Participant and narrative characteristics associated with host community members sharing experiences of peacekeeper-perpetrated sexual exploitation and abuse in the Democratic Republic of Congo.
Participant and narrative characteristics associated with host community members sharing experiences of peacekeeper-perpetrated sexual exploitation and abuse in the Democratic Republic of Congo.
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DOI：
10.1136/bmjgh-2021-006631
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发表时间：
2021-10
影响因子：
8.1
通讯作者：
Lee S
中科院分区：
文献类型：
--
作者：
Bartels SA;Lusamba S;Lee S
在2007年至2021年期间，刚果民主共和国（刚果民主共和国）维和人员实施的性剥削和性虐待（SEA）占联合国正式SEA指控全球报告的36%。然而，正式报告的性剥削和性虐待只占发生的一小部分，社区对维和人员实施性剥削和性虐待的经历可能与联合国正式文件中反映的不同。使用混合方法，2018年在刚果民主共和国收集的横截面数据，我们使用描述性分析和具有稳健误差估计的多变量泊松回归来检查与分享有关维和人员犯下的SEA的经验相关的参与者和叙述特征。在布卡武的参与者（校正相对风险（aRR）0.85，95% CI 0.79至0.91）和Kalemie（aRR 0.75，95%CI 0.69至0.81）不太可能分享关于性互动的叙述，而文职联合国人员（aRR 1.16，95% CI 1.00 - 1.34）与性互动相关的叙述可能性略高。认为结局对女性/女孩公平的叙述更可能与性互动有关（aRR 1.07，95% CI 1.02至1.12）。回归分析和参与者对共同叙述的解释都说明了贫穷在性剥削和性虐待中发挥的重要作用，这表明性互动的结果可能被认为是公平的，因为受影响的妇女/女孩被认为在经济/物质上受益。在分享关于SEA的叙述的可能性方面，东道国社区之间存在显着差异，这可能有助于为更有针对性的SEA预防措施提供信息。关于与联合国人员发生性关系的叙述往往被认为对受影响的妇女/女孩有公平的结果，这可能与东道国社区的持续贫困和认为的经济/物质收益有关。这些研究结果突出表明，极端贫困如何影响对知情同意和公平的看法，需要进一步研究。对公正结果的看法会抑制正式报告，在设计基于社区的投诉网络时需要考虑到这一点。
Peacekeeper-perpetrated sexual exploitation and abuse (SEA) in the Democratic Republic of Congo (DRC) account for 36% of the global reports of formal SEA allegations to the UN between 2007 and 2021. However, formally reported SEA represents only a fraction of that which occurs, and community experiences of peacekeeper-perpetrated SEA are likely different than those reflected in official UN documents. Using mixed-methods, cross-sectional data collected in the DRC in 2018, we used descriptive analysis and multivariate Poisson regression with robust error estimates to examine the participant and narrative characteristics associated with sharing an experience about peacekeeper-perpetrated SEA. Participants in Bukavu (adjusted relative risk (aRR) 0.85, 95% CI 0.79 to 0.91) and Kalemie (aRR 0.75, 95% CI 0.69 to 0.81) were less likely to share narratives about sexual interactions, while civilian UN personnel (aRR 1.16, 95% CI 1.00 to 1.34) were slightly more likely to be implicated in narratives about sexual interactions. Narratives in which the outcome was deemed fair to the woman/girl were more likely to be about sexual interactions (aRR 1.07, 95% CI 1.02 to 1.12). Both the regression analysis and the participants’ interpretation of the shared narratives illustrated the significant role poverty played in SEA, suggesting that the outcomes of sexual interactions may have been deemed fair since affected women/girls were perceived to have benefited financially/materially. There is significant variation between host communities in the likelihood of sharing narratives about SEA, which could prove useful for informing more targeted SEA prevention initiatives. Narratives about sexual interactions with UN personnel were more often deemed to have fair outcomes for the affected women/girls, likely related to ongoing poverty in host communities and perceived financial/material gain. These findings highlight how extreme poverty may impact perceptions around informed consent as well as fairness and require further study. Perceptions around fair outcomes would disincentivise formal reporting, which needs to be considered when devising community-based complaint networks.
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发表时间：
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影响因子：
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作者：
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