Puri Mahesh, Frost Melanie, Tamang Jyotsna, Lamichhane Prabhat, Shah Iqbal
Center for Research on Environment Health and Population Activities, Kusunti, Kathmandu, Nepal.
BMC Res Notes. 2012 Jun 13;5:291. doi: 10.1186/1756-0500-5-291.
Sexual violence within marriage is a public health and human rights issue; yet it remains a much neglected research area, especially in Nepal. This paper represents one of the first attempts to quantify the extent of sexual violence and its determinants among young married women in Nepal.
A cross-sectional survey was conducted among 1,296 married women aged 15-24 years in four major ethnic groups in rural Nepal. The survey data were used to estimate the prevalence and identify determinants of sexual violence. The relative importance of different correlates of sexual violence in the past 12 months at the individual, household and community levels were examined by using a multi-level multivariate statistical approach.
Of the young women surveyed 46% had experienced sexual violence at some point and 31% had experienced sexual violence in the past 12 months. Women's autonomy was found to be particularly protective against sexual violence both at the individual and community level. Women's educational level was not found to be protective, while the educational level of the husband was found to be highly protective.
The high prevalence of sexual violence against young women by husbands found in this study is a matter for serious concern and underscores the need for a comprehensive response by policymakers.
婚内性暴力是一个公共卫生和人权问题；然而，它仍然是一个被严重忽视的研究领域，尤其是在尼泊尔。本文是首次尝试量化尼泊尔年轻已婚女性中性暴力程度及其决定因素的研究之一。
在尼泊尔农村四个主要族群中，对1296名年龄在15至24岁的已婚女性进行了横断面调查。调查数据用于估计性暴力的患病率并确定其决定因素。采用多层次多变量统计方法，研究了过去12个月内个人、家庭和社区层面性暴力不同相关因素的相对重要性。
在接受调查的年轻女性中，46%的人在某个时候曾遭受性暴力，31%的人在过去12个月内遭受过性暴力。研究发现，女性的自主权在个人和社区层面都特别有助于预防性暴力。未发现女性的教育水平具有保护作用，而丈夫的教育水平则具有高度保护作用。
本研究发现丈夫对年轻女性性暴力的高发生率令人严重关切，强调政策制定者需要做出全面回应。
