Global Health and Tropical Medicine, GHTM, Instituto de Higiene e Medicina Tropical, IHMT, Universidade Nova de Lisboa, UNL, Rua da Junqueira 100, 1349-008, Lisbon, Portugal.
International Centre for Reproductive Health, Faculty of Medicine & Health Sciences, Ghent University, Ghent, Belgium.
Global Health. 2018 May 9;14(1):48. doi: 10.1186/s12992-018-0365-6.
Sexual and gender-based violence (SGBV) is a widespread public health problem and a violation of human rights rooted in gender and power inequities. Refugees, asylum-seekers and migrants living in European asylum reception facilities (EARF) are especially vulnerable to SGBV. To contribute to closing the gap on systematic and accurate evidence on SGBV, we aim to explore reported cases of SGBV, causes and preventable measures described by residents and professionals from EARF.
We developed a cross-sectional study using the Senperforto project database. Semi-structured interviews were conducted with residents (refugees, asylum-seekers and unaccompanied minors) and professionals (service and health care providers) at EARF, in 7 European countries. We used IBM® SPSS software to analyze our data. Further, statistical tests - Chi-square Test and Fisher's exact test (5% significance level) were conducted.
In total 562 respondents: 375 residents (R) and 187 professionals (P) participated in the study. The majority of respondents were male (56.9%), aged 19 to 39 years (67.3%). Respondents described 698 cases of SGBV (R 328, P 370), comprising 1110 acts of multi-types of violence. Respondents from Malta (160) and Belgium (143) reported the highest number of SGBV cases. The main reported causes were frustration and stress (R 23.6%, P 37.6%, p 0.008) and differences related with cultural background (R 19.3%, P 20.3%, p 0.884). Respondents assumed that these acts of violence could be prevented by SGBV prevention interventions (R 31.5%, P 24.7%, p 0.293); improving living conditions (R 21.7%, P 15.3%, p 0.232); and promoting communication (R 16.1%, P 28.2%, p 0.042). The majority of R were not aware of existing preventable measures in the asylum facility or host country. While the majority of P were aware of existing preventable measures in the asylum facility or country. Proposed SGBV prevention strategies in EARF included SGBV sensitization and awareness, improving living conditions and improving communication between R and P.
In the EARF context, SGBV is characterized by multi-types of violence acts, yet R and P believe that prevention is possible. Our results call for urgent integrative prevention strategies that are in line with country-level and international regulations.
性暴力和基于性别的暴力(SGBV)是一个普遍存在的公共卫生问题,也是一种侵犯人权的行为,其根源是性别和权力不平等。生活在欧洲庇护所接收设施(EARF)中的难民、寻求庇护者和移民尤其容易遭受 SGBV 的侵害。为了有助于缩小系统和准确证据方面的差距,我们旨在探讨居民和专业人员描述的 SGBV 报告案例、原因和可预防措施。
我们使用 Senperforto 项目数据库开展了一项横断面研究。在 7 个欧洲国家的 EARF 中,对居民(难民、寻求庇护者和无人陪伴的未成年人)和专业人员(服务和医疗保健提供者)进行了半结构化访谈。我们使用 IBM® SPSS 软件分析了我们的数据。此外,还进行了统计检验——卡方检验和 Fisher 确切检验(5%显著性水平)。
共有 562 名受访者参与了研究,其中 375 名居民(R)和 187 名专业人员(P)。大多数受访者为男性(56.9%),年龄在 19 至 39 岁之间(67.3%)。受访者描述了 698 起 SGBV 案件(R 328 例,P 370 例),涉及 1110 起多种类型的暴力行为。来自马耳他(160 例)和比利时(143 例)的受访者报告的 SGBV 案件数量最多。主要报告的原因是挫折和压力(R 23.6%,P 37.6%,p 0.008)和与文化背景相关的差异(R 19.3%,P 20.3%,p 0.884)。受访者认为这些暴力行为可以通过 SGBV 预防干预措施(R 31.5%,P 24.7%,p 0.293);改善生活条件(R 21.7%,P 15.3%,p 0.232);以及促进沟通(R 16.1%,P 28.2%,p 0.042)来预防。大多数 R 不知道庇护所或收容国现有的预防措施。而大多数 P 都知道庇护所或所在国现有的预防措施。EARF 中提出的 SGBV 预防策略包括 SGBV 意识和敏感性、改善生活条件以及改善 R 和 P 之间的沟通。
在 EARF 背景下,SGBV 的特点是多种类型的暴力行为,但 R 和 P 认为预防是可能的。我们的研究结果呼吁紧急采取符合国家和国际法规的综合预防策略。