Belay Eyob Asefa, Deressa Beshea Gelana
Department of Obstetrics and Gynecology, Jimma University, Jimma, Ethiopia.
Department of Health Policy and Management, Jimma University, Jimma, Ethiopia.
Adolesc Health Med Ther. 2021 Oct 29;12:91-98. doi: 10.2147/AHMT.S331843. eCollection 2021.
Rape is one of the sexual violence acts against women globally. Adolescent girls are vulnerable to this event and experience more severe and long-standing adverse effects. Thus, this study aimed to examine major depressive symptoms and associated factors and the level of sexually transmitted infection among female adolescents evaluated for rape cases at Jimma Medical Center.
Institutional-based cross-sectional study was conducted among adolescent girls assessed for rape cases in Jimma Medical Center. Data were collected using structured questionnaire and entered into Epi Data version 3.1 then exported to SPSS version 21.0 for analysis. Descriptive statistics and regression analyses were carried out.
A total of 174 raped adolescent females took part in the study. Of the total participants, 155 (89.1%) of these individuals had major depressive symptoms (95 CI %, 84.5-93.7%), while 85 (48.9%) of them had an STI (95% CI, 41.1-56.9%). From logistic regression, place of residence (AOR 14.65, 95%, (p=0.002)), attending school currently (AOR 9.01, 95%, p=0.004), raped by hitting (AOR 17.67, 95%, p<0.001) and unwanted pregnancy (AOR 14.68, 95%, p=0.001) were the variables associated with major depression.
This study indicates that adolescents were suffering from several encumbrances like major depressive symptoms, sexually transmitted diseases and unwanted pregnancy. It also indicated that place of residence, school attending, and unwanted pregnancy had an association with major depressive symptoms. Therefore, the need for a comprehensive approach while treating this vulnerable group is highly recommended.
强奸是全球范围内针对女性的性暴力行为之一。青春期女孩易遭受此类事件，且会经历更严重、更持久的不良影响。因此，本研究旨在调查在吉马医疗中心接受强奸案件评估的女性青少年中的重度抑郁症状及相关因素，以及性传播感染水平。
在吉马医疗中心对接受强奸案件评估的青春期女孩中开展基于机构的横断面研究。使用结构化问卷收集数据，并录入Epi Data 3.1版本，然后导出至SPSS 21.0版本进行分析。进行描述性统计和回归分析。
共有174名遭受强奸的青春期女性参与了本研究。在所有参与者中，其中155人（89.1%）有重度抑郁症状（95%置信区间，84.5 - 93.7%），而其中85人（48.9%）患有性传播感染（95%置信区间，41.1 - 56.9%）。从逻辑回归分析来看，居住地点（优势比14.65，95%，（p = 0.002））、当前上学情况（优势比9.01，95%，p = 0.004）、被殴打强奸（优势比17.67，95%，p < 0.001）和意外怀孕（优势比14.68，95%，p = 0.001）是与重度抑郁相关的变量。
本研究表明，青少年正遭受诸如重度抑郁症状、性传播疾病和意外怀孕等多种困扰。研究还表明，居住地点、上学情况和意外怀孕与重度抑郁症状有关。因此，强烈建议在治疗这一弱势群体时采取综合方法。
