PDF(Pubmed)
Abstract：
BACKGROUND: Sexual violence is a significant public health concern with severe physical, social and psychological consequences, which can be mitigated by health service utilisation. However, in Uganda and much of sub-Saharan Africa, these services are significantly underused, with 9 out of 10 survivors not seeking care due to a range of psychological, cultural, economic and logistical factors. Thus, there is a strong need for research to improve health service utilisation for survivors of sexual violence.
METHODS: The proposed study seeks to address the underutilization of health services for female survivors of sexual violence using a discrete choice experiment (DCE). The study will be conducted in the greater Masaka region of southwestern Uganda and target adult female survivors of sexual violence. We will first undertake qualitative interviews with 56 survivors of sexual violence to identify the key attributes and levels of the DCE. In order to ensure a sufficiently powered sample, 312 women who meet inclusion criteria will be interviewed. Our primary analysis will employ a mixed (random parameters) logit model. We will also model the role of individual-specific characteristics through latent class models.
BACKGROUND: The study protocol was reviewed and approved by the following ethics review boards in Uganda and the USA: the Uganda Virus Research Institute (UVRI), the Uganda National Council for Science and Technology (HS2364ES), Washington University in St Louis and the University of Michigan. Our methods conform to established guidelines for the protection of human subjects involved in research. Our dissemination plan targets a broad audience, ranging from policymakers and government agencies to healthcare providers, academic communities and survivors themselves.
METHODS: The proposed study seeks to address the underutilization of health services for female survivors of sexual violence using a discrete choice experiment (DCE). The study will be conducted in the greater Masaka region of southwestern Uganda and target adult female survivors of sexual violence. We will first undertake qualitative interviews with 56 survivors of sexual violence to identify the key attributes and levels of the DCE. In order to ensure a sufficiently powered sample, 312 women who meet inclusion criteria will be interviewed. Our primary analysis will employ a mixed (random parameters) logit model. We will also model the role of individual-specific characteristics through latent class models.
BACKGROUND: The study protocol was reviewed and approved by the following ethics review boards in Uganda and the USA: the Uganda Virus Research Institute (UVRI), the Uganda National Council for Science and Technology (HS2364ES), Washington University in St Louis and the University of Michigan. Our methods conform to established guidelines for the protection of human subjects involved in research. Our dissemination plan targets a broad audience, ranging from policymakers and government agencies to healthcare providers, academic communities and survivors themselves.
摘要：
背景：性暴力是一个严重的公共卫生问题，社会和心理后果，这可以通过卫生服务的利用来缓解。然而,在乌干达和撒哈拉以南非洲的大部分地区，这些服务的使用严重不足，10名幸存者中有9名因一系列心理原因没有寻求治疗，文化,经济和后勤因素。因此，迫切需要进行研究，以改善性暴力幸存者的卫生服务利用率。
方法：拟议的研究旨在通过离散选择实验（DCE）解决性暴力女性幸存者的卫生服务利用不足的问题。该研究将在乌干达西南部的大Masaka地区进行，针对性暴力的成年女性幸存者。我们将首先对56名性暴力幸存者进行定性访谈，以确定DCE的关键属性和级别。为了确保样品有足够的动力，符合纳入标准的312名女性将接受采访。我们的主要分析将采用混合(随机参数)logit模型。我们还将通过潜在类模型对个体特定特征的作用进行建模。
背景：乌干达和美国的以下伦理审查委员会审查并批准了研究方案：乌干达病毒研究所（UVRI），乌干达国家科学技术委员会（HS2364ES），圣路易斯华盛顿大学和密歇根大学。我们的方法符合保护参与研究的人类受试者的既定准则。我们的传播计划针对的是广大受众,从政策制定者和政府机构到医疗保健提供者，学术界和幸存者自己。
方法：拟议的研究旨在通过离散选择实验（DCE）解决性暴力女性幸存者的卫生服务利用不足的问题。该研究将在乌干达西南部的大Masaka地区进行，针对性暴力的成年女性幸存者。我们将首先对56名性暴力幸存者进行定性访谈，以确定DCE的关键属性和级别。为了确保样品有足够的动力，符合纳入标准的312名女性将接受采访。我们的主要分析将采用混合(随机参数)logit模型。我们还将通过潜在类模型对个体特定特征的作用进行建模。
背景：乌干达和美国的以下伦理审查委员会审查并批准了研究方案：乌干达病毒研究所（UVRI），乌干达国家科学技术委员会（HS2364ES），圣路易斯华盛顿大学和密歇根大学。我们的方法符合保护参与研究的人类受试者的既定准则。我们的传播计划针对的是广大受众,从政策制定者和政府机构到医疗保健提供者，学术界和幸存者自己。
