Ipekten Alaman Mehtap, Yıldız Hatice
a Obstetrics and Gynecology Clinic, Turgut Ozal Medical Center , Inonu University , Malatya , Turkey.
Women Health. 2014;54(5):439-54. doi: 10.1080/03630242.2014.897674.
Domestic violence is a universal problem, and sexual violence in marriage, in particular, is a hidden form of it. This descriptive, cross-sectional study was conducted to determine to the prevalence of domestic sexual violence by husbands, the prevalence of sexual problems, and the relation of these among married women attending a gynecology outpatient clinic. This study was performed in a university hospital in Turkey and data were collected February-April 2009. The study sample consisted of 200 married women, 53% of whom reported having been exposed to at least one type of domestic sexual violence behaviors by their husbands. Among those behaviors, the rate of marital rape was 33%. The frequency of experiencing any sexual problem was 82%. Women expressed that they mostly had orgasmic problems, and their husbands had premature ejaculation problems. The majority of women who reported sexual violence reported experiencing sexual problems; the frequency of sexual problems was higher in the participants who did (94.3%) than in those who did not report (68.1%) sexual violence (p < .001). Bad sexual harmony (Odds ratio [OR] = 13.50, 95% confidence interval [CI] = 3.87-47.01) and experiencing sexual problems (OR = 12.67, 95% CI = 3.78-42.35) were strongly related to sexual violence in marriage. The results also revealed that the prevalence of sexual violence and sexual problems among those married women who attended gynecology clinics was considerable, even though they did not report this to the health care provider as a problem.
家庭暴力是一个全球性问题，尤其是婚姻中的性暴力，是其一种隐蔽形式。本描述性横断面研究旨在确定在妇科门诊就诊的已婚女性中，丈夫实施家庭性暴力的发生率、性问题的发生率以及二者之间的关系。本研究在土耳其一家大学医院进行，于2009年2月至4月收集数据。研究样本包括200名已婚女性，其中53%报告曾遭受丈夫至少一种形式的家庭性暴力行为。在这些行为中，婚内强奸率为33%。经历任何性问题的频率为82%。女性表示她们大多存在性高潮问题，而她们的丈夫存在早泄问题。报告遭受性暴力的大多数女性也报告存在性问题；报告性暴力的参与者（94.3%）中性问题的频率高于未报告性暴力的参与者（68.1%）（p <.001）。不良的性和谐（优势比[OR]=13.50，95%置信区间[CI]=3.87 - 47.01）和经历性问题（OR = 12.67，95% CI = 3.78 - 42.35）与婚姻中的性暴力密切相关。结果还显示，尽管这些在妇科诊所就诊的已婚女性未将性暴力和性问题作为问题向医疗服务提供者报告，但此类情况的发生率相当高。
