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加纳失聪青少年中的性暴力受害情况:一项基于多所学校的横断面研究。

Sexual violence victimisation among deaf adolescents: A multi-school-based cross-sectional study from Ghana.

作者信息

Quarshie Emmanuel Nii-Boye, Fobi Daniel, Honu-Mensah Cyril Mawuli, Appiah Emma Eyison, Obeng Ethel, Bokpin Irene Nyarkoah, Mapaling Curwyn, Asante Kwaku Oppong

机构信息

Division of Psychological and Social Medicine, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK; Department of Psychology, University of Ghana, Accra, Ghana; Department of Psychology, University of Johannesburg, Johannesburg, South Africa.

Department of Special Education, University of Education, Winneba, Ghana.

出版信息

Disabil Health J. 2025 Jul;18(3):101812. doi: 10.1016/j.dhjo.2025.101812. Epub 2025 Feb 14.

Abstract

BACKGROUND

Deaf adolescents and other young people with sensory disabilities are at elevated risk of sexual violence victimisation. However, there is scant published evidence on the epidemiology of sexual violence victimisation among deaf adolescents from African countries, including Ghana.

OBJECTIVE

To describe the 12-month prevalence and associated factors of sexual violence victimisation among school-going deaf adolescents in Ghana.

METHODS

This is a cross-sectional self-report survey involving a nationally representative sample of 422 school-going deaf adolescents. Multivariable logistic regression was used to examine the sociodemographic, personal-level, family-related, school-based, and interpersonal-level factors associated with sexual violence victimisation.

RESULTS

The 12-month prevalence estimate of sexual violence victimisation was 17.4% (95% confidence interval [CI] = 14.0-21.3%). Comparable estimates were found between females (16.6%; 95%CI = 11.3-23.0%) and males (17.9%; 95%CI = 13.6-23.0%). Deaf adolescents from polygynous families, those who did paid work, those having a single-parent caretaker, those whose primary caretakers were unemployed, and those in romantic relationships were at increased odds of sexual violence victimisation. Family-related factors such as parental divorce, and conflict with parents were also associated with increased odds of sexual violence victimisation. No (putative protective) factors were identified to be associated with reduced odds of sexual violence victimisation.

CONCLUSIONS

The prevalence estimates and associated factors of sexual violence victimisation among school-going deaf adolescents in the current study are comparable to what is known about in-school hearing adolescents in Ghana. The evidence highlights the need to strengthen preventive efforts against the offence in both deaf and hearing adolescents.

摘要

背景

失聪青少年及其他有感官残疾的年轻人遭受性暴力侵害的风险较高。然而,关于包括加纳在内的非洲国家失聪青少年性暴力侵害流行病学的公开证据很少。

目的

描述加纳在校失聪青少年中遭受性暴力侵害的12个月患病率及相关因素。

方法

这是一项横断面自我报告调查,涉及422名具有全国代表性的在校失聪青少年样本。采用多变量逻辑回归分析社会人口学、个人层面、家庭相关、学校层面和人际层面与性暴力侵害相关的因素。

结果

性暴力侵害的12个月患病率估计为17.4%(95%置信区间[CI]=14.0-21.3%)。女性(16.6%;95%CI=11.3-23.0%)和男性(17.9%;95%CI=13.6-23.0%)的患病率估计相当。来自多配偶家庭的失聪青少年、从事有偿工作的青少年、由单亲照顾的青少年、主要照顾者失业的青少年以及处于恋爱关系中的青少年遭受性暴力侵害的几率更高。与父母离婚和与父母发生冲突等家庭相关因素也与性暴力侵害几率增加有关。未发现(假定的保护)因素与性暴力侵害几率降低有关。

结论

本研究中在校失聪青少年性暴力侵害的患病率估计及相关因素与加纳在校听力正常青少年的已知情况相当。证据表明,有必要加强针对失聪和听力正常青少年性暴力犯罪的预防工作。

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