MRC/UVRI Uganda Research Unit on AIDS, P,O, Box 49, Entebbe, Uganda.
BMC Int Health Hum Rights. 2010 Nov 10;10:28. doi: 10.1186/1472-698X-10-28.
Despite the recent adoption of the UN resolution 1820 (2008) which calls for the cessation of war related sexual violence against civilians in conflict zones, Africa continues to see some of the worst cases of war related sexual violence including the mass sexual abuse of entire rural communities particularly in the Great Lakes region. In addition to calling for a complete halt to this abuse, there is a need for the systematic study of the reproductive, surgical and psychological effects of war related sexual violence in the African socio-cultural setting.This paper examines the specific long term health consequences of war related sexual violence among rural women living in two internally displaced person's camps in Kitgum district in war affected Northern Uganda who accessed the services of an Isis-Women's International Cross Cultural Exchange (Isis-WICCE) medical intervention.
The study employed a purposive cross-sectional study design where 813 respondents were subjected to a structured interview as part of a screening procedure for an emergency medical intervention to identify respondents who required psychological, gynaecological and surgical treatment.
Over a quarter (28.6%) of the women (n = 573) reported having suffered at least one form of war related sexual violence. About three quarters of the respondents had 'at least one gynaecological complaint' (72.4%) and 'at least one surgical complaint' (75.6%), while 69.4% had significant psychological distress scores (scores greater than or equal to 6 on the WHO SRQ-20). The factors that were significantly associated with war related sexual violence were the age group of less than or equal to 44 years, being Catholic, having suffered other war related physical trauma, and having 'at least one gynaecological complaint'. The specific gynaecological complaints significantly associated with war related sexual violence were infertility, chronic lower abdominal pain, abnormal vaginal bleeding, and sexual dysfunction. In a multivariable analysis the age group of less than or equal to 44 years, being Catholic and having 'at least one gynaecological complaint' remained significantly associated with war related sexual violence.
The results from this study demonstrate that war related sexual violence is independently associated with the later development of specific gynaecological complaints.
尽管最近通过了联合国第 1820 号决议（2008 年），呼吁停止在冲突地区对平民实施与战争相关的性暴力行为，但非洲仍在发生一些最严重的与战争相关的性暴力行为，包括大规模性虐待整个农村社区，特别是在大湖区。除了呼吁彻底停止这种虐待行为外，还需要系统地研究与战争相关的性暴力行为在非洲社会文化背景下对生殖、外科和心理的影响。本文研究了在受战争影响的乌干达北部基特古姆区的两个国内流离失所者营地中居住的农村妇女因与战争相关的性暴力而遭受的具体长期健康后果，这些妇女曾接受过 ISIS-妇女国际跨文化交流（ISIS-WICCE）的医疗干预。
该研究采用了目的性横断面研究设计，共有 813 名受访者接受了结构性访谈，作为紧急医疗干预筛选程序的一部分，以确定需要心理、妇科和外科治疗的受访者。
超过四分之一（28.6%）的妇女（n=573）报告遭受过至少一种形式的与战争相关的性暴力。约四分之三的受访者有“至少一种妇科投诉”（72.4%）和“至少一种外科投诉”（75.6%），而 69.4%有明显的心理困扰评分（在 WHO SRQ-20 上的评分大于或等于 6）。与与战争相关的性暴力显著相关的因素是年龄在 44 岁及以下、天主教徒、遭受其他与战争相关的身体创伤，以及“至少有一种妇科投诉”。与与战争相关的性暴力显著相关的具体妇科投诉是不孕、慢性下腹痛、异常阴道出血和性功能障碍。在多变量分析中，年龄在 44 岁及以下、天主教徒和“至少有一种妇科投诉”仍然与与战争相关的性暴力显著相关。
本研究结果表明，与战争相关的性暴力与随后出现特定的妇科投诉独立相关。
