{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T21:05:33Z","timestamp":1788555933475,"version":"build-2803163510"},"reference-count":23,"publisher":"Public Library of Science (PLoS)","issue":"12","license":[{"start":{"date-parts":[[2022,12,12]],"date-time":"2022-12-12T00:00:00Z","timestamp":1670803200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Rape is the most common act of violence against women during wartime which is considered interpersonal, social and political violence because survivors usually suffer from stigma and discrimination in the community. Sexual violence is a serious threat to women\u2019s health. The psychological and medical consequences of rape during the conflict period are not well documented. Therefore, this study investigated the psychological and medical consequences of rape among survivor in the northern Ethiopia conflict, which occurred since 2020\u20132022.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cross-sectional survey supplemented with a qualitative data was conducted among survivors of rape recorded until June 2022. Health institutions that provide maternal and child health services in the study area were included. All rape victims who received medical care following the incident were included. Victims who were found in active war areas or rape care recorded before wartime were excluded. To understand the experience of raped women\u2019s psychological consequences related to sexual assault we conducted 23 in-depth interviews. Thematic analysis was used to conduct qualitative interpretation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean age of the participants was 31.66 (SD \u00b1 20.95) years. One-third of 92(33.9%) of the survivors were diagnosed positive for sexually transmitted infections. Chlamydia 54(58.4%) and HIV 32(34.8%) were the most frequently diagnosed infections. Among the rape survivors, one-tenth 29(10.7%) of them were positive for pregnancy, and induced abortion was done for 13 (44.8%) women who got pregnant due to sexual assault. The armed groups not only have sexual interests but inhumane individuals and consider rape as their way of expressing abjection to civilians. Survivors of raped women are confronted with social rejection and exclusion in the community that aggravates the traumatic process. Because of shame and fear, rape survivors often do not seek help but have to be offered support proactively. The victims claimed that they didn\u2019t able to return to their previous life and considered their future in peril.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Conflict has a multidimensional devastating life effect, especially on women\u2019s health. The victims experienced many physical and psychological consequences. Hence, resolving conflicts with peaceful discussion has numerous benefits for civilians.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0278859","type":"journal-article","created":{"date-parts":[[2022,12,12]],"date-time":"2022-12-12T13:25:00Z","timestamp":1670851500000},"page":"e0278859","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":24,"title":["Medical and psychological consequences of rape among survivors during armed conflicts in northeast Ethiopia"],"prefix":"10.1371","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0144-4968","authenticated-orcid":true,"given":"Lebeza Alemu","family":"Tenaw","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mulugeta Wodaje","family":"Aragie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alemu Degu","family":"Ayele","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsion","family":"Kokeb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nigus Bililign","family":"Yimer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2022,12,12]]},"reference":[{"key":"pone.0278859.ref001","article-title":"The Atlantic Community mistake on Ethiopia: counter-productive statements and data-poor policy of the EU and the USA on the Tigray conflict","author":"GJ Abbink","year":"2021","journal-title":"ASC Working Paper Series"},{"issue":"5","key":"pone.0278859.ref002","first-page":"6","article-title":"The Ethiopia conflict in international relations and global media discourse","author":"GJ Abbink","year":"2021","journal-title":"E-International Relations"},{"key":"pone.0278859.ref003","article-title":"Violence against women in conflict, post-conflict and emergency settings","author":"J Ward","year":"2013","journal-title":"UN Women"},{"key":"pone.0278859.ref004","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1353\/hrq.2015.0043","article-title":"Beyond strategic rape and between the public and private: Violence against women in armed conflict","volume":"37","author":"A. Swaine","year":"2015","journal-title":"Hum. Rts. Q."