Nadia Ahmed, Emily Webb, Richard Muhumuza, Andrew S Ssemata, Millicent Atujuna, Lynda Stranix-Chibanda, Teacler Nematadzira, Janan J Dietrich, Gugulethu Tshabalala, Stefanie Hornschuh, Helen A Weiss, Janet Seeley, Julie Fox
{"title":"理解性暴力:来自青少年艾滋病预防研究的观点。","authors":"Nadia Ahmed, Emily Webb, Richard Muhumuza, Andrew S Ssemata, Millicent Atujuna, Lynda Stranix-Chibanda, Teacler Nematadzira, Janan J Dietrich, Gugulethu Tshabalala, Stefanie Hornschuh, Helen A Weiss, Janet Seeley, Julie Fox","doi":"10.4102/jphia.v16i1.750","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Sub-Saharan Africa has a high prevalence of sexual violence in young women, with less data on young men.</p><p><strong>Aim: </strong>We investigated the prevalence of forced sex among adolescents and young people and described factors putting them at risk of sexual violence.</p><p><strong>Setting: </strong>The study was conducted in South Africa, Uganda and Zimbabwe.</p><p><strong>Methods: </strong>We conducted a cross-sectional, structured survey among 1330 13-24-year-old male and female participants. Logistic regression models were used to estimate odds ratios for associations with forced sex, adjusting for site, sex and age. Sixty in-depth interviews and 24 group discussions were also conducted. Data were transcribed, translated and analysed using thematic framework analysis.</p><p><strong>Results: </strong>Seventy-six out of 1326 participants (6%) reported forced sex in the last 6 months. Forced sex was most commonly reported in Entebbe versus other sites, female than male participants, and 18-24 years than 13-18 years. Associations were seen with younger sexual debut (adjusted odds ratio [aOR]: 0.89; 95% confidence interval [CI]: 0.81, 0.98), ever having transactional sex (aOR: 2.18; 95% CI: 1.19, 4.02), risk-taking (aOR: 3.51; 95% CI: 1.99, 6.19), depression (aOR: 3.20; 95% CI: 1.69, 6.06), anxiety (aOR: 2.07; 95% CI: 1.08, 3.96) and binge drinking (aOR: 2.66; 95% CI: 1.33, 5.36), and strong association with forcing someone to have sex (aOR: 7.54; 95% CI: 3.68, 15.46). Qualitative data support these results.</p><p><strong>Conclusion: </strong>Our findings identify risks similar to those for sexual violence.</p><p><strong>Contribution: </strong>We suggest protection strategies to police times and places of risk are developed, and addressed in economic and legal country specific guidance.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"16 1","pages":"750"},"PeriodicalIF":0.8000,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12505836/pdf/","citationCount":"0","resultStr":"{\"title\":\"Understanding sexual violence: Perspectives from an adolescent HIV prevention study.\",\"authors\":\"Nadia Ahmed, Emily Webb, Richard Muhumuza, Andrew S Ssemata, Millicent Atujuna, Lynda Stranix-Chibanda, Teacler Nematadzira, Janan J Dietrich, Gugulethu Tshabalala, Stefanie Hornschuh, Helen A Weiss, Janet Seeley, Julie Fox\",\"doi\":\"10.4102/jphia.v16i1.750\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Sub-Saharan Africa has a high prevalence of sexual violence in young women, with less data on young men.</p><p><strong>Aim: </strong>We investigated the prevalence of forced sex among adolescents and young people and described factors putting them at risk of sexual violence.</p><p><strong>Setting: </strong>The study was conducted in South Africa, Uganda and Zimbabwe.</p><p><strong>Methods: </strong>We conducted a cross-sectional, structured survey among 1330 13-24-year-old male and female participants. Logistic regression models were used to estimate odds ratios for associations with forced sex, adjusting for site, sex and age. Sixty in-depth interviews and 24 group discussions were also conducted. Data were transcribed, translated and analysed using thematic framework analysis.</p><p><strong>Results: </strong>Seventy-six out of 1326 participants (6%) reported forced sex in the last 6 months. Forced sex was most commonly reported in Entebbe versus other sites, female than male participants, and 18-24 years than 13-18 years. Associations were seen with younger sexual debut (adjusted odds ratio [aOR]: 0.89; 95% confidence interval [CI]: 0.81, 0.98), ever having transactional sex (aOR: 2.18; 95% CI: 1.19, 4.02), risk-taking (aOR: 3.51; 95% CI: 1.99, 6.19), depression (aOR: 3.20; 95% CI: 1.69, 6.06), anxiety (aOR: 2.07; 95% CI: 1.08, 3.96) and binge drinking (aOR: 2.66; 95% CI: 1.33, 5.36), and strong association with forcing someone to have sex (aOR: 7.54; 95% CI: 3.68, 15.46). Qualitative data support these results.</p><p><strong>Conclusion: </strong>Our findings identify risks similar to those for sexual violence.</p><p><strong>Contribution: </strong>We suggest protection strategies to police times and places of risk are developed, and addressed in economic and legal country specific guidance.</p>\",\"PeriodicalId\":44723,\"journal\":{\"name\":\"Journal of Public Health in Africa\",\"volume\":\"16 1\",\"pages\":\"750\"},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2025-09-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12505836/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Public Health in Africa\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4102/jphia.v16i1.750\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Public Health in Africa","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4102/jphia.v16i1.750","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Understanding sexual violence: Perspectives from an adolescent HIV prevention study.
Background: Sub-Saharan Africa has a high prevalence of sexual violence in young women, with less data on young men.
Aim: We investigated the prevalence of forced sex among adolescents and young people and described factors putting them at risk of sexual violence.
Setting: The study was conducted in South Africa, Uganda and Zimbabwe.
Methods: We conducted a cross-sectional, structured survey among 1330 13-24-year-old male and female participants. Logistic regression models were used to estimate odds ratios for associations with forced sex, adjusting for site, sex and age. Sixty in-depth interviews and 24 group discussions were also conducted. Data were transcribed, translated and analysed using thematic framework analysis.
Results: Seventy-six out of 1326 participants (6%) reported forced sex in the last 6 months. Forced sex was most commonly reported in Entebbe versus other sites, female than male participants, and 18-24 years than 13-18 years. Associations were seen with younger sexual debut (adjusted odds ratio [aOR]: 0.89; 95% confidence interval [CI]: 0.81, 0.98), ever having transactional sex (aOR: 2.18; 95% CI: 1.19, 4.02), risk-taking (aOR: 3.51; 95% CI: 1.99, 6.19), depression (aOR: 3.20; 95% CI: 1.69, 6.06), anxiety (aOR: 2.07; 95% CI: 1.08, 3.96) and binge drinking (aOR: 2.66; 95% CI: 1.33, 5.36), and strong association with forcing someone to have sex (aOR: 7.54; 95% CI: 3.68, 15.46). Qualitative data support these results.
Conclusion: Our findings identify risks similar to those for sexual violence.
Contribution: We suggest protection strategies to police times and places of risk are developed, and addressed in economic and legal country specific guidance.
期刊介绍:
The Journal of Public Health in Africa (JPHiA) is a peer-reviewed, academic journal that focuses on health issues in the African continent. The journal editors seek high quality original articles on public health related issues, reviews, comments and more. The aim of the journal is to move public health discourse from the background to the forefront. The success of Africa’s struggle against disease depends on public health approaches.