Background There is limited evidence on the relationship between disability, experiences of gender-based violence (GBV), and mental health among refugee women in humanitarian contexts. Methods A cross-sectional analysis was conducted of baseline data (n = 209) collected from women enrolled in a cohort study of refugee women accessing GBV response services in the Dadaab refugee camps in Kenya. Women were surveyed about GBV experiences (past 12 months, before the last 12 months, before arriving in the refugee camps), functional disability status, and mental health (anxiety, depression, post-traumatic stress), and we explored the inter-relationship of these factors. Results Among women accessing GBV response services, 44% reported a disability. A higher proportion of women with a disability (69%) reported a past-year experience of physical intimate partner violence and/or physical or sexual non-partner violence, compared to women without a disability (54%). A higher proportion of women with a disability (32%) experienced non-partner physical or sexual violence before arriving in the camp compared to women without a disability (16%). Disability was associated with higher scores for depression (1.93, 95% confidence interval (CI) 0.54–3.33), PTSD (2.26, 95% CI 0.03–4.49), and anxiety (1.54, 95% CI 0.13–2.95) after adjusting for age, length of encampment, partner status, number of children, and GBV indicators. Conclusions A large proportion of refugee women seeking GBV response services have disabilities, and refugee women with a disability are at high risk of poor mental health. This research highlights the need for mental health and disability screening within GBV response programming.

中文翻译：

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人道主义环境中索马里难民妇女的残疾、暴力和心理健康

背景 关于人道主义背景下难民妇女的残疾、基于性别的暴力 (GBV) 经历和心理健康之间关系的证据有限。方法 对基线数据进行横断面分析（n= 209）从参加肯尼亚 Dadaab 难民营获得 GBV 应对服务的难民妇女的队列研究中收集。女性接受了关于 GBV 经历（过去 12 个月、过去 12 个月之前、到达难民营之前）、功能性残疾状况和心理健康（焦虑、抑郁、创伤后压力）的调查，我们探讨了相互关系这些因素中。结果 在获得 GBV 应对服务的女性中，44% 的女性报告有残疾。与非残疾妇女 (54%) 相比，更高比例的残疾妇女 (69%) 报告了过去一年中亲密伴侣的身体暴力和/或非伴侣身体或性暴力的经历。与没有残疾的妇女（16%）相比，更高比例的残疾妇女（32%）在抵达营地之前遭受过非伴侣的身体或性暴力。调整后，残疾与抑郁症（1.93, 95% CI 0.54–3.33）、PTSD（2.26, 95% CI 0.03–4.49）和焦虑（1.54, 95% CI 0.13–2.95）得分较高相关年龄、营地时长、伴侣状态、子女数量和 GBV 指标。结论 寻求 GBV 应对服务的难民妇女中有很大一部分患有残疾，而残疾难民妇女的心理健康状况不佳的风险很高。这项研究强调了在 GBV 应对计划中进行心理健康和残疾筛查的必要性。95% 置信区间 (CI) 0.54–3.33)、PTSD (2.26, 95% CI 0.03–4.49) 和焦虑 (1.54, 95% CI 0.13–2.95)儿童和 GBV 指标。结论 寻求 GBV 应对服务的难民妇女中有很大一部分患有残疾，而残疾难民妇女的心理健康状况不佳的风险很高。这项研究强调了在 GBV 应对计划中进行心理健康和残疾筛查的必要性。95% 置信区间 (CI) 0.54–3.33)、PTSD (2.26, 95% CI 0.03–4.49) 和焦虑 (1.54, 95% CI 0.13–2.95)儿童和 GBV 指标。结论 寻求 GBV 应对服务的难民妇女中有很大一部分患有残疾，而残疾难民妇女的心理健康状况不佳的风险很高。这项研究强调了在 GBV 应对计划中进行心理健康和残疾筛查的必要性。残疾难民妇女的心理健康状况不佳的风险很高。这项研究强调了在 GBV 应对计划中进行心理健康和残疾筛查的必要性。残疾难民妇女的心理健康状况不佳的风险很高。这项研究强调了在 GBV 应对计划中进行心理健康和残疾筛查的必要性。