(66% vs 45%,p<0.001)以及儿童认识的人(76% vs 58%, p<0.001)。儿童最常受到邻居(29%)和家庭成员(20%)的侵犯,而成年人同样可能受到陌生人(41%)和认识的人(59%)的攻击。这些变量作为预测变量输入逻辑回归模型,该模型显着预测幸存者的年龄组,χ2(5,n=541)=53.3,p<0.001。 COVID-19 大流行期间针对成人和儿童幸存者的性暴力模式有所不同,这表明国家紧急计划中需要采取与年龄相关的措施,以充分解决大流行期间和未来人道主义危机期间的性暴力问题。
This study examined patterns of sexual violence against adults and children in Kenya during the COVID-19 pandemic to inform sexual violence prevention, protection, and response efforts. A prospective cross-sectional research design was used with data collected from March to August 2020. Kenya. 317 adults, 224 children. Perpetrator and survivor demographic data, characteristics of the assault. Bivariate analyses found that children were more likely than adults to be attacked during daytime (59% vs 44%, p<0.001) by a single perpetrator rather than multiple perpetrators (31% vs 13%, p<0.001) in a private as opposed to a public location (66% vs 45%, p<0.001) and by someone known to the child (76% vs 58%, p<0.001). Children were violated most often by neighbours (29%) and family members (20%), whereas adults were equally likely to be attacked by strangers (41%) and persons known to them (59%). These variables were entered as predictors into a logistic regression model that significantly predicted the age group of the survivor, χ2(5, n=541)=53.3, p<0.001. Patterns of sexual violence against adult and child survivors during the COVID-19 pandemic are different, suggesting age-related measures are needed in national emergency plans to adequately address sexual violence during the pandemic and for future humanitarian crises.
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