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埃塞俄比亚高等教育机构女学生中基于性别的暴力行为的程度及决定因素:一项系统综述和荟萃分析

Magnitude and determinants of gender-based violence among female students in Ethiopian higher educational institutions: a systematic review and meta-analysis.

作者信息

Tadesse Gebresilassie, Tinsae Techilo, Nakie Girum, Rtbey Gidey, Andualem Fantahun, Kelebie Mulualem, Kibralew Getasew, Tadesse Abate Asnake, Shumet Shegaye, Melkam Mamaru, Fentahun Setegn

机构信息

Department of Psychiatry, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Department of Neonatal Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

出版信息

Front Psychiatry. 2024 Aug 22;15:1387032. doi: 10.3389/fpsyt.2024.1387032. eCollection 2024.

DOI:10.3389/fpsyt.2024.1387032
PMID:39238935
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11374738/
Abstract

BACKGROUND

Many adolescents are vulnerable to gender-based violence, and it is a major public health issue. Even though the burden of gender-based violence is still high in Ethiopia, there is a lack of summary information to address the problem. Therefore, this study aimed to assess the pooled magnitude and factors associated with gender-based violence among female students in Ethiopian higher educational institutions.

METHODS

The primary articles were searched using databases like PubMed, Google Scholar, CINAHL, SCOPUS, EMBASE, and African Journal Online. Articles that assessed the magnitude and factors associated with GBV among female students in Ethiopia were included. A Microsoft Excel spreadsheet was used to extract the data, which was then exported to Stata version 14 for further analysis. The statistical heterogeneity was evaluated using the I test. Due to heterogeneity, a random effect meta-analysis model was employed. Publication bias was checked through Egger's weighted regression test and funnel plot.

RESULTS

This study included twenty-five primary studies with 13,013 participants. The prevalence of lifetime GBV (n = 7), sexual violence (n = 25), and physical violence (n = 7) was found to be 51.42% (42.38, 60.46), 46.53% (39.86, 53.21), and 37.93% (24.68, 51.18), respectively. Witnessing their mother's abuse by their father during childhood, a lack of open discussion in the family about reproductive health and related personal issues, alcohol consumption, and tight family control were some of the factors significantly associated with lifetime gender-based violence. Furthermore, those who had drunken friends, a regular boyfriend, multiple sexual partners, and chat chewing were factors significantly associated with lifetime sexual violence.

CONCLUSIONS AND RECOMMENDATIONS

Our findings revealed that half of female students at higher institutions suffered from violence. So it is recommended to provide accessible information about the consequences of GBV and early intervention for students with the above factors.

SYSTEMATIC REVIEW REGISTRATION

https://www.crd.york.ac.uk/prospero/#recordDetails, identifier CRD42023494760.

摘要

背景

许多青少年易遭受基于性别的暴力,这是一个重大的公共卫生问题。尽管埃塞俄比亚基于性别的暴力负担仍然很高,但缺乏解决该问题的汇总信息。因此,本研究旨在评估埃塞俄比亚高等教育机构中女学生基于性别的暴力的综合程度及其相关因素。

方法

使用PubMed、谷歌学术、CINAHL、SCOPUS、EMBASE和非洲期刊在线等数据库搜索原始文章。纳入评估埃塞俄比亚女学生中基于性别的暴力的程度及其相关因素的文章。使用Microsoft Excel电子表格提取数据,然后将其导出到Stata 14版本进行进一步分析。使用I检验评估统计异质性。由于存在异质性,采用随机效应荟萃分析模型。通过Egger加权回归检验和漏斗图检查发表偏倚。

结果

本研究纳入了25项原始研究,共13013名参与者。终生基于性别的暴力(n = 7)、性暴力(n = 25)和身体暴力(n = 7)的患病率分别为51.42%(42.38,60.46)、46.53%(39.86,53.21)和37.93%(24.68,51.18)。童年时期目睹母亲遭受父亲虐待、家庭中缺乏关于生殖健康和相关个人问题的公开讨论、饮酒以及家庭控制严格是与终生基于性别的暴力显著相关的一些因素。此外,有醉酒的朋友、固定男友、多个性伴侣以及嚼恰特草的人是与终生性暴力显著相关的因素。

结论与建议

我们的研究结果显示,高等院校中有一半的女学生遭受过暴力。因此,建议为有上述因素的学生提供关于基于性别的暴力后果的可获取信息并进行早期干预。

系统评价注册

https://www.crd.york.ac.uk/prospero/#recordDetails,标识符CRD42023494760。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4099/11374738/07243042658d/fpsyt-15-1387032-g010.jpg
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