Abstract：
Sexual assault victims are at major risk of being infected by sexually transmitted infections (STI). This article aims to examine and compare the prevalence of eight STIs (e.g., chlamydia, gonorrhea, hepatitis B, HIV/AIDS, human papillomavirus) among victims and non-victims of sexual abuse. A national cross-sectional study was conducted in Haiti, using a multistage sampling frame, stratified by geographical department, urban or rural setting, gender, and age groups (15-19 and 20-24 years). The final sample included 3586 household participants (47.6% female). A weighted sample of 3945 individuals was obtained and used in the following analyses. Overall, 21.75% (95% CI 19.91-23.59) of participants reported having been diagnosed with at least one STI in their lifetime, with a higher prevalence among men (25.70%; 95% CI 22.89-28.52), compared to women (18.11%; 95% CI 15.73-20.49), χ2 = 16.43; p < 0.001). Sexual abuse victims were more likely to report STIs (31.27%; 95% CI 29.21-33.34), compared to non-victims (18.40%; 95% CI 16.68-20.13), χ2 = 27.89; p < .001. Sexual abuse was associated to an increased risk of contracting at least one STI (OR = 1.74; 95% CI 1.35, 2.24). The results demonstrate that sexual abuse is associated with a general increase of reporting STIs. They indicate the need for national sexual abuse prevention programs at early ages. These programs should be implemented in schools and churches, focusing on the role of families in sexuality education. Finally, programs must be developed to eradicate community violence-especially in the cities-as increased political and social violence has always been associated with increased sexual abuse in Haiti.
摘要：
性侵犯受害者面临被性传播感染（STI）感染的主要风险。本文旨在检查和比较8种性传播感染的患病率(例如，衣原体,淋病,乙型肝炎，艾滋病毒/艾滋病，人乳头瘤病毒）在性虐待的受害者和非受害者中。在海地进行了一项全国横断面研究，使用多级采样帧，按地理部门分层，城市或农村环境，性别,和年龄组（15-19岁和20-24岁）。最终样本包括3586名家庭参与者（47.6％为女性）。获得3945个个体的加权样本并用于以下分析。总的来说,21.75％（95％CI19.91-23.59）的参与者报告在其一生中被诊断患有至少一次性传播感染。男性患病率较高（25.70%；95%CI22.89-28.52），与女性相比（18.11%；95%CI15.73-20.49），χ2=16.43；p<0.001）。性虐待受害者更有可能报告性传播感染（31.27％；95％CI29.21-33.34），与非受害者相比（18.40%；95%CI16.68-20.13），χ2=27.89;p<.001。性虐待与感染至少一种性传播感染的风险增加相关(OR=1.74;95%CI1.35,2.24)。结果表明，性虐待与报告的性传播感染的普遍增加有关。它们表明需要在早期就制定国家性虐待预防计划。这些计划应该在学校和教堂实施，关注家庭在性教育中的作用。最后,必须制定消除社区暴力的计划，尤其是在城市中，因为海地不断增加的政治和社会暴力一直与不断增加的性虐待有关。
