Lifetime prevalence, correlates and health consequences of gender-based violence victimisation and perpetration among men and women in Somalia.

Lifetime prevalence, correlates and health consequences of gender-based violence victimisation and perpetration among men and women in Somalia.
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DOI:
10.1136/bmjgh-2018-000773
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发表时间:
2018
期刊:
影响因子:
8.1
通讯作者:
Glass N
Glass N
中科院分区:
医学2区
文献类型:
--
作者:
Wirtz AL;Perrin NA;Desgroppes A;Phipps V;Abdi AA;Ross B;Kaburu F;Kajue I;Kutto E;Taniguchi E;Glass N

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人道主义紧急情况增加了基于性别的暴力的风险。我们估计了索马里各地城市环境中妇女和男子中性别暴力行为的发生率,索马里面临数十年的战争和自然灾害,导致大规模人口流离失所。2014年12月至2015年11月,在索马里14个城市地区进行了一项基于人口的调查。共有2 376名妇女和2 257名男子参加了调查。五分之一的男性(22.2%,95% CI 20.5至23.9)和七分之一的女性(15.5%; 95% CI 14.1至17.0)报告在儿童时期遭受过身体或性暴力。在妇女中,35.6%(95% CI 33.4至37.9)的人报告说,成年后一生中遭受过亲密伴侣的身体暴力或性暴力,16.5%(95% CI 15.1至18.1)的人报告说,成年后一生中遭受过非伴侣的身体暴力或性暴力。近三分之一的男性(31.2%; 95% CI 29.4至33.1)报告成年后遭受过暴力,其中大多数是身体暴力。22%(21.7%; 95% CI 19.5至24.1)的男性报告了终生性或身体IPV犯罪,8.1%(95% CI 7.1至9.3)的男性报告了终生性或身体NPV犯罪。少数部族成员身份、流离失所、遭受父母暴力和儿童时期暴力是妇女和男子中IPV和NPV发病和犯罪的共同相关因素。受害和犯罪也与最近的抑郁症和流产或死胎的经历密切相关。基于性别的暴力普遍存在,遍及索马里所有地区。支持儿童成长环境并为妇女和男子提供健康和心理社会支持的方案对于预防和应对基于性别的暴力至关重要。
Humanitarian emergencies increase the risk of gender-based violence (GBV). We estimated the prevalence of GBV victimisation and perpetration among women and men in urban settings across Somalia, which has faced decades of war and natural disasters that have resulted in massive population displacements. A population-based survey was conducted in 14 urban areas across Somalia between December 2014 and November 2015. A total of 2376 women and 2257 men participated in the survey. One in five men (22.2%, 95% CI 20.5 to 23.9) and one in seven (15.5%; 95% CI 14.1 to 17.0) women reported physical or sexual violence victimisation during childhood. Among women, 35.6% (95% CI 33.4 to 37.9) reported adult lifetime experiences of physical or sexual intimate partner violence (IPV) and 16.5% (95% CI 15.1 to 18.1) reported adult lifetime experience of physical or sexual non-partner violence (NPV). Almost one-third of men (31.2%; 95% CI 29.4 to 33.1) reported victimisation as an adult, the majority of which was physical violence. Twenty-two per cent (21.7%; 95% CI 19.5 to 24.1) of men reported lifetime sexual or physical IPV perpetration and 8.1% (95% CI 7.1 to 9.3) reported lifetime sexual or physical NPV perpetration. Minority clan membership, displacement, exposure to parental violence and violence during childhood were common correlates of IPV and NPV victimisation and perpetration among women and men. Victimisation and perpetration were also strongly associated with recent depression and experiences of miscarriage or stillbirth. GBV is prevalent and spans all regions of Somalia. Programmes that support nurturing environments for children and provide health and psychosocial support for women and men are critical to prevent and respond to GBV.
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