Makerere University School of Public Health, Uganda.
Makerere University School of Public Health, Uganda.
Public Health. 2024 Dec;237:64-70. doi: 10.1016/j.puhe.2024.09.014. Epub 2024 Sep 27.
This study established the prevalence and correlates of Sexual and Gender-Based Violence (SGBV) among adolescents and young adults aged 13-24 in refugee and host communities in Obongi District of Uganda as of June 2022.
The study was cross-sectional and the participants were adolescents (13-19 years) and young adults (20-24 years) in both refugee and host communities.
Using a stratified sampling technique 801 participants were identified in the settlement's five zones and interviewed using a semi-structured questionnaire. The main outcome of interest was the experience of SGBV in previous 12 months and factors associated with it were determined using modified Poisson multivariable regression analysis technique.
Most of the respondents (82.7 %) perceived SGBV occurred in their community and 13.6 % reported that they had experienced it in the previous 12 months. However, less than half (48 %) of those who experienced it reported the incident to the police or other authorities. Factors significantly associated with SGBV were being female (APR = 1.70, 95 % CI: 1.08-2.70), attaining vocational/tertiary education (APR = 2.18, 95 % CI: 1.02-4.69), being married [monogamous marriage (APR = 2.64, 95 % CI: 1.53-4.55), polygamous marriage (APR = 3.58, 95%CI: 1.86-6.89)], and being Ugandan (APR = 2.20, 95 % CI: 1.33-3.63).
The findings highlight a concerning prevalence of SGBV among adolescents and young adults within both refugee and host communities, compounded by substantial under-reporting to authorities. Urgent attention is needed to implement targeted interventions that prioritize the protection of women, married individuals, and Ugandan households in and around settlements, while also providing comprehensive support for survivors. Further research should be conducted to explore the connection between tertiary education and SGBV to inform prevention strategies.
本研究旨在确定截至 2022 年 6 月，乌干达 Obongi 地区难民营和收容社区中 13-24 岁青少年和青年中性暴力和基于性别的暴力（SGBV）的流行率及其相关因素。
该研究为横断面研究，参与者为难民营和收容社区中 13-19 岁的青少年和 20-24 岁的青年。
采用分层抽样技术，在定居点的五个区域确定了 801 名参与者，并使用半结构化问卷对其进行访谈。主要结局是在过去 12 个月中经历 SGBV 的情况，并使用修正后的泊松多变量回归分析技术确定与 SGBV 相关的因素。
大多数受访者（82.7%）认为 SGBV 发生在他们的社区，13.6%报告在过去 12 个月中经历过 SGBV。然而，只有不到一半（48%）的经历过 SGBV 的人向警方或其他当局报告了这一事件。与 SGBV 显著相关的因素是女性（ARR=1.70，95%CI：1.08-2.70）、接受职业/高等教育（ARR=2.18，95%CI：1.02-4.69）、已婚[一夫一妻制婚姻（ARR=2.64，95%CI：1.53-4.55）]、多配偶制婚姻（ARR=3.58，95%CI：1.86-6.89）]和乌干达人（ARR=2.20，95%CI：1.33-3.63）。
研究结果突出表明，难民营和收容社区中的青少年和青年中 SGBV 的流行率令人担忧，而且向当局报告的情况严重不足。需要紧急关注实施有针对性的干预措施，优先保护妇女、已婚人士和乌干达家庭，同时为幸存者提供全面支持。应进一步开展研究，探讨高等教育与 SGBV 之间的关系，以为预防战略提供信息。
