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Social ecological factors associated with experiencing violence among urban refugee and displaced adolescent girls and young women in informal settlements in Kampala, Uganda: a cross-sectional study.

作者信息

Logie Carmen H, Okumu Moses, Mwima Simon, Hakiza Robert, Irungi Kibathi Peter, Kyambadde Peter, Kironde Emmanuel, Narasimhan Manjulaa

机构信息

1Factor Inwentash Faculty of Social Work, University of Toronto, 246 Bloor Street West, Toronto, ON M5S 1V4 Canada.

2Women's College Research Institute, Women's College Hospital, 76 Grenville St, Toronto, ON M5G 1N8 Canada.

出版信息

Confl Health. 2019 Dec 17;13:60. doi: 10.1186/s13031-019-0242-9. eCollection 2019.


DOI:10.1186/s13031-019-0242-9
PMID:31867053
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6918605/
Abstract

BACKGROUND: Research on violence targeting urban forcibly displaced adolescent girls and young women (AGYW) is limited, particularly regarding polyvictimization (exposure to multiple forms of violence). Yet there is a global trend of refugee urbanization, and urban AGYW are at the nexus of violence disparities among adolescents, forcibly displaced persons, and slum dwellers. This study explored factors associated with young adulthood violence (> 16 years) (YAV) and intimate partner violence (IPV) among forcibly displaced AGYW in Kampala, Uganda. METHODS: We conducted a cross-sectional survey with forcibly displaced AGYW aged 16-24 from five informal settlement (slum) communities across Kampala (Kabalagala, Rubaga, Kansanga, Katwe, Nsambya) using peer network sampling. We assessed YAV (experienced at age 16 or above) (sexual, physical, emotional violence) and recent (past 12-month) IPV (physical, sexual, control violence). We conducted descriptive statistics, followed by multinomial logistic regression analyses to explore social ecological factors (e.g., depression; sexual relationship power, food insecurity) associated with experiencing YAV and YAV polyvictimization, and IPV and IPV polyvictimization. RESULTS: Over half of participants ( = 333; mean age = 19.31; SD = 2.56, range = 16-24) reported YAV ( = 179; 53.7%) and 9.3% ( = 41) reported YAV polyvictimization. Most participants that were in an intimate relationship in the last 12 months ( = 200; 85.8%) reported IPV, among these, 45.5% reported one form of IPV and 54.5% reported IPV polyvictimization. In adjusted analyses, experiencing any YAV was significantly associated with: adolescent sexual and reproductive health (SRH) stigma; sexual relationship power; mobile app usage; depressive symptoms; childhood abuse; and childhood polyvictimization. In adjusted analyses YAV polyvictimization was associated with: depressive symptoms; childhood polyvictimization; sexual relationship power; and food insecurity. Recent IPV polyvictimization in adjusted analyses was associated with owning/using a mobile phone and depressive symptoms. Participants with higher sexual relationship power had lower odds of recent IPV polyvictimization. CONCLUSION: Findings suggest that YAV and IPV polyvictimization require urgent attention among forcibly displaced AGYW in Kampala. Multi-level strategies are required to address e.g. (depression), (e.g. childhood abuse, sexual relationship power) and (e.g. adolescent SRH stigma, food insecurity) factors associated with experiencing violence. Future research can tailor approaches to advance health, agency and human rights among urban forcibly displaced AGYW.

摘要

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[8]
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本文引用的文献

[1]
Exploring associations between adolescent sexual and reproductive health stigma and HIV testing awareness and uptake among urban refugee and displaced youth in Kampala, Uganda.

Sex Reprod Health Matters. 2019-12

[2]
The effects of conflict and displacement on violence against adolescent girls in South Sudan: the case of adolescent girls in the Protection of Civilian sites in Juba.

Sex Reprod Health Matters. 2019-12

[3]
Examining intersections between violence against women and violence against children: perspectives of adolescents and adults in displaced Colombian communities.

Confl Health. 2019-6-11

[4]
An online healthy relationship tool and safety decision aid for women experiencing intimate partner violence (I-DECIDE): a randomised controlled trial.

Lancet Public Health. 2019-6

[5]
More research is needed on digital technologies in violence against women.

Lancet Public Health. 2019-6

[6]
Self care interventions to advance health and wellbeing: a conceptual framework to inform normative guidance.

BMJ. 2019-4-1

[7]
Self care interventions could advance sexual and reproductive health in humanitarian settings.

BMJ. 2019-4-1

[8]
Psychosocial Syndemics and Sexual Risk Practices Among U.S. Adolescents: Findings from the 2017 U.S. Youth Behavioral Survey.

Int J Behav Med. 2019-6

[9]
Child Abuse in Natural Disasters and Conflicts: A Systematic Review.

Trauma Violence Abuse. 2021-1

[10]
The Lancet Commission on global mental health and sustainable development.

Lancet. 2018-10-27

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