Suffering in silence: consequences of sexual violence within marriage among young women in Nepal.

Suffering in silence: consequences of sexual violence within marriage among young women in Nepal.
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DOI:
10.1186/1471-2458-11-29
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发表时间:
2011-01-12
期刊:
影响因子:
4.5
通讯作者:
Shah I
Shah I
中科院分区:
医学2区
文献类型:
--
作者:
Puri M;Tamang J;Shah I

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尽管性暴力的严重后果,以及它在婚姻内外的持续存在,这一主题在尼泊尔的研究人员、政策制定者和项目管理者中得到的关注相对较少。本文探讨了性暴力的定义,以及尼泊尔年轻已婚妇女报告的性暴力的各种形式和后果。此外,报告还介绍了年轻已婚妇女为避免丈夫对她们实施性暴力所使用的应对机制。本文分析了2006年至2007年间在两个主要民族——婆罗门/切特里和塔鲁——之间进行的“尼泊尔年轻夫妇中的性暴力”定性研究中收集的数据。数据包括39份自由清单和15份15-24岁已婚妇女的深入病历。平均排名和史密斯显著性是根据免费上市数据计算出来的。专题分析方法用于分析来自案例历史的信息。大约四分之三(74%)的年轻女性提到“违背自己意愿的性行为”是婚内性暴力(SVWM)。62%的受访者将“生病期间的强迫性行为”和“饮酒后的强迫性行为”描述为SVWM。参与免费上市活动的年轻女性中,约有一半(48.7%)表示经历过SVWM。SVWM的类型从非自愿的性接触到强迫性行为。背痛、头痛、下腹痛、阴道出血和自杀的想法是SVWM最常见的负面生理和心理健康后果。女性报告了各种应对策略,包括“试图说服丈夫”、“睡在一个单独的房间”、“拜访母亲的家”、“叫醒孩子”以及“用生病或月经等借口”来避免SVWM。然而,在大多数情况下,妇女报告说这些应对策略是不成功的。几乎所有遭受性别暴力的妇女都被社会孤立,没有向机构、亲戚或朋友寻求建议和支持。婚姻内的性暴力在尼泊尔很常见。调查结果提供了间接证据,证明性暴力与妇女一般健康和生殖健康的负面结果之间存在联系。需要采取各种行动来防止SVWM并向受害者提供即时支持。
Despite the grave consequences of sexual violence, and it's persistence both within and outside marriages, this subject has received relatively little attention from researchers, policy makers, and programme managers in Nepal. This paper explores the definition of sexual violence and its various forms and consequences as reported by young married women in Nepal. In addition, it describes the coping mechanisms used by young married women to avoid sexual violence perpetrated against them by their husbands. This paper analyzes data collected during the qualitative study on "Sexual violence among young couples in Nepal", conducted amongst two major ethnic groups - Brahmin/Chhetri and Tharu - between 2006 and 2007. The data is comprised of 39 free-lists and 15 in-depth case histories with married women aged 15-24 years. The average rank and Smith's Salience were calculated from the free-listing data. The thematic analysis approach was used for the analysis of information from the case histories. Approximately three-quarters (74%) of the young women mentioned 'sex against one's wishes' as sexual violence within marriage (SVWM). Sixty-two percent of respondents described 'forced sex during illness' and 'forced sex after consumption of alcohol' as SVWM. About half of young women (48.7%) who participated in the free-listing exercise reported having experienced SVWM. The types of SVWM ranged from unwanted sexual touch to forced sex. Backache, headache, lower abdominal pain, vaginal bleeding and thoughts of suicide were the most commonly reported negative physical and psychological health consequences of SVWM. Women reported various coping strategies including 'trying to convince husbands', 'sleeping in a separate room', 'visiting maternal home', 'waking up the children', and 'using pretexts such as being ill or menstruating', to avoid SVWM. However, in most cases, women reported that these coping strategies were unsuccessful. Almost all women experiencing SVWM were socially isolated and did not turn to institutions, relatives or friends for advice and support. Sexual violence within marriage is common in Nepal. Findings provide circumstantial evidence of links between sexual violence and negative general and reproductive health outcomes for women. Various actions are required to prevent SVWM and provide immediate support to the victims.
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