Increased gender-based violence among women internally displaced in Mississippi 2 years post-Hurricane Katrina.

Increased gender-based violence among women internally displaced in Mississippi 2 years post-Hurricane Katrina.
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DOI:
10.1097/dmp.0b013e3181979c32
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发表时间:
2009-03-01
影响因子:
2.7
通讯作者:
Lawry, Lynn
Lawry, Lynn
中科院分区:
医学4区
文献类型:
--
作者:
Anastario, Michael;Shehab, Nadine;Lawry, Lynn

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目的:虽然在受灾人口中记录了不同类型的基于性别的暴力,但没有研究记录灾后长期流离失所的人口中基于性别的暴力发生率的数量增加。我们的目的是评估卡特里娜飓风后,国内流离失所者(IDPs)生活在旅行拖车公园在密西西比。方法:研究设计包括连续的横断面随机调查,在2006年和2007年进行,在密西西比的国内流离失所者之间使用结构化问卷的变化率。2006年,我们在密西西比的9个县抽样调查了50个旅行拖车公园,2007年在20个县抽样调查了69个公园。最后的样本共有420名女性答卷人。我们测量了受访者的人口统计学,GBV的形式,包括性暴力和身体暴力进一步子类型的肇事者,自杀意念,自杀企图,和患者健康问卷-9-评估depression.RESULTS:受访者的平均年龄为42.7岁。妇女中性别暴力新病例的粗发生率从每天4.6/100,000增加到2006年的每天16.3/100,000,并在2007年保持在每天10.1/100,000的高位。这一增长主要是由于亲密伴侣暴力行为的增加。GBV的经验显着相关的不良心理健康outcomes.CONCLUSIONS风险增加:总体而言,GBV,特别是亲密伴侣暴力的发生率,在卡特里娜飓风后的一年内增加,并没有返回到基线在流离失所的长期阶段。灾害规划工作应纳入减少灾后基于性别的暴力发生率的计划,并确保为有灾后基于性别的暴力经历的人提供充分的服务。
OBJECTIVES: Although different types of gender-based violence (GBV) have been documented in disaster-affected populations, no studies have documented a quantitative increase in rates of GBV among populations living in protracted displacement after a disaster. We aimed to assess the change in rates of GBV after Hurricane Katrina among internally displaced people (IDPs) living in travel trailer parks in Mississippi.METHODS: The study design included successive cross-sectional randomized surveys, conducted in 2006 and 2007, among IDPs in Mississippi using a structured questionnaire. We sampled 50 travel trailer parks in 9 counties in Mississippi in 2006, and 69 parks in 20 counties in 2007. A total of 420 female respondents comprised the final sample. We measured respondent demographics, forms of GBV including sexual and physical violence further subtyped by perpetrator, suicidal ideation, suicide attempt, and Patient Health Questionnaire-9-assessed depression.RESULTS: Respondents had a mean age of 42.7 years. The crude rate of new cases of GBV among women increased from 4.6/100,000 per day to 16.3/100,000 per day in 2006, and remained elevated at 10.1/100,000 per day in 2007. The increase was primarily driven by the increase in intimate partner violence. GBV experience was significantly associated with increased risk for poor mental health outcomes.CONCLUSIONS: Overall, the rate of GBV, particularly intimate partner violence, increased within the year following Hurricane Katrina and did not return to baseline during the protracted phase of displacement. Disaster planning efforts should incorporate plans to decrease the incidence of GBV following a disaster, and to ensure adequate services to people with postdisaster GBV experience.