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刚果民主共和国北基伍省的残疾状况与家庭暴力。

Disability status and violence against women in the home in North Kivu, Democratic Republic of Congo.

机构信息

International Rescue Committee, Washington, DC, USA.

Department of Global and Community Health, College of Health and Human Services, George Mason University, Fairfax, VA, USA.

出版信息

Glob Public Health. 2020 Jul;15(7):985-998. doi: 10.1080/17441692.2020.1741661. Epub 2020 Mar 16.

DOI:10.1080/17441692.2020.1741661
PMID:32178567
Abstract

Few studies have investigated how women's disability status may influence violence against women within conflict settings. A mixed-methods analysis of formative qualitative research and cross-sectional baseline pilot data from a violence prevention program in North Kivu, eastern Democratic Republic of Congo (DRC), was used to examine violence against disabled adult women within the home. Logistic regression models were constructed to examine the relationship between past-month physical/sexual intimate partner violence, disability status, and older age ( = 98 women). Deductive thematic analysis of focus groups and individual interviews ( = 57 men, 59 women) was used to identify community norms and perceptions of violence against women with disabilities in the home. Women who reported mild disability reported higher experiences of past-month physical and/or sexual IPV (85.0%) compared to those who reported severe or no disability (76.5% vs. 70.8%, respectively). Older women with mild disability were more likely to report physical IPV compared to their younger counterparts as well (OR = 1.23, 95%CI: 1.01, 1.49,  < 0.039). Qualitative findings suggested family members may be deterred from perpetrating abuse against older women. These findings highlight a complex relationship between women's disability status and violence perpetration, underscoring the importance of having inclusive, contextual violence against women prevention and response programming in conflict settings.

摘要

很少有研究调查妇女的残疾状况如何可能影响冲突环境中的暴力侵害妇女行为。本研究采用刚果民主共和国(DRC)北基伍省一项暴力预防计划的形成性定性研究和横断面基线试点数据的混合方法分析,来检验家庭内残疾成年妇女遭受暴力的情况。构建逻辑回归模型来检验过去一个月身体/性亲密伴侣暴力、残疾状况和年龄较大( = 98 名妇女)之间的关系。对焦点小组和个人访谈( = 57 名男性,59 名女性)进行演绎主题分析,以确定社区规范和对家庭内残疾妇女暴力行为的看法。与报告严重或无残疾的妇女(分别为 76.5%和 70.8%)相比,报告轻度残疾的妇女报告过去一个月身体和/或性亲密伴侣暴力的经历更高(85.0%)。与年轻的轻度残疾女性相比,轻度残疾的老年女性更有可能报告身体暴力(OR = 1.23,95%CI:1.01,1.49, < 0.039)。定性研究结果表明,家庭成员可能会阻止对老年妇女实施虐待。这些发现突出了妇女残疾状况与暴力侵害之间的复杂关系,强调了在冲突环境中进行包容和有针对性的暴力侵害妇女预防和应对规划的重要性。

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