Center for Global Health, Department of Public Health, Aarhus University, 8000 Aarhus, Denmark.
Department of Medical Diseases, Gødstrup Regional Hospital, 7400 Herning, Denmark.
Int J Environ Res Public Health. 2023 Jul 10;20(14):6331. doi: 10.3390/ijerph20146331.
Torture victims live with complex health conditions. It is essential for the rehabilitation of torture survivors that their traumas are recognized at an early stage. The aim of this study was to investigate (i) the prevalence of reported torture exposure, (ii) the association between demographic characteristics and exposure to torture, and (iii) the association between PTSD and exposure to torture among recently arrived refugees in Aarhus, Denmark. Data were extracted from health assessments of refugees arriving in Aarhus in the years 2017-2019, and 208 cases were included in the analysis. The prevalence of reported torture was 13.9% (29/208). Most torture victims were found among refugees arriving from Iran (17.0% (9/53)), Syria (9.3% (8/86)), and Afghanistan (25.0% (5/20)). Significant associations were found between reported torture exposure and male gender, Southeast Asian origin, and a diagnosis of PTSD. In the study, 24.5% (24/98) of males and 4.5% (5/110) of females had been subjected to torture. However, it is possible that the prevalence of female torture survivors is underestimated due to the taboos surrounding sexual assaults and fear of stigmatization. Nearly half of the torture victims in the study were diagnosed with PTSD (44.8% (13/29)). The results confirm that torture victims constitute a vulnerable group living with severe consequences, including mental illness such as PTSD. Furthermore, understanding the cultural perspectives of the distress among refugees is crucial in providing appropriate healthcare services. This study highlights the importance of addressing the mental health needs of torture survivors and tailoring interventions toward vulnerable refugee populations.
酷刑受害者患有多种复杂的健康问题。尽早识别酷刑幸存者的创伤对于他们的康复至关重要。本研究旨在调查:(i)报告的酷刑暴露率;(ii)人口统计学特征与酷刑暴露之间的关联;以及(iii)在丹麦奥胡斯最近抵达的难民中,创伤后应激障碍与酷刑暴露之间的关联。数据来自 2017 年至 2019 年期间抵达奥胡斯的难民的健康评估,共纳入 208 例病例进行分析。报告的酷刑发生率为 13.9%(29/208)。大多数酷刑受害者来自伊朗(17.0%(9/53))、叙利亚(9.3%(8/86))和阿富汗(25.0%(5/20))。报告的酷刑暴露与男性性别、东南亚原籍和创伤后应激障碍诊断之间存在显著关联。在研究中,24.5%(24/98)的男性和 4.5%(5/110)的女性遭受过酷刑。然而,由于性侵犯和耻辱感的禁忌,女性酷刑幸存者的比例可能被低估。研究中近一半的酷刑受害者被诊断患有创伤后应激障碍(44.8%(13/29))。研究结果证实,酷刑受害者是一个弱势群体,他们承受着严重的后果,包括创伤后应激障碍等精神疾病。此外,了解难民苦难的文化观点对于提供适当的医疗保健服务至关重要。本研究强调了关注酷刑幸存者的心理健康需求并针对弱势群体难民量身定制干预措施的重要性。