Child Sexual Abuse in Zambia:Epidemiology and Prevention

赞比亚儿童性虐待：流行病学与预防

• 批准号: 6656766
• 负责人: Susan A Allen
• 金额: $ 4.03万
• 依托单位: UNIVERSITY OF ALABAMA AT BIRMINGHAM
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-04-01 至 2006-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6656766
• 关键词: AIDS education /prevention; Africa; age difference; behavior therapy; behavioral /social science research tag; child abuse; clinical research; counseling; data collection methodology /evaluation; epidemiology; gender difference; health care policy; health related legal; health surveys; human subject; interview; longitudinal human study; middle childhood (6-11); patient care management; prevention; psychosocial service; sex abuse; sex behavior disorder; sexually transmitted diseases; social problems

DESCRIPTION (provided by applicant): Child sexual abuse (CSA) is epidemic globally. In studies of adults in the United States and Canada, 20%-25% of women and 5%-15% of men have experienced sexual abuse. Zambia is a country in sub-Saharan Africa where the problem of CSA is compounded by HIV prevalences exceeding 25% in urban adults. Zambia's economic indicators are among the worst on the African continent and the numbers of orphans and street children are increasing. These children are particularly vulnerable to CSA. Though there is significant emphasis on prevention of mother to child HIV transmission in Zambia, HIV transmission through CSA remains a neglected issue. In neighboring Zimbabwe, 8% of CSA victims <=12 years of age have HIV. Most abused children in Zambia come to medical attention because of a sexually transmitted disease (STD). Beyond treatment of the STD, services are limited. Resources for follow-up and psychological counseling are lacking. In most cases, due to economic constraints, legal proceedings against the perpetrator are not instituted and the abuse continues. The Zambia-UAB HIV Research Project (ZUHRP) has an established NIH funded research infrastructure in Lusaka, the capital city of Zambia. This FIRCA proposes to expand the research agenda of NICHD ROI 40125-02 "Family planning promotion in HIV infected Zambian couples" (7/01-6/06) through the addition of research on CSA. This research will be conducted in collaboration with district clinics and at the University Teaching Hospital (UTH) in Lusaka, with specialists in CSA, pediatrics, counseling, and HIV/STD. For the first time, the prevalence of CSA and predisposing circumstances will be systematically examined while we develop procedures that strengthen the medical and psychosocial management of sexually abused children. We will form partnerships with law enforcement and social service agencies in Zambia, including both governmental and non-governmental sectors. Over a three-year period, our goal is to obtain baseline data and establish a collaborative framework for future ROI funded studies of pediatric HIV reduction strategies through CSA prevention. Linkages with regional and international organizations will provide critical preparation for these efforts.

描述（由申请人提供）：儿童性​​虐待（CSA）在全球流行。在美国和加拿大的成年人的研究中，有20％-25％的女性和5％-15％的男性经历了性虐待。赞比亚是撒哈拉以南非洲的一个国家，在城市成年人中，艾滋病毒患病率超过25％，CSA的问题更加复杂。赞比亚的经济指标是非洲大陆上最糟糕的经济指标之一，孤儿和街头儿童的人数正在增加。这些孩子特别容易受到CSA的影响。尽管在赞比亚，人们非常重视预防母亲艾滋病毒传播，但通过CSA传播的艾滋病毒传播仍然是一个被忽视的问题。在邻近的津巴布韦，有8％的CSA受害者<= 12岁，患有艾滋病毒。由于性传播疾病（STD），赞比亚的大多数受虐待儿童在医疗上接受了医疗护理。除了治疗性病外，服务还有限。缺乏随访和心理咨询的资源。在大多数情况下，由于经济限制，针对肇事者的法律诉讼没有进行，滥用仍在继续。赞比亚 - 乌巴邦艾滋病毒研究项目（ZUHRP）在首都赞比亚卢萨卡（Lusaka）拥有已建立的NIH资助研究基础设施。这项FIRCA建议通过在CSA上添加研究，扩大NICHD ROI 40125-02的研究议程“在HIV感染的赞比亚夫妇中促进计划生育促进”（7/01-6/06）。这项研究将与CSA，儿科，咨询和HIV/STD的专家与地区诊所和卢萨卡大学教学医院（UTH）合作进行。在我们开发程序以加强性虐待儿童的医疗和社会心理管理的同时，将首次系统地检查CSA和易感情况的患病率。我们将与赞比亚的执法和社会服务机构建立伙伴关系，包括政府和非政府部门。在三年的时间里，我们的目标是获取基线数据并建立一个协作框架，以通过CSA预防为未来的ROI资助的小儿艾滋病毒减少策略研究。与区域和国际组织的联系将为这些努力提供重要的准备。