Study protocol for a longitudinal study evaluating the impact of rape on women's health and their use of health services in South Africa

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dc.contributor.authorAbrahams, Naeemahen_ZA
dc.contributor.authorSeedat, Sorayaen_ZA
dc.contributor.authorLombard, Carlen_ZA
dc.contributor.authorKengne, Andre P.en_ZA
dc.contributor.authorMyers, Bronwynen_ZA
dc.contributor.authorSewnath, Aleshaen_ZA
dc.contributor.authorMhlongo, Shibeen_ZA
dc.contributor.authorRamjee, Gitaen_ZA
dc.contributor.authorPeer, Nasheetaen_ZA
dc.contributor.authorGarcia-Moreno, Claudiaen_ZA
dc.contributor.authorJewkes, Rachelen_ZA
dc.date.accessioned2018-08-15T12:20:26Z
dc.date.available2018-08-15T12:20:26Z
dc.date.issued2017-09
dc.descriptionCITATION: Abrahams, N. et al. 2017. Study protocol for a longitudinal study evaluating the impact of rape on women’s health and their use of health services in South Africa. BMJ Open, 7(9):e017296. doi:10.1136/bmjopen-2017-017296.en_ZA
dc.descriptionThe original publication is available at https://bmjopen.bmj.com/en_ZA
dc.description.abstractIntroduction South Africa is a country known for its high levels of HIV infection and sexual violence. Although the interface between gender-based violence, HIV and mental health has been described, there are substantial gaps in knowledge of the medium-term and long-term health impact. The 2010 Global Burden of Disease study excluded many health outcomes associated with rape and other forms of gender-based violence because systematic reviews revealed huge gaps in data and poor evidence of health effects. This study aims to describe the incidence and attributable burden of physical and mental health problems (including HIV acquisition) in adult women over a 2-year postrape period, through comparison with a cohort of women who have not been raped. The study will substantially advance our understanding of the impact of rape and will generate robust data to assist in the development of postrape health services and the delivery of evidence-based care. Methods and analysis This longitudinal study seeks to recruit 1008 rape-exposed and 1008 rape non-exposed women. Women were recruited from health services, and assessments were carried out at baseline, 3, 6, 9, 12, 18 and 24 months. Outcome measures include exposure to risk factors; mental health status; cardio-metabolic risks; and biomarkers for HIV, sexually transmitted infections, pregnancy and stress. The primary analysis will be to compare HIV incidence in the two groups using log-rank tests. Appropriate models to predict health outcomes over time will also be applied.en_ZA
dc.description.versionpublishers versionen_ZA
dc.identifier.citationAbrahams, N. et al. 2017. Study protocol for a longitudinal study evaluating the impact of rape on women’s health and their use of health services in South Africa. BMJ Open, 7(9):e017296. doi:10.1136/bmjopen-2017-017296.en_ZA
dc.identifier.issn2044-6055 (online)
dc.identifier.otherdoi:10.1136/bmjopen-2017-017296
dc.identifier.urihttp://hdl.handle.net/10019.1/104273
dc.language.isoen_ZAen_ZA
dc.publisherBMJ Publishing Groupen_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectSexual abuse victimsen_ZA
dc.subjectRapeen_ZA
dc.subjectIntimate partner violenceen_ZA
dc.subjectWomen's health servicesen_ZA
dc.titleStudy protocol for a longitudinal study evaluating the impact of rape on women's health and their use of health services in South Africaen_ZA
dc.typeArticleen_ZA
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