Trends in sexual violence patterns and case management: a sex disaggregated analysis in Goma, Democratic Republic of Congo
| Autor: | Susan A. Bartels, Justin Paluku Lussy, Jonathan Kasereka M. Lusi, Eugénie Kamabu Mukekulu, Annie Dube, Aurélien Mahamba Kikoli |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Health (social science) Male survivors medicine.medical_treatment media_common.quotation_subject 0211 other engineering and technologies 02 engineering and technology 03 medical and health sciences 0302 clinical medicine Female survivors 030225 pediatrics Epidemiology medicine Positive Pregnancy Test Emergency contraception Post-assault care Sexual violence media_common 021110 strategic defence & security studies business.industry RC86-88.9 Research Public health Public Health Environmental and Occupational Health Health services research RC952-1245 Medical emergencies. Critical care. Intensive care. First aid Democratic Republic of Congo Democracy Test (assessment) Special situations and conditions business Demography |
| Zdroj: | Conflict and Health, Vol 15, Iss 1, Pp 1-9 (2021) Conflict and Health |
| ISSN: | 1752-1505 |
| Popis: | BackgroundBoth conflict and non-conflict sexual violence have been well described in the Democratic Republic of Congo (DRC). However, there is little empiric data comparing sexual violence patterns for males and females in the DRC, and little is known about how post-sexual assault care experiences may differ between the two sexes.MethodsThis was a retrospective, registry-based study at HEAL Africa Hospital. Researchers extracted and analyzed available data for all patients seeking post-sexual assault care between July 2013 and December 2017. Comparative analysis was conducted using SAS to document patterns of sexual violence among male and female survivors and to describe the clinical management of males and females seeking post-assault care.ResultsBetween July 2013 and December 2017, the hospital provided post-sexual assault care to 1766 patients (1623 female and 93 male). Female survivors were more likely to be minors under the age 18 (p p-value p-value = 0.0032) and to receive HIV post-exposure prophylaxis as well as prophylactic antibiotics (p-value ConclusionsIn this single-centre registry, non-conflict-related sexual violence affected both women and girls as well as men and boys in North Kivu with civilian-perpetrated assaults being most common, and girls under the age of 18 being disproportionately affected. Overall, delays to seeking post-assault care appear to have decreased over time, although females presented later than males. These differences, as well as sex discrepancies in receiving HIV prophylaxis and prophylactic antibiotics, are not well understood. Additional research is needed to understand these phenomena such that equitable and optimal care can be ensured for both female and male sexual violence survivors. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|