Do self-reported data reflect the real burden of lifetime exposure to sexual violence among females aged 13-24 years in Malawi?
Do self-reported data reflect the real burden of lifetime exposure to sexual violence among females aged 13-24 years in Malawi?
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DOI：
10.1016/j.chiabu.2016.05.003
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发表时间：
2016-08-01
影响因子：
4.8
通讯作者：
Mercy, James
中科院分区：
文献类型：
--
作者：
Fan, Amy Z.;Kress, Howard;Mercy, James
背景：在大多数情况下，女孩和年轻妇女一生中遭受性暴力的经历可能会随着年龄的增长而增加。然而，从一个回顾性研究的经验数据可能不一定符合这一信念。方法：从一个全国代表性的样本，年龄在13-24岁的女性在2013年在马拉维（n = 1029）的数据进行了分析。SV被定义为不想要的触摸或尝试，压力或身体强迫性行为。比较了年轻（13-18岁）和老年（19-24岁）年龄组受害者中四种类型SV的分布。SV暴露和健康结果之间的关联强度进行了检查年龄group.Results：在他们的一生中经历SV的风险是3倍以上的年轻人比老年女性（危险比= 3.32）。在经历过SV的女性中，老年女性比年轻女性（17.8%）更有可能报告强迫或压力性行为（41.2%）作为其首次SV经历。SV暴露和健康结果之间的关联强度并没有不同的年龄组。结论：自我报告的一生和童年受害的性暴力可能不一定高于年龄较大的年轻女性。目前遭受性暴力的风险似乎在很大程度上影响了对一生和童年受害经历的回忆。为了使实地了解这一现象，应按年龄组分别报告所有三个时间段（一生、童年和过去12个月）的流行率估计数。(C)2016由Elsevier Ltd.出版
Background: Under most circumstances, the lifetime experience of sexual violence (SV) among girls and young women would likely increase with age. However, the empirical data from a retrospective study may not necessarily conform to this belief.Methods: Data from a nationally representative sample of females aged 13-24 years in Malawi in 2013 (n = 1029) were analyzed. SV was defined as unwanted touching or attempted, pressured, or physically forced sex. The distribution of four types of SV among victims was compared between younger (13-18 years) and older (19-24 years) age groups. The strength of association between SV exposure and health outcomes was examined by age group.Results: The risk of experiencing SV during their lifetime was three times greater for younger than that for older age females (Hazard ratio = 3.32). Among females who had experienced SV, older age females were more likely to report forced or pressured sex (41.2%) as their initial SV experience than younger age females (17.8%). The strength of association between the SV exposure and health outcomes did not differ by age group.Conclusions: The self-report lifetime and childhood victimization to sexual violence may not necessarily higher among older than that among younger females. The current risk of exposure to sexual violence seems to influence the recall of lifetime and childhood victimization to a great extent. In order to make the field aware of this phenomenon, prevalence estimates from all three time frames (lifetime, childhood, and during the past 12 months) should be reported separately by age group. (C) 2016 Published by Elsevier Ltd.