埃塞俄比亚锡达马中地区州生殖年龄段残疾女性中的性暴力及其相关因素：一项多层次分析。
Sexual violence and associated factors among reproductive-age females with disabilities in central Sidama National Regional State, Ethiopia: a multilevel analysis.
机构信息
Department of Midwifery, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
School of Public Health, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
出版信息
BMC Womens Health. 2023 Jul 4;23(1):353. doi: 10.1186/s12905-023-02505-x.
BACKGROUND
Sexual violence is one of the most common problems in reproductive health that causes different traumatic events that lead to mental, social, and physical problems. Females with disabilities are subjected to more traumatic events and consequences. In Ethiopia, there are limited evidences about the prevalence and associated factors of sexual violence among reproductive-aged females with disabilities. Therefore, this study aimed to assess the prevalence and associated factors of sexual violence among females with disabilities in reproductive-age in central Sidama National Regional State, Ethiopia.
METHODS
A multistage sampling technique was used to select 645 reproductive-age females with disabilities. Initially, three districts were purposefully selected, from which 30 kebeles and study participants were selected randomly from June 20 to July 15, 2022. A face-to-face interviewing technique was used to collect the data. The data were analyzed using a multilevel logistic regression analysis model. The measures of associations were reported using the adjusted odds ratio (AOR) and its 95% confidence interval (CI).
RESULTS
The prevalence of sexual violence among reproductive-age females with disabilities was 59.8% (95% CI: 56, 63.56). Residing in an urban setting (AOR = 0.51; 95% CI: 0.29, 0.88), being an adult (25 to 34 years old) (AOR = 5.9; CI: 3.01, 11.6), being an adult (35 to 49 years old) (AOR = 3.47; CI: 1.48, 8.14), having no sexuality information (AOR = 11.3; CI: 6.24, 20.5), and having hearing disabilities (AOR = 3.19; CI: 1.49, 6.83) were factors associated with sexual violence.
CONCLUSIONS
Sexual violence among reproductive-age females with disabilities is noticeably high. Place of residence, sexual orientation, age, and disability type were all factors associated with sexual violence. Therefore, providing sexuality education, giving high attention (information and education about sexuality) to rural residents, and considering females with hearing disabilities are important to minimize sexual violence among reproductive-age females with disabilities.
背景
性暴力是生殖健康中最常见的问题之一，它会导致不同的创伤事件，从而导致心理、社会和身体问题。残疾女性遭受更多的创伤事件和后果。在埃塞俄比亚，关于生殖年龄残疾女性中性暴力的流行率和相关因素的证据有限。因此，本研究旨在评估埃塞俄比亚中央锡达马州生殖年龄残疾女性中性暴力的流行率和相关因素。
方法
采用多阶段抽样技术选择 645 名生殖年龄残疾女性。最初，有目的的选择了三个区，从中随机选择了 30 个 kebeles 和研究参与者，时间是 2022 年 6 月 20 日至 7 月 15 日。采用面对面访谈技术收集数据。使用多水平逻辑回归分析模型分析数据。关联措施采用调整后的优势比（AOR）及其 95%置信区间（CI）报告。
结果
生殖年龄残疾女性中性暴力的流行率为 59.8%（95%CI：56，63.56）。居住在城市地区（AOR=0.51；95%CI：0.29，0.88）、成年人（25 至 34 岁）（AOR=5.9；CI：3.01，11.6）、成年人（35 至 49 岁）（AOR=3.47；CI：1.48，8.14）、没有性信息（AOR=11.3；CI：6.24，20.5）和听力残疾（AOR=3.19；CI：1.49，6.83）是与性暴力相关的因素。
结论
生殖年龄残疾女性中的性暴力发生率明显较高。居住地、性取向、年龄和残疾类型都是与性暴力相关的因素。因此，提供性教育、高度关注（性信息和教育）农村居民以及考虑听力残疾女性对于减少生殖年龄残疾女性中的性暴力至关重要。
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