埃塞俄比亚南部阿尔巴明奇祖里亚县高中女生中的儿童性虐待及其相关因素：一项横断面研究

Child Sexual Abuse and Associated Factors Among High School Female Students in Arba Minch Zuria Woreda, Southern Ethiopia: A Cross-Sectional Study.

作者信息

Wada Habtamu Wana, Tesema Kassahun Fikadu, Temesgen Gebremaryam, Dinagde Dagne Deresa

机构信息

Department of Midwifery, Regional College of Health Sciences, Arba Minch, Ethiopia.

Department of Midwifery, College of Health Sciences, Arba Minch University, Arba Minch, Ethiopia.

出版信息

J Obstet Gynaecol India. 2025 Apr;75(Suppl 1):52-61. doi: 10.1007/s13224-024-01986-6. Epub 2024 Apr 6.

DOI:10.1007/s13224-024-01986-6

PMID:40390933

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12085442/

Abstract

BACKGROUND

Child sex abuse is a severe violation of fundamental human rights that has numerous negative consequences, including physical and psychological ones, and is a huge global public health issue. It is a significant public health issue that affects millions of people annually around the world but is the least acknowledged and reported form of violence in Ethiopia against schoolgirls. Thus, this study is very important to provide recent information on the magnitude of sexual abuse and its associated factors.

OBJECTIVE

This study was aimed at assessing the prevalence of lifetime child sexual abuse and associated factors among high school female students in Arba Minch Zuria Woreda (AZW), Southern Ethiopia.

METHODS

An institutional-based cross-sectional study was conducted among 414 randomly selected female high school students in Arba Minch Zuria Woreda between December 20, 2022, and January 20, 2023. A stratified and multi-stage sampling technique was used to select participants from selected high schools. A pretested, self-administered questionnaire was used, and the data were entered using EpiData version 4.6 and analyzed using SPSS (the Statistical Package for Social Science) version 27. Bivariate and multivariate analyses were carried out to identify factors associated with sexual abuse using binary logistic regression. Statistical significance was set at a -value of less than 0.05.

RESULT

In this study area, prevalence of child sexual abuse was 45% (95% CI 40.6-50.2). Students who slept alone at home (AOR = 4.93, 95% CI 1.46-16.67); having no open discussions with their parents (AOR = 4.49, 95% CI 1.62-12.47); drinking alcohol (AOR = 3.3, 95% CI: 1.32-8.28); and having friends who drink alcohol or chew chat (AOR = 6.14, 95% CI 1.58-23.9) were the identified factors associated with child sexual abuse.

CONCLUSION

This study found a high level of child sexual abuse among high school female students in Arba Minch Zuria Woreda. High schools must collaborate with parents to develop a strategy to reduce sexual abuse acting against human rights, focusing on identified factors.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s13224-024-01986-6.

摘要

背景

儿童性虐待是对基本人权的严重侵犯，会产生诸多负面后果，包括身体和心理方面的，是一个重大的全球公共卫生问题。它是一个重要的公共卫生问题，每年影响着全球数百万人，但在埃塞俄比亚却是针对女学生最少被承认和报告的暴力形式。因此，本研究对于提供有关性虐待程度及其相关因素的最新信息非常重要。

目的

本研究旨在评估埃塞俄比亚南部阿尔巴明奇祖里亚县（AZW）高中女生一生中遭受儿童性虐待的患病率及其相关因素。

方法

于2022年12月20日至2023年1月20日期间，在阿尔巴明奇祖里亚县414名随机选取的高中女生中开展了一项基于机构的横断面研究。采用分层多阶段抽样技术从选定的高中选取参与者。使用经过预测试的自填问卷，数据录入EpiData 4.6版本，并使用SPSS（社会科学统计软件包）27版本进行分析。采用二元逻辑回归进行双变量和多变量分析，以确定与性虐待相关的因素。统计学显著性设定为P值小于0.05。

结果

在本研究区域，儿童性虐待的患病率为45%（95%置信区间40.6 - 50.2）。独自在家睡觉的学生（调整后比值比[AOR] = 4.93，95%置信区间1.46 - 16.67）；与父母没有公开讨论（AOR = 4.49，95%置信区间1.62 - 12.47）；饮酒（AOR = 3.3，95%置信区间：1.32 - 8.28）；以及有饮酒或嚼恰特草的朋友（AOR = 6.14，95%置信区间1.58 - 23.9）是确定的与儿童性虐待相关的因素。