},{"key":"pone.0278859.ref005","volume-title":"Creating a definition of rape in international law: The contribution of the International Criminal Tribunals","author":"N. Hayes","year":"2010"},{"key":"pone.0278859.ref006","unstructured":"UNICEF., The impact of conflict on women and girls in west and central Africa and the UNICEF response. 2005: Unicef."},{"key":"pone.0278859.ref007","unstructured":"UN Secretary General, Conflict Related Sexual Violence, 2019."},{"key":"pone.0278859.ref008","unstructured":"Amnesty International, Ethiopia: Survivors of TPLF attack in Amhara describe gang rape, looting and physical assaults. 2021."},{"key":"pone.0278859.ref009","unstructured":"Amnesty International, Ethiopia: Tigrayan forces murder, rape and pillage in attacks on civilians in Amhara towns 2022."},{"key":"pone.0278859.ref010","unstructured":"Unit for Reproductive Rights, Eensuring sexual and reproductive health and rights of women and girls affected by conflict. 2018."},{"issue":"1","key":"pone.0278859.ref011","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12914-017-0127-1","article-title":"Sexual violence against female university students in Ethiopia","volume":"17","author":"Y.M. Adinew","year":"2017","journal-title":"BMC international health and human rights"},{"key":"pone.0278859.ref012","unstructured":"General Assembly, Sustainable Development Goals, 2015, UN."},{"key":"pone.0278859.ref013","first-page":"63","article-title":"Sexualised violence in war and its consequences","author":"I. Joachim","year":"2005","journal-title":"Violence against women in war: Handbook for professionals working with traumatized women"},{"issue":"11","key":"pone.0278859.ref014","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1056\/NEJM199003153221101","article-title":"Sexually transmitted diseases in victims of rape","volume":"322","author":"C. Jenny","year":"1990","journal-title":"New England Journal of Medicine"},{"issue":"01","key":"pone.0278859.ref015","doi-asserted-by":"crossref","first-page":"75","DOI":"10.4236\/ojepi.2019.91007","article-title":"Rape and Medical Consequences among Girls and Women Victims during the Post-Armed Conflict Context in Congo","volume":"9","author":"N. Gilbert","year":"2019","journal-title":"Open Journal of Epidemiology"},{"issue":"6","key":"pone.0278859.ref016","first-page":"2041","article-title":"Emergency management of the adult female rape victim","volume":"43","author":"DK Beebe","year":"1991","journal-title":"American family physician"},{"key":"pone.0278859.ref017","volume-title":"Children of Battered Women","author":"Peter G. Jaffe","year":"2012"},{"issue":"2","key":"pone.0278859.ref018","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1016\/S0002-9378(96)70141-2","article-title":"Rape-related pregnancy: estimates and descriptive characteristics from a national sample of women","volume":"175","author":"M Holmes","year":"1996","journal-title":"American journal of obstetrics and gynecology"},{"issue":"5","key":"pone.0278859.ref019","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1016\/j.contraception.2015.01.012","article-title":"Prevalence of rape-related pregnancy as an indication for abortion at two urban family planning clinics","volume":"91","author":"R. Perry","year":"2015","journal-title":"Contraception"},{"issue":"2","key":"pone.0278859.ref020","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1037\/0278-6133.13.2.130","article-title":"Sexual assault history and physical health in randomly selected Los Angeles women","volume":"13","author":"J.M. Golding","year":"1994","journal-title":"Health Psychology"},{"issue":"2","key":"pone.0278859.ref021","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1111\/j.1471-6402.1985.tb00872.x","article-title":"The hidden rape victim: Personality, attitudinal, and situational characteristics","volume":"9","author":"M.P. Koss","year":"1985","journal-title":"Psychology of women quarterly"},{"key":"pone.0278859.ref022","unstructured":"Samantha G., The Relation Between Depression and Sexual Abuse, Violence, PTSD, 2019."},{"key":"pone.0278859.ref023","unstructured":"Nayanika D. Secondary Survivors: The Impact of Sexual Assault and Abuse. 2020; https:\/\/feminisminindia.com\/2020\/08\/17\/secondary-survivors-impact-of-sexual-assault-and-abuse\/."}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0278859","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,12]],"date-time":"2022-12-12T13:25:14Z","timestamp":1670851514000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0278859"}},"subtitle":[],"editor":[{"given":"Wanich","family":"Suksatan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2022,12,12]]},"references-count":23,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2022,12,12]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0278859","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,12]]}}}