Measuring violence against women amidst war and displacement in northern Uganda using the "neighbourhood method"
Measuring violence against women amidst war and displacement in northern Uganda using the "neighbourhood method"
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DOI：
10.1136/jech.2009.093799
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发表时间：
2010-12-01
影响因子：
6.3
通讯作者：
Ager, A.
中科院分区：
文献类型：
--
作者：
Stark, L.;Roberts, L.;Ager, A.
基于性别的暴力被视为全世界受冲突影响地区的一个重大问题。然而，人道主义组织通常无法可靠地估计在这种情况下强奸、亲密伴侣暴力和其他形式性虐待的发生率。这种估计是必要的，以告知方案的背景下，如北方Ugand.Methods我们试图建立基于性别的暴力发生率在国内流离失所者营地在北方乌干达。评估采用“邻里方法”，由成年女户主报告自己、姐妹篇和邻居的经历。299户家庭被选中进行采访，通过使用系统的随机sampling.Findings采访完成了204名受访者（5名妇女拒绝采访和90没有成功地联系）。这些受访者报告了自己，共268名姐妹篇和1206名邻居。关于这些替代人群的报告估计，过去一年亲密伴侣暴力的总体发生率为51.7%（95% CI 44.8至58.7;受访者）、44.0%（95% CI 41.2至46.9;受访者的姐妹篇）和36.5%（95% CI 30.7至42.3;受访者的邻居）。在同一时期，丈夫强迫性行为的发生率估计为41.0%（95% CI 34.2%至47.8%），22.1%（95% CI 17.0 - 27.2）和25.1%（95%CI 22.5至27.6），由亲密伴侣以外的施暴者实施的强奸发生率估计为5.0%（95%CI 2.0%至8.0%）、4.2%（95%CI 1.8至6.6）和4.3%（95%CI 3.1至5.5）。邻里法为估计人道主义背景下的侵犯人权行为提供了一个有希望的办法。
Background Gender-based violence is viewed as a significant problem in conflict-affected regions throughout the world. However, humanitarian organizations typically have been unable to reliably estimate the incidence of rape, intimate partner violence and other forms of sexual abuse in such settings. Such estimates are required to inform programming in contexts such as northern Uganda.Methods We sought to establish incidence rates for gender-based violence in internally-displaced-persons camps in northern Uganda. The assessments involved a "neighbourhood methodology," in which adult female heads of household reported about their own, their sisters' and their neighbours' experiences. 299 households were selected for interview across four camps by using systematic random sampling.Findings Interviews were completed by 204 respondents (5 women having declined interview and 90 not having been successfully contacted). These respondents reported on themselves, a total of 268 sisters and 1206 neighbours. Reports with respect to these alternative populations produced estimates of overall incidence of intimate partner violence in the past year of 51.7% (95% CI 44.8 to 58.7; respondents), 44.0% (95% CI 41.2 to 46.9; respondents' sisters) and 36.5% (95% CI 30.7 to 42.3; respondents' neighbours). In the same period, estimates of incidence of forced sex by husbands were 41.0% (95% CI 34.2% to 47.8%), 22.1% (95% CI 17.0 to 27.2) and 25.1% (95% CI 22.5 to 27.6), respectively, with incidence of rape by a perpetrator other than an intimate partner estimated at 5.0% (95% CI 2.0% to 8.0%), 4.2% (95% CI 1.8 to 6.6) and 4.3% (95% CI 3.1 to 5.5), respectively.Interpretation Gender-based violenced-particularly intimate partner violenced-is commonplace in postconflict Uganda. The neighbourhood method provides a promising approach to estimating human right violations in humanitarian settings.