Services on Demand
Journal
Article
Indicators
Cited by SciELO
Access statistics
Related links
Cited by Google
Similars in SciELO
Similars in Google
Share
Revista Colombiana de Obstetricia y Ginecología
Print version ISSN 0034-7434On-line version ISSN 2463-0225
Abstract
PERALTA-JIMENEZ, Jonathan Alexander and URREGO-MENDOZA, Zulma Consuelo. Sexual and reproductive health of afrocolombian women victims of the armed conflict in Bojayá, Chocó, Colombia, 2019. Mixed methods study. Rev Colomb Obstet Ginecol [online]. 2022, vol.73, n.1, pp.11-27. Epub Mar 30, 2022. ISSN 0034-7434. https://doi.org/10.18597/rcog.3763.
Objectives:
To explore sexual and reproductive health and its interface with mental health in women who survived the Bojaya massacre, taking into consideration the physical and psychological aspects involved in the full expression of sexuality and reproduction, based on the analysis of clinical assessment records collected in 2018.
Material and methods:
Mixed study. Descriptive quantitative case series and qualitative narrative study. The quantitative component included 44 women who were direct survivors of an explosive device and the qualitative component that included 10 of them with sexual dysfunction. Convenient sampling was used. Healthcare records were the sources of information. Sociodemographic variables, obstetrical and gynecological history, sexual dysfunction and mental health symptoms, signs and diagnoses based on the ICD X were measured. Descriptive epidemiological analysis and qualitative narrative analysis, identifying emerging themes pertaining to the problems experienced and prioritized, as well as significant related events.
Results:
Mean age was 45 years; 54% had gynecological symptoms; 32% had difficulty accessing contraception; 23% had sexual dysfunctions; 13.63% had a history of sexual violence and 34% of domestic violence; 61.63% had post-traumatic stress disorder. The qualitative component showed evidence of frequent intimate partner violence, family issues and distress due to untreated symptoms.
Conclusions:
Routine assessment in women survivors of armed conflicts must include aspects such as potential sexual dysfunction, post-traumatic disorders and a history of polyvictimization. Further descriptive and analytical studies are needed in order to explore these aspects and their interrelations.
Keywords : Women; sexual health; reproductive health; mental health; armed conflicts; continental African ancestry group.