Evidence map›Paper›PMID 37479499›Full record

ArticleBMJ global health2023

War-related sexual and gender-based violence in Tigray, Northern Ethiopia: a community-based study.

Girmatsion Fisseha, Tesfay Gebregzabher Gebrehiwot, Mengistu Welday Gebremichael, Shishay Wahdey, Gebrekiros Gebremichael Meles, Kebede Embaye Gezae, Awol Yemane Legesse, Akeza Awealom Asgedom, Mache Tsadik, Abraha Woldemichael and 8 more

Open access · goldAbstract read
In one paragraph

Article in BMJ global health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 4 pooled it
9.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 36 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 4 institutions in 3 countries.

Girmatsion FissehaSchool of Public Health, Mekelle University College of Health Sciences, Mekelle, Tigray, Ethiopia.
Tesfay Gebregzabher GebrehiwotEpidemiology, Mekelle University College of Health Sciences, Mekelle, Tigray, Ethiopia.
Mengistu Welday GebremichaelDepartment of Midwifery, Mekelle University College of Health Sciences, Mekelle, Tigray, Ethiopia.
Shishay WahdeySchool of Public Health, Mekelle University College of Health Sciences, Mekelle, Tigray, Ethiopia.
Gebrekiros Gebremichael MelesSchool of Public Health, Mekelle University College of Health Sciences, Mekelle, Tigray, Ethiopia.ORCID 0000-0001-6563-0001
Kebede Embaye GezaeSchool of Public Health, Mekelle University College of Health Sciences, Mekelle, Tigray, Ethiopia.ORCID 0000-0002-5874-3304
Awol Yemane LegesseSchool of Medicine, Mekelle University College of Health Sciences, Mekelle, Tigray, Ethiopia.
Akeza Awealom AsgedomSchool of Public Health, Mekelle University College of Health Sciences, Mekelle, Tigray, Ethiopia.
Mache TsadikSchool of Public Health, Mekelle University College of Health Sciences, Mekelle, Tigray, Ethiopia.
Abraha WoldemichaelSchool of Public Health, Mekelle University College of Health Sciences, Mekelle, Tigray, Ethiopia.
Aregawi GebreyesusSchool of Public Health, Mekelle University College of Health Sciences, Mekelle, Tigray, Ethiopia.
Haftom Temesgen AbebeSchool of Public Health, Mekelle University College of Health Sciences, Mekelle, Tigray, Ethiopia.
Yibrah Alemayehu HaileTigray Health Bureau, Mekelle, Tigray, Ethiopia.
Selome GezahegnHennepin Healthcare, Minneapolis, Minnesota, USA.
Maru AregawiGlobal Malaria Program, World Health Organization, Geneve, Switzerland.
Kiros T BerhaneBiostatistics, Columbia University, New York, New York, USA kiros.berhane@columbia.edu.ORCID 0000-0003-2303-8493
Hagos GodefayTigray Health Bureau, Mekelle, Tigray, Ethiopia.
Afework MulugetaSchool of Public Health, Mekelle University College of Health Sciences, Mekelle, Tigray, Ethiopia.
Mekelle University · ETColumbia University · USUniversity of Minnesota Medical Center · USWorld Health Organization · CH

Funding

World Health Organization 001
6 · The paper itself

Abstract

introductionSexual and gender-based violence (SGBV) during armed conflicts has serious ramifications with women and girls disproportionally affected. The impact of the conflict that erupted in November 2020 in Tigray on SGBV is not well documented. This study is aimed at assessing war-related SGBV in war-affected Tigray, Ethiopia.

methodsA community-based survey was conducted in 52 (out of 84) districts of Tigray, excluding its western zone and some districts bordering Eritrea due to security reasons. Using a two-stage multistage cluster sampling technique, a total of 5171 women of reproductive age (15-49 years) were randomly selected and included in the study. Analysis used weighted descriptive statistics, regression modelling and tests of associations.

resultsOverall, 43.3% (2241/5171) of women experienced at least one type of gender-based violence. The incidents of sexual, physical and psychological violence, and rape among women of reproductive age were found to be 9.7% (500/5171), 28.6% (1480/5171), 40.4% (2090/5171) and 7.9% (411/5171), respectively. Of the sexual violence survivors, rape accounted for 82.2% (411/500) cases, of which 68.4% (247) reported being gang raped. Young women (aged 15-24 years) were the most affected by sexual violence, 29.2% (146/500). Commonly reported SGBV-related issues were physical trauma, 23.8% (533/2241), sexually transmitted infections, 16.5% (68/411), HIV infection, 2.7% (11/411), unwanted pregnancy, 9.5% (39/411) and depression 19.2% (431/2241). Most survivors (89.7%) did not receive any postviolence medical or psychological support.

conclusionsSystemic war-related SGBV was prevalent in Tigray, with gang-rape as the most common form of sexual violence. Immediate medical and psychological care, and long-term rehabilitation and community support for survivors are urgently needed and recommended.

Indexed as

Gender-Based ViolenceHIV InfectionsAdolescentAdultEthiopiaFemaleHumansMiddle AgedPregnancySexual BehaviorViolenceYoung Adultcommunity-based surveyhealth policyinjurypublic health

Identifiers

PMID37479499
PMCPMC10364179
OpenAlexW4385064122

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.