Intimate partner violence as seen in post-conflict eastern Uganda: prevalence, risk factors and mental health consequences

Intimate partner violence as seen in post-conflict eastern Uganda: prevalence, risk factors and mental health consequences
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DOI:
10.1186/s12914-016-0079-x
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发表时间:
2016-01-29
影响因子:
3
通讯作者:
Patel, Vikram
Patel, Vikram
中科院分区:
医学3区
文献类型:
--
作者:
Kinyanda, Eugene;Weiss, Helen A.;Patel, Vikram

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背景:撒哈拉以南非洲的冲突和冲突后社区存在一个严重未被认识的亲密伴侣暴力(IPV)问题。造成这种情况的部分原因是受冲突影响的撒哈拉以南非洲地区的 IPV 数据有限。本文报告了冲突后乌干达东部地区男女 IPV 受害的流行率、危险因素和心理健康后果。方法:在乌干达东部的两个地区进行了一项横断面调查。 IPV 受害的主要结局是使用美国妇产科医师大会修改后的亲密伴侣暴力评估问卷进行评估。结果:本研究中任何形式的 IPV 受害(身体和/或性和/或心理 IPV)的患病率为 43.7% [95% CI, 40.1-47.4%],两种性别之间没有统计学上的显着差异。与 IPV 受害显着相关的因素包括:县以下(代表生态因素)、贫困、酗酒以及身体和性战争酷刑经历。与 IPV 受害相关的心理健康问题包括可能酗酒、自杀未遂和可能的重度抑郁症。结论:在乌干达东部冲突后地区,无论男女,战争酷刑都是 IPV 受害的危险因素,并且 IPV 受害与心理健康问题相关。
Background: Conflict and post-conflict communities in sub-Saharan Africa have a high under recognised problem of intimate partner violence (IPV). Part of the reason for this has been the limited data on IPV from conflict affected sub-Saharan Africa. This paper reports on the prevalence, risk factors and mental health consequences of IPV victimisation in both gender as seen in post-conflict eastern Uganda.Methods: A cross-sectional survey was carried out in two districts of eastern Uganda. The primary outcome of IPV victimisation was assessed using a modified Intimate Partner Violence assessment questionnaire of the American Congress of Obstetricians and Gynaecologists.Results: The prevalence of any form of IPV victimisation (physical and/or sexual and/or psychological IPV) in this study was 43.7 % [95 % CI, 40.1-47.4 %], with no statistically significant difference between the two gender. The factors significantly associated with IPV victimisation were: sub-county (representing ecological factors), poverty, use of alcohol, and physical and sexual war torture experiences. The mental health problems associated with IPV victimisation were probable problem alcohol drinking, attempted suicide and probable major depressive disorder.Conclusion: In post-conflict eastern Uganda, in both gender, war torture was a risk factor for IPV victimisation and IPV victimisation was associated with mental health problems.