Department of Family Medicine, McGill University, Montreal, Canada.
JAMA. 2010 Aug 4;304(5):553-62. doi: 10.1001/jama.2010.1086.
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.
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.
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.
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 met symptom criteria for MDD and 50.1% (95% CI, 43.8%-56.3%; n = 470/989) for PTSD.
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.
来自刚果民主共和国（DRC）东部地区的研究提供了性暴力的传闻报告。本研究对刚果民主共和国东部特定地区居民的性暴力和侵犯人权行为的流行程度进行了基于人群的评估，包括基本需求、获得医疗保健的机会以及身心健康方面的信息。
评估刚果民主共和国东部特定地区居民的性暴力和侵犯人权行为的流行程度及其相关性，包括有关基本需求、获得医疗保健的机会以及身心健康的信息。
设计、地点和参与者：这是一项在 2010 年 3 月进行的为期 4 周的横断面、基于人群的、对 998 名 18 岁或以上成年人进行的聚类调查，使用结构化访谈和问卷进行。
刚果民主共和国东部特定地区成年人的性暴力发生率和特征、重度抑郁症（MDD）和创伤后应激障碍（PTSD）的症状、侵犯人权行为以及身心健康需求。
在接受调查的 1005 户家庭中，有 998 户家庭参与了调查，应答率为 98.9%。报告的性暴力发生率为：女性为 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）。报告发生与冲突相关的性暴力的女性占女性病例的 41.1%（95%CI，25.6%-56.6%；n=54/148），占男性病例的 10.0%（95%CI，1.5%-18.4%；n=8/66）。67%（95%CI，59.0%-74.5%；n=615/998）的家庭报告发生了与冲突相关的侵犯人权事件。41%（95%CI，35.3%-45.8%；n=374/991）的成人代表人群符合重度抑郁症的症状标准，50.1%（95%CI，43.8%-56.3%；n=470/989）符合创伤后应激障碍的症状标准。
在刚果民主共和国东部的特定地区，自我报告的性暴力和其他侵犯人权行为很普遍，并且与身心健康结果相关。
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