Kidie Atitegeb Abera, Masresha Seteamlak Adane, Ayal Birtukan Gizachew, Mekuria Kindie, Kodo Tsion Kokeb, Boye Abayneh Tunta, Tiruneh Misganaw Guadie, Bizuneh Fassikaw Kebede, Fenta Eneyew Talie
Department of Public Health, College of Health Science, Woldia University, Woldia, Ethiopia.
Department of Nursing, College of Health Science, Woldia University, Woldia, Ethiopia.
Front Glob Womens Health. 2025 Jan 7;5:1340038. doi: 10.3389/fgwh.2024.1340038. eCollection 2024.
Violence against women is both a human rights violation and a significant reproductive health issue, causing substantial morbidity. It's a pervasive global public health concern, particularly prevalent in developing regions like sub-Saharan Africa. Ethiopia faces this issue extensively despite its preventable nature, persisting as a significant challenge within the country.
The study aimed to identify the extent and factors associated with sexual violence among women, children, and adolescent girls during the 2022 armed conflict in Northern Ethiopia.
A community-based cross-sectional study combined quantitative and phenomenological methods. We used multistage and snowball sampling, involving 574 individuals along with 10 in-depth interviews and 3 focus group discussions (FGDs). Statistical analysis relied on Stata version 16 and open code version 4.03. Quantitative analysis employed multivariable binary logistic regression, while qualitative data underwent thematic analysis.
The study found a 9.76% prevalence of sexual violence, with 2.4% experiencing rape during the conflict. Prostitutes faced a fourfold increased risk (AOR: 4.2, 95% CI: 1.3, 10.9). Living in areas with attacks raised the risk 2.7 times (AOR: 2.7, 95% CI: 1.1, 6.2), and a monthly income of 2,001-4,000 ETB increased it 2.5 times (AOR: 2.5, 95% CI: 1.1, 5.7). The impacts included psychosocial effects, stigma, and fear of humiliation, divorce, and displacement.
Approximately one in ten women experienced sexual violence during the conflict. Factors such as being a prostitute, having a lower income, and living in attacked villages were significant predictors of this violence. The main impacts included psychosocial effects, external blame, and stigma, fear of humiliation, divorce, and displacement.
对妇女的暴力行为既是对人权的侵犯，也是一个重大的生殖健康问题，会导致大量发病情况。这是一个普遍存在的全球公共卫生问题，在撒哈拉以南非洲等发展中地区尤为普遍。尽管埃塞俄比亚的这一问题具有可预防性，但仍广泛存在，一直是该国的一项重大挑战。
该研究旨在确定2022年埃塞俄比亚北部武装冲突期间妇女、儿童和少女遭受性暴力的程度及相关因素。
一项基于社区的横断面研究结合了定量和现象学方法。我们采用多阶段和滚雪球抽样，涉及574人，同时进行了10次深入访谈和3次焦点小组讨论（FGD）。统计分析使用Stata 16版本和开放代码4.03版本。定量分析采用多变量二元逻辑回归，而定性数据则进行了主题分析。
研究发现性暴力的患病率为9.76%，冲突期间有2.4%的人遭受强奸。妓女面临的风险增加了四倍（调整后比值比：4.2，95%置信区间：1.3，10.9）。生活在遭受袭击地区的风险增加了2.7倍（调整后比值比：2.7，95%置信区间：1.1，6.2），月收入在2001-4000埃塞俄比亚比尔之间的风险增加了2.5倍（调整后比值比：2.5，95%置信区间：1.1，5.7）。影响包括心理社会影响、耻辱感以及对羞辱、离婚和流离失所的恐惧。
在冲突期间，约十分之一的妇女遭受了性暴力。诸如身为妓女、收入较低以及生活在遭受袭击的村庄等因素是这种暴力行为的重要预测因素。主要影响包括心理社会影响、外界指责和耻辱感、对羞辱、离婚和流离失所的恐惧。
