Childhood Violence Is Associated with Forced Sexual Initiation Among Girls and Young Women in Malawi: A Cross-Sectional Survey - 24/04/19
, Steven A. Sumner, MD, MSc 2, Wezi Msungama, MPH 3, Greta M. Massetti, PhD 2, McKnight Kalanda, MA, ELM 4, Janet Saul, PhD 5, Andrew F. Auld, MBChB, MSc 6, Susan D. Hillis, PhD, MSN 2, 5Abstract |
Objective |
To describe associations between childhood violence and forced sexual initiation in young Malawian females.
Study design |
We analyzed data from 595 women and girls who were 13-24 years old who ever had sex and participated in Malawi's 2013 Violence Against Children Survey, a nationally representative household survey. We estimated the overall prevalence of forced sexual initiation and identified subgroups with highest prevalences. Using logistic regression, we examined childhood violence and other independent predictors of forced sexual initiation.
Results |
The overall prevalence of forced sexual initiation was 38.9% among Malawian girls and young women who ever had sex. More than one-half of those aged 13-17 years at time of survey (52.0%), unmarried (64.6%), or experiencing emotional violence in childhood (56.9%) reported forced sexual initiation. After adjustment, independent predictors of forced sexual initiation included being unmarried (aOR, 3.54; 95% CI, 1.22-10.27) and any emotional violence (aOR, 2.47; 95% CI, 1.45-4.24). Those experiencing emotional violence alone (aOR, 3.04; 95% CI: 1.01-9.12), emotional violence in combination with physical or nonpenetrative sexual violence (aOR, 2.50; 95% CI, 1.23-5.09), and emotional violence in combination with physical and nonpenetrative sexual violence (aOR, 2.61; 95% CI, 1.20-5.67) had an increased independent odds of forced sexual initiation.
Conclusions |
Experiences of forced sexual initiation are common among Malawian females. Emotional violence is strongly associated with forced sexual initiation, alone and in combination with other forms of childhood violence. The relationship between emotional violence and forced sexual initiation highlights the importance of comprehensive strategies to prevent childhood violence.
Le texte complet de cet article est disponible en PDF.Keywords : sexual violence, emotional violence, coerced sex, adolescence
Abbreviations : CDC, UNICEF, VACS, WHO
Plan
| Funding for the implementation and coordination of the survey was provided by the government of the United Kingdom. The Ministry of Gender, Children, Disability and Social Welfare (MoGCDSW), the Center for Social Research at the University of Malawi, the United Nations Children's Fund in Malawi (UNICEF Malawi), and the President's Emergency Plan for AIDS Relief (PEPFAR) conducted the Violence Against Children and Young Women survey in Malawi (VACS Malawi). Centers for Diseases Control and Prevention (CDC) personnel, while not funding the program directly, provided programmatic and technical guidance in country. The authors declare no conflicts of interest. |
Vol 208
P. 265 - mai 2019 Retour au numéro
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