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埃塞俄比亚北沃洛科博镇武装冲突期间女高中生基于性别的暴力行为及其相关因素:一项基于机构的横断面研究。

Gender-based violence and associated factors during armed conflict among female high school students in Kobo town, North Wollo, Ethiopia: a facility-based cross-sectional study.

作者信息

Andargie Gezahegn Aychew, Amlak Baye Tsegaye, Alamneh Genet Degu, Aycheh Moges Wubie

机构信息

Department of Midwifery, St. Petiros Hospital, Addis Ababa, Ethiopia.

Department of Nursing, Debre Markos University, Debre Markos, Ethiopia

出版信息

BMJ Open. 2025 Jan 6;15(1):e089495. doi: 10.1136/bmjopen-2024-089495.

Abstract

OBJECTIVE

This study aimed to assess gender-based violence and associated factors during the time of armed conflict among female high school students in Kobo administration town, North Wollo, Ethiopia.

STUDY DESIGN

An institutional-based, quantitative and cross-sectional study was conducted.

SETTING

This research was carried out in Kobo town, North Wollo, Ethiopia high schools.

STUDY PARTICIPANTS

This study was conducted among 422 female high school students in Kobo administration town at time of armed conflict from May 20 to 5 June 2022.

OUTCOME MEASURES

Gender-based violence (GBV) was assessed using a self-administered questionnaire. Data were entered in Epidemiological data (EPI-Data) V.3.1 and exported to SPSS V.25 for analysis. A binary logistic regression model was used to identify significant factors associated with GBV.

RESULTS

The magnitude of GBV among female high school students at Kobo town during armed conflict was 45%, with 95% CI 40.2% to 49.8%. Students with poor current academic performance (Adjusted Odds Ratio (AOR)=3.001; 95% CI 1.335 to 6.750), students with a family member who participated in conflict (AOR=1.809; 95% CI 1.135 to 2.882), students with a family member who was subjected to conflict (AOR=1.954; 95% CI 1.164 to 3.281), students who drank alcohol (AOR=8.158; 95% CI 4.325 to 15.386) and students who did not freely disclosing reproductive health issues (AOR=3.267; 95% CI 1.509 to 7.075) were more likely to suffer GBV.

CONCLUSIONS

The magnitude of GBV during the armed conflict was high. Variables such as poor academic performance, family members who participated in the war, family members subjected to the war, students who drank alcohol and not freely discussing reproductive health issues were statistically associated with GBV. It is recommended to put in place programmes that address factors such as academic challenges, alcohol use, family trauma and the need for open discussions on reproductive health to help to reduce GBV.

摘要

目的

本研究旨在评估埃塞俄比亚北沃洛科博行政镇武装冲突期间女高中生的性别暴力及相关因素。

研究设计

开展了一项基于机构的定量横断面研究。

研究地点

本研究在埃塞俄比亚北沃洛科博镇的高中进行。

研究参与者

本研究于2022年5月20日至6月5日武装冲突期间,在科博行政镇的422名女高中生中开展。

观察指标

使用自填式问卷评估性别暴力(GBV)。数据录入流行病学数据(EPI-Data)V.3.1,并导出至SPSS V.25进行分析。采用二元逻辑回归模型确定与性别暴力相关的显著因素。

结果

武装冲突期间,科博镇女高中生中性别暴力的发生率为45%,95%置信区间为40.2%至49.8%。当前学业成绩差的学生(调整优势比(AOR)=3.001;95%置信区间1.335至6.750)、有家庭成员参与冲突的学生(AOR=1.809;95%置信区间1.135至2.882)、有家庭成员遭受冲突影响的学生(AOR=1.954;95%置信区间1.164至3.281)、饮酒的学生(AOR=8.158;95%置信区间4.325至15.386)以及不自由披露生殖健康问题的学生(AOR=3.267;95%置信区间1.509至7.075)更有可能遭受性别暴力。

结论

武装冲突期间性别暴力的发生率很高。学业成绩差、家庭成员参与战争、家庭成员遭受战争影响、饮酒以及不自由讨论生殖健康问题等变量与性别暴力在统计学上相关。建议制定相关方案,解决学业挑战、饮酒、家庭创伤以及公开讨论生殖健康需求等因素,以帮助减少性别暴力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dce2/11749749/37a750cd61f2/bmjopen-15-1-g001.jpg

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