Association of Sexual Violence and Human Rights Violations With Physical and Mental Health in Territories of the Eastern Democratic Republic of the Congo
Association of Sexual Violence and Human Rights Violations With Physical and Mental Health in Territories of the Eastern Democratic Republic of the Congo
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DOI：
10.1001/jama.2010.1086
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发表时间：
2010-08-04
影响因子：
120.7
通讯作者：
Lawry, Lynn
中科院分区：
文献类型：
--
作者：
Johnson, Kirsten;Scott, Jennifer;Lawry, Lynn
对刚果民主共和国东部地区的背景研究提供了性暴力的轶事报告。这项研究提供了一个基于人口的评估的流行性暴力和侵犯人权的行为在特定领土内东部DRC.Objective评估的流行性暴力和侵犯人权的行为对居民的具体领土东部的刚果民主共和国，包括信息的基本需求，卫生保健的获得，和身心健康。2010年3月，对998名18岁或以上的成年人进行了为期4周的结构化访谈和问卷调查。主要结果测量性暴力患病率和特征，重度抑郁症（MDD）和创伤后应激障碍（PTSD）的症状，侵犯人权，结果在接受调查的1005户家庭中，有998户家庭参与了调查，回答率为98.9%。女性报告的性暴力发生率为39.7%（95%置信区间[CI]，32.2%-47.2%; n=224/586），男性为23.6%（95% CI，17.3%-29.9%; n=107/399）。据报告，在41.1%（95% CI，25.6%-56.6%; n=54/148）的女性案件和10.0%（95% CI，1.5%-18.4%; n=8/66）的男性案件中，妇女实施了与冲突有关的性暴力。67%（95% CI，59.0%-74.5%; n=615/998）的家庭报告了与冲突有关的侵犯人权事件。百分之四十一（95% CI，35.3%-45.8%; n=374/991），代表性成人人群符合MDD的症状标准，50.1%（95% CI为43.8%~ 56.3%; n=470/989）。据报，在刚果民主共和国东部的特定地区，性暴力和其他侵犯人权行为普遍存在，心理健康结果。美国医学会杂志2010;304（5）：553-562 www.jama.com
Context Studies from the Eastern Region of the Democratic Republic of the Congo (DRC) have provided anecdotal reports of sexual violence. This study offers a population-based assessment of the prevalence of sexual violence and human rights abuses in specific territories within Eastern DRC.Objective To assess the prevalence of and correlations with sexual violence and human rights violations on residents of specific territories of Eastern DRC including information on basic needs, health care access, and physical and mental health.Design, Setting, and Participants A cross-sectional, population-based, cluster survey of 998 adults aged 18 years or older using structured interviews and questionnaires, conducted over a 4-week period in March 2010.Main Outcome Measures Sexual violence prevalence and characteristics, symptoms of major depressive disorder (MDD) and posttraumatic stress disorder (PTSD), human rights abuses, and physical and mental health needs among Congolese adults in specific territories of Eastern DRC.Results Of the 1005 households surveyed 998 households participated, yielding a response rate of 98.9%. Rates of reported sexual violence were 39.7% (95% confidence interval [CI], 32.2%-47.2%; n=224/586) among women and 23.6% (95% CI, 17.3%-29.9%; n=107/399) among men. Women reported to have perpetrated conflict-related sexual violence in 41.1% (95% CI, 25.6%-56.6%; n=54/148) of female cases and 10.0% (95% CI, 1.5%-18.4%; n=8/66) of male cases. Sixty-seven percent(95% CI, 59.0%-74.5%; n=615/998) of households reported incidents of conflict-related human rights abuses. Forty-one percent (95% CI, 35.3%-45.8%; n=374/991) of the represented adult population metsymptom criteria for MDD and 50.1% (95% CI, 43.8%-56.3%; n=470/989) for PTSD.Conclusion Self-reported sexual violence and other human rights violations were prevalent in specific territories of Eastern DRC and were associated with physical and mental health outcomes. JAMA. 2010;304(5):553-562 www.jama.com