Physicians for Human Rights, Cambridge, Massachusetts, USA.
PLoS Med. 2011 Feb 8;8(2):e1001007. doi: 10.1371/journal.pmed.1001007.
The Chin State of Burma (also known as Myanmar) is an isolated ethnic minority area with poor health outcomes and reports of food insecurity and human rights violations. We report on a population-based assessment of health and human rights in Chin State. We sought to quantify reported human rights violations in Chin State and associations between these reported violations and health status at the household level.
Multistaged household cluster sampling was done. Heads of household were interviewed on demographics, access to health care, health status, food insecurity, forced displacement, forced labor, and other human rights violations during the preceding 12 months. Ratios of the prevalence of household hunger comparing exposed and unexposed to each reported violation were estimated using binomial regression, and 95% confidence intervals (CIs) were constructed. Multivariate models were done to adjust for possible confounders. Overall, 91.9% of households (95% CI 89.7%-94.1%) reported forced labor in the past 12 months. Forty-three percent of households met FANTA-2 (Food and Nutrition Technical Assistance II project) definitions for moderate to severe household hunger. Common violations reported were food theft, livestock theft or killing, forced displacement, beatings and torture, detentions, disappearances, and religious and ethnic persecution. Self reporting of multiple rights abuses was independently associated with household hunger.
Our findings indicate widespread self-reports of human rights violations. The nature and extent of these violations may warrant investigation by the United Nations or International Criminal Court. Please see later in the article for the Editors' Summary.
缅甸钦邦是一个与世隔绝的少数民族地区，健康状况不佳，存在粮食不安全和侵犯人权的报告。我们报告了钦邦的一项基于人群的健康和人权评估。我们试图量化钦邦报告的侵犯人权行为，以及这些报告的侵犯行为与家庭层面健康状况之间的关联。
采用多阶段家庭聚类抽样方法。对户主进行了关于人口统计学、获得医疗保健、健康状况、粮食不安全、被迫流离失所、强迫劳动和过去 12 个月内其他侵犯人权行为的访谈。使用二项式回归估计了暴露于和未暴露于每个报告的侵犯行为的家庭饥饿患病率的比值，并构建了 95%置信区间（CI）。进行了多变量模型以调整可能的混杂因素。总体而言，91.9%的家庭（95%CI 89.7%-94.1%）报告过去 12 个月内存在强迫劳动。43%的家庭符合 FANTA-2（食品和营养技术援助 II 项目）中度至重度家庭饥饿的定义。报告的常见侵犯行为包括食物盗窃、牲畜盗窃或杀害、被迫流离失所、殴打和酷刑、拘留、失踪和宗教和族裔迫害。自我报告的多种权利侵犯行为与家庭饥饿独立相关。
我们的发现表明，广泛存在自我报告的侵犯人权行为。这些侵犯行为的性质和程度可能需要联合国或国际刑事法院进行调查。请在文章后面查看编辑摘要。
