Gibbs Andrew, Reddy Tarylee, Khanyile David, Cawood Cherie
Gender and Health Research Unit, South African Medical Research Council, Durban, South Africa.
Centre for Rural Health, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa.
Glob Public Health. 2021 Apr;16(4):590-596. doi: 10.1080/17441692.2020.1813787. Epub 2020 Sep 8.
Inadequate toilet facilities may increase women's risk of experiencing non-partner sexual violence. We sought to assess the association between young (18-24 year-olds) women's access to toilets and past year non-partner rape experience, in deprived communities in South Africa. Data came from cross-sectional, population-based survey from poor communities from four health districts in two provinces, namely, City of Johannesburg, and Ekurhuleni in Gauteng, and eThekwini and uMgungundlovu, in KwaZulu-Natal. Descriptive, unadjusted and adjusted associations, were estimated in STATA/IC16, accounting for study design. In total, 10,635 young women provided data on toilet access. Past year non-partner rape prevalence was 5.7%. In adjusted analyses, those reporting a shared toilet were more likely to report past year experience of non-partner rape (adjusted odds ratio: 1.45, 95% confidence intervals [1.17, 1.80]), compared to those with their own toilet indoors. Improving access to private, secure toilets is an important component for the prevention of non-partner sexual violence.
卫生设施不足可能会增加女性遭受非伴侣性暴力的风险。我们试图评估南非贫困社区中年轻（18至24岁）女性使用厕所的情况与过去一年中非伴侣强奸经历之间的关联。数据来自对两个省份四个卫生区贫困社区的横断面人口调查，这两个省份分别是豪登省的约翰内斯堡市和伊库伦尼市，以及夸祖鲁-纳塔尔省的德班市和乌姆贡古德洛武区。在考虑研究设计的情况下，在STATA/IC16软件中估计了描述性、未调整和调整后的关联。共有10635名年轻女性提供了有关使用厕所情况的数据。过去一年中非伴侣强奸的患病率为5.7%。在调整分析中，与室内有自己厕所的女性相比，那些报告使用共用厕所的女性更有可能报告过去一年中非伴侣强奸的经历（调整后的优势比：1.45，95%置信区间[1.17, 1.80]）。改善获得私密、安全厕所的机会是预防非伴侣性暴力的一个重要组成部分。
