Safety, trust, and disclosure: A qualitative examination of violence against refugee adolescents in Kiziba Camp, Rwanda

Safety, trust, and disclosure: A qualitative examination of violence against refugee adolescents in Kiziba Camp, Rwanda
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DOI:
10.1016/j.socscimed.2018.01.018
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发表时间:
2018-03-01
影响因子:
5.4
通讯作者:
Stark, Lindsay
Stark, Lindsay
中科院分区:
医学2区
文献类型:
--
作者:
Bermudez, Laura Gauer;Parks, Lauren;Stark, Lindsay

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难民青少年更容易受到儿童保护方面的风险,包括虐待、忽视、暴力和剥削。这项定性研究的目的是研究对青少年的暴力行为的性质在Kiziba营地,卢旺达,使用生态框架来分析的因素,影响保护风险和滥用披露跨多个系统级别。为了更全面地了解这些问题,跨代调查寻求青少年和他们的照顾者的看法。2016年4月,作为一项关于青少年保护的大型综合研究的一部分,与来自刚果民主共和国的70名青少年和68名照顾者进行了19次焦点小组讨论。定性内容分析确定了三个突出的主题。首先,Kiziba难民营的青少年面临结构性保护风险,经济不安全和资源限制导致了住房过度拥挤和青少年外出拾柴等具体风险。第二,照顾者和青少年之间的代际冲突被认为是负面影响虐待披露。最后,保护机制和报告途径没有得到充分利用,因为照顾者和青少年对Kiziba正式披露所特有的耻辱、尴尬和社会排斥表示关切,这些问题往往根源于限制性和不公平的性别规范。这些研究结果表明,儿童保护工作应该是多方面的,并解决风险的结构性方面;家庭沟通和信任水平;以及阻止虐待报告的社会规范。该研究还强调,需要进一步研究难民营环境中的风险和保护因素,以更好地调整旨在减少暴力侵害儿童行为的干预措施。
Refugee adolescents face increased vulnerability to child protection risks including abuse, neglect, violence, and exploitation. The aim of this qualitative study was to examine the nature of violence against adolescents in Kiziba Camp, Rwanda, using an ecological framework to analyze the factors that influence protection risks and abuse disclosure across multiple system levels. In order to understand these issues more comprehensively, a transgenerational inquiry sought perceptions from both adolescents and their caregivers. In April 2016, as part of a larger, comprehensive study on adolescent protection, 19 focus group discussions were conducted with a total of 70 adolescents and 68 caregivers from the Democratic Republic of Congo. A qualitative content analysis identified three salient themes. First, structural protection risks exist for adolescents in Kiziba Camp, with economic insecurity and resource constraints resulting in specific risks such as overcrowded housing and adolescents traveling for firewood collection. Second, intergenerational conflict between caregivers and adolescents was perceived to negatively influence abuse disclosure. Lastly, protection mechanisms and reporting pathways were underutilized as caregivers and adolescents expressed concern over the shame, embarrassment, and social rejection that characterized formal disclosure in Kiziba, often rooted in restrictive and inequitable gender norms. These findings suggest that efforts at child protection should be multi-faceted and address structural aspects of risk; household levels of communication and trust; and societal norms that deter abuse reporting. The study also underscores the need for further research on risk and protective factors in camp settings to better tailor interventions aiming to reduce violence against children.