理解性暴力:来自青少年艾滋病预防研究的观点。

IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Journal of Public Health in Africa Pub Date : 2025-09-17 eCollection Date: 2025-01-01 DOI:10.4102/jphia.v16i1.750
Nadia Ahmed, Emily Webb, Richard Muhumuza, Andrew S Ssemata, Millicent Atujuna, Lynda Stranix-Chibanda, Teacler Nematadzira, Janan J Dietrich, Gugulethu Tshabalala, Stefanie Hornschuh, Helen A Weiss, Janet Seeley, Julie Fox
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引用次数: 0

摘要

背景:撒哈拉以南非洲地区年轻女性的性暴力发生率很高,而关于年轻男性的数据较少。目的:我们调查了青少年和年轻人中强迫性行为的流行程度,并描述了使他们面临性暴力风险的因素。环境:研究在南非、乌干达和津巴布韦进行。方法:对1330名13-24岁的男女进行横断面、结构化调查。逻辑回归模型用于估计与强迫性行为相关的比值比,调整了地点、性别和年龄。此外,还进行了60次深度访谈和24次小组讨论。使用专题框架分析对数据进行转录、翻译和分析。结果:1326名参与者中有76人(6%)报告在过去6个月内发生过强迫性行为。与其他地区相比,恩德培最常报告强迫性行为,女性参与者多于男性参与者,18-24岁的参与者多于13-18岁的参与者。与较年轻的初次性行为(调整比值比[aOR]: 0.89; 95%可信区间[CI]: 0.81, 0.98)、曾经有过交易性行为(aOR: 2.18; 95% CI: 1.19, 4.02)、冒险(aOR: 3.51; 95% CI: 1.99, 6.19)、抑郁(aOR: 3.20; 95% CI: 1.69, 6.06)、焦虑(aOR: 2.07; 95% CI: 1.08, 3.96)和酗酒(aOR: 2.66; 95% CI: 1.33, 5.36)以及与强迫他人发生性行为(aOR: 7.54; 95% CI: 3.68, 15.46)有很强的相关性。定性数据支持这些结果。结论:我们的发现确定了与性暴力相似的风险。贡献:我们建议制定保护战略,以监管风险的时间和地点,并在经济和法律国家具体指导中加以解决。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Understanding sexual violence: Perspectives from an adolescent HIV prevention study.

Understanding sexual violence: Perspectives from an adolescent HIV prevention study.

Background: Sub-Saharan Africa has a high prevalence of sexual violence in young women, with less data on young men.

Aim: We investigated the prevalence of forced sex among adolescents and young people and described factors putting them at risk of sexual violence.

Setting: The study was conducted in South Africa, Uganda and Zimbabwe.

Methods: We conducted a cross-sectional, structured survey among 1330 13-24-year-old male and female participants. Logistic regression models were used to estimate odds ratios for associations with forced sex, adjusting for site, sex and age. Sixty in-depth interviews and 24 group discussions were also conducted. Data were transcribed, translated and analysed using thematic framework analysis.

Results: Seventy-six out of 1326 participants (6%) reported forced sex in the last 6 months. Forced sex was most commonly reported in Entebbe versus other sites, female than male participants, and 18-24 years than 13-18 years. Associations were seen with younger sexual debut (adjusted odds ratio [aOR]: 0.89; 95% confidence interval [CI]: 0.81, 0.98), ever having transactional sex (aOR: 2.18; 95% CI: 1.19, 4.02), risk-taking (aOR: 3.51; 95% CI: 1.99, 6.19), depression (aOR: 3.20; 95% CI: 1.69, 6.06), anxiety (aOR: 2.07; 95% CI: 1.08, 3.96) and binge drinking (aOR: 2.66; 95% CI: 1.33, 5.36), and strong association with forcing someone to have sex (aOR: 7.54; 95% CI: 3.68, 15.46). Qualitative data support these results.

Conclusion: Our findings identify risks similar to those for sexual violence.

Contribution: We suggest protection strategies to police times and places of risk are developed, and addressed in economic and legal country specific guidance.

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来源期刊
Journal of Public Health in Africa
Journal of Public Health in Africa PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
自引率
0.00%
发文量
82
审稿时长
10 weeks
期刊介绍: The Journal of Public Health in Africa (JPHiA) is a peer-reviewed, academic journal that focuses on health issues in the African continent. The journal editors seek high quality original articles on public health related issues, reviews, comments and more. The aim of the journal is to move public health discourse from the background to the forefront. The success of Africa’s struggle against disease depends on public health approaches.
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