141st APHA Annual Meeting

In This section

278647
Demographic and psychosocial factors associated with exposure to post-disaster sexual violence amongst haitian women living in post-earthquake camps

Wednesday, November 6, 2013 : 10:30 AM - 10:50 AM

Linda Marc, ScD, MPH , Department of Biostatistics and Division of Policy, Translation and Leadership Development, Harvard School of Public Health, Boston, MA
Robert Brennan, EdD , FXB Center for Health and Human Rights, Harvard University, Boston, MA
RusselAnne Arlene Vallie, MSW , Behavioral Science Research Institute, Inc., Boston, MA
Nathalie Coicou , Reussir, Port-au-Prince, Haiti
Astride Desrosiers, MD, MPH , Department of Psychiatry, Harvard Medical School, Boston, MA
Joanna Dabao , Data Management Unit, International Organization for Migration (IOM-Haiti), Port-au-Prince, Haiti
Marguerite Jean , Data Management Unit, International Organization for Migration (IOM-Haiti), Port-au-Prince, Haiti
Abdul Jethro James Guillaume , Data Management Unit, International Organization for Migration (IOM-Haiti), Port-au-Prince, Haiti
Vlatko Avramovsk , Data Management Unit, International Organization for Migration (IOM-Haiti), Port-au-Prince, Haiti
Heidi Resnick, PhD , National Crime Victims Center (NCVC), Medical University of South Carolina, Charleston, SC
Janet St. Lawrence, PhD , Mississippi State University, Meridian, MS
Marcia A. Testa, MPH PhD , Department of Biostatistics, Harvard School of Public Health, MA
PURPOSE: To establish incidence estimates of exposure to post-disaster sexual violence (PDSV) amongst internally displaced (IDP) Haitian females using three separate, and 1-combined measure; and to examine the association of these multiple measures with sociodemographic and psychosocial factors.

STUDY POPULATION/DATA: Using a cross-sectional design, female heads of households (N=541) were selected from a stratified random sample of 130,349 IDP registered households following the earthquake. The database was established through a partnership between an agency of the United Nations, a research organization and academic institution, who received endorsement from the Haitian Government to conduct this survey.

METHODS: Exposure to PDSV was measured using self-report, sisterhood method, neighborhood method, and combined measures. �Sisterhood� assumes women know about PDSV experienced by sisters and daughters. �Neighborhood� assumes women know about PDSV in tents within visual proximity. Multivariate logistic regression models were adjusted for age, co-habitation, pre/post relative poverty, parental status, self-esteem and depressive symptoms.

RESULTS: Preliminary findings show the combined measure produced an overall incidence of 6.7% exposed to PDSV; and respondents reported less about themselves (1.3%), daughters (0.2%), sisters (0.7%) yet more about neighbors (4.4%). In an adjusted model factors associated with a �neighborhood� report include older age (OR=1.03, p=0.04, 95%CI [1.00-1.07]), depressive symptoms (OR=1.12, p=0.005, 95% CI [1.03-1.21]) and worsened poverty (OR=1.06, p=0.02, 95%CI [1.00-1.11]); yet factors associated with a �sister� report are younger age (OR=0.91, p=0.05, 95% CI [0.83-0.99]).

RECOMMENDATIONS: Multiple measures that assess exposure to PDSV should be administered to female IDPs, with the collection of demographic and psychosocial information.

Learning Areas:
Social and behavioral sciences

Learning Objectives:
Describe the incidence of post-disaster sexual violence amongst Haitian women living in post-earthquake camps Evaluate the usefulness of the "neighborhood measure" in estimating exposure to post-disaster sexual violence Evaluate the usefulness of the "sisterhood measure" in estimating exposure to post-disaster sexual violence Evaluate the usefulness of the "self-report measure" in estimating exposure to post-disaster sexual violence Examine demographic and psychosocial factors associated with the multiple types of measures

Keywords: Violence, Women's Sexuality

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the principal investigator of the current study entitled, Post-Disaster Sexual Violence in Haiti. Amongst my scientific interests I have investigated the barriers to HIV post-exposure prophylaxis amongst female victims of sexual violence in Haiti.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.