Kamndaya Mphatso, Kazembe Lawrence N, Vearey Jo, Kabiru Caroline W, Thomas Liz
School of Public Health, University of the Witwatersrand, 27 St Andrews Road, Parktown, 2193 Johannesburg, South Africa.
Department of Statistics & Population Studies, University of Namibia, Windhoek, Namibia.
Health Place. 2015 May;33:90-100. doi: 10.1016/j.healthplace.2015.03.001. Epub 2015 Mar 24.
We explore relations among material deprivation (measured by insufficient housing, food insecurity and poor healthcare access), socio-economic status (employment, income and education) and coercive sex. A binary logistic multi-level model is used in the estimation of data from a survey of 1071 young people aged 18-23 years, undertaken between June and July 2013, in the urban slums of Blantyre, Malawi. For young men, unemployment was associated with coercive sex (odds ratio [OR]=1.77, 95% confidence interval [CI]: 1.09-3.21) while material deprivation (OR=1.34, 95% CI: 0.75-2.39) was not. Young women in materially deprived households were more likely to report coercive sex (OR=1.37, 95% CI: 1.07-2.22) than in non-materially deprived households. Analysis of local indicators of deprivation is critical to inform the development of effective strategies to reduce coercive sex in urban slums in Malawi.
我们探究了物质匮乏（以住房不足、粮食不安全和医疗服务获取困难来衡量）、社会经济地位（就业、收入和教育）与强迫性行为之间的关系。我们使用二元逻辑多水平模型对2013年6月至7月间在马拉维布兰太尔城市贫民窟对1071名18至23岁年轻人进行的一项调查数据进行估计。对于年轻男性，失业与强迫性行为相关（比值比[OR]=1.77，95%置信区间[CI]：1.09 - 3.21），而物质匮乏（OR=1.34，95% CI：0.75 - 2.39）则不然。与非物质匮乏家庭的年轻女性相比，物质匮乏家庭的年轻女性更有可能报告遭受强迫性行为（OR=1.37，95% CI：1.07 - 2.22）。对当地匮乏指标进行分析对于制定有效战略以减少马拉维城市贫民窟中的强迫性行为至关重要。
