Very little is known in Haiti and the Caribbean regarding child and lifetime sexual victimization. Using a nationally representative sample of adolescents and young adults aged 15–24, this study aimed to document the prevalence, risk factors and mental health correlates of lifetime and child sexual violence in Haiti. A national cross-sectional surrvey 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 rate of lifetime and child sexual violence was, respectively, 27.44% (95% CI 25.94–28.94) and 11.27% (95% CI 10.18–12.35). Lifetime sexual violence rate was significantly higher among female participants (29.02%; 95% CI 27.5–30.55) compared to male (25.73%, 95% CI 24.26–27.2), χ² = 4.63, p < .05, but there was no significant gender difference for child sexual victimization. Experiences of family physical violence, emotional abuse by mother and father, divorce of parents, and other physical violence were strongly associated with higher odds of sexual victimization. Participants who reported having experienced sexual violence are more at risk to meet criteria of PTSD (OR = 1.96, 95% CI 1.66–2.32; p < .0001), depression (OR = 1.73, 95% CI 1.47–2.02; p < .0001), psychological distress (OR =1.72, 95% CI 1.47–2.02; p < .0001), and substance abuse (OR = 1.33, 95% CI 1.13–1.57; p < .0001). Findings demonstrate that sexual violence is a public health emergency in Haiti. They provide evidence for the development of prevention and intervention programs.

中文翻译：

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海地具有全国代表性的青少年样本中终生和儿童性暴力、风险因素和心理健康相关性：突发公共卫生事件

海地和加勒比地区对儿童和终生性受害的情况知之甚少。本研究使用具有全国代表性的 15-24 岁青少年和青年样本，旨在记录海地终生性暴力和儿童性暴力的流行率、风险因素和心理健康相关因素。在海地进行了一项全国性的横断面调查，使用多阶段抽样框架，按地理部门、城市或农村环境、性别和年龄组（15-19 岁和 20-24 岁）分层。最终样本包括 3586 名家庭参与者（47.6% 为女性）。获得了 3945 个人的加权样本，并将其用于以下分析。终生性暴力和儿童性暴力的总体发生率分别为 27.44%（95% CI 25.94-28.94）和 11.27%（95% CI 10.18-12.35）。² = 4.63， p < .05，但儿童性受害没有显着的性别差异。家庭暴力、父母情感虐待、父母离婚和其他身体暴力的经历与较高的性受害几率密切相关。报告经历过性暴力的参与者更有可能满足 PTSD（OR = 1.96，95% CI 1.66–2.32； p < .0001）、抑郁症（OR = 1.73，95% CI 1.47–2.02； p < . 0001)、心理困扰 (OR =1.72, 95% CI 1.47–2.02; p < .0001) 和药物滥用 (OR = 1.33, 95% CI 1.13–1.57; p<.0001)。调查结果表明，性暴力是海地的突发公共卫生事件。它们为预防和干预计划的发展提供了证据。