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印度少女经历基于性别的暴力及其对抑郁症状的影响:来自 UDAYA 调查的证据。

Experience of gender-based violence and its effect on depressive symptoms among Indian adolescent girls: Evidence from UDAYA survey.

机构信息

Department of Public Health and Mortality Studies, International Institute for Population Sciences, Mumbai, India.

International Institute for Population Sciences, Mumbai, India.

出版信息

PLoS One. 2021 Mar 25;16(3):e0248396. doi: 10.1371/journal.pone.0248396. eCollection 2021.

Abstract

BACKGROUND

Violence against women has been one of the most prominent issue and a major public health concern. It is a principle violation of basic human rights and has both physical and mental effect on the victim. This study focuses on married and unmarried girls aged 15 to 19 years, belonging to Uttar Pradesh and Bihar, India. This study attempts to examine depression level among married and unmarried girls who have faced violence against them. With the unprecedented growth in social networking, online digital platform and its accessibility, the study also brings out the pertinent aspect of internet based violence and its psychological outcome on adolescent girls. Hence, the study can be seen as an important and needed value addition to the existing pool of knowledge on the subject.

METHODS

The study uses Understanding the lives of adolescents and young adults (UDAYA) project data for Uttar Pradesh and Bihar. Depressive symptoms among adolescent girl is the outcome variable of the study. Descriptive statistic and bivariate analysis has been used to get to preliminary results. Chi-squared test is used to test the significant of variables. Further, multi-variate analysis (logistic regression) was used.

RESULTS

Almost 29, 23 and 26 percent of married adolescent girls had faced emotional, physical and sexual violence respectively. It was found that about five per cent of unmarried and eight per cent of married girls had high depressive symptoms. It was found that unmarried adolescent girls who had witnessed their father beating mother were 71 percent more likely to suffer from higher depressive symptoms [OR: 1.71, 1.09-2.69]. Adolescents who faced perpetrated bullying had 90 per cent [OR: 1.90, 1.32-2.72] and 86 per cent [OR: 1.86, 0.98-3.52] higher likelihood to suffer from higher depressive symptoms.

CONCLUSION

The study goes beyond intimate partner violence and includes various covariates to explain the association between violence and depressive symptoms among married and unmarried adolescents. Hence, more inclusive policies are needed to address the issue of violence against women as the spectrum of the violence is expanding with time.

摘要

背景

针对妇女的暴力行为一直是一个突出的问题,也是一个主要的公共卫生关注点。这是对基本人权的严重侵犯,会对受害者造成身体和心理上的伤害。本研究关注的是印度北方邦和比哈尔邦 15 至 19 岁的已婚和未婚女孩。本研究试图调查遭受暴力侵害的已婚和未婚女孩的抑郁程度。随着社交网络、在线数字平台及其可及性的空前增长,本研究还揭示了互联网暴力及其对青少年女孩心理影响的相关方面。因此,这项研究可以被视为对现有相关知识的重要和必要的补充。

方法

本研究使用北方邦和比哈尔邦的“了解青少年和年轻人的生活”(UDAYA)项目数据。研究的因变量是青少年女孩的抑郁症状。本研究采用描述性统计和双变量分析来获得初步结果。卡方检验用于检验变量的显著性。此外,还使用了多变量分析(逻辑回归)。

结果

将近 29%、23%和 26%的已婚少女分别遭受过情感、身体和性暴力。研究发现,约 5%的未婚少女和 8%的已婚少女有较高的抑郁症状。研究发现,目睹父亲殴打母亲的未婚少女患严重抑郁的可能性高出 71%[比值比:1.71,95%置信区间:1.09-2.69]。遭受欺凌的少女患严重抑郁的可能性高出 90%[比值比:1.90,95%置信区间:1.32-2.72]和 86%[比值比:1.86,95%置信区间:0.98-3.52]。

结论

本研究超越了亲密伴侣暴力,纳入了各种协变量来解释已婚和未婚青少年中暴力与抑郁症状之间的关联。因此,需要制定更具包容性的政策来解决针对妇女的暴力问题,因为随着时间的推移,暴力的范围正在扩大。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f24e/7993765/4a8e9d7ca50c/pone.0248396.g001.jpg

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