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Coerced and forced sexual initiation and its association with negative health outcomes among youth: Results from the Nigeria, Uganda, and Zambia Violence Against Children Surveys.

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Title: Coerced and forced sexual initiation and its association with negative health outcomes among youth: Results from the Nigeria, Uganda, and Zambia Violence Against Children Surveys.
Authors: Nguyen, Kimberly H.1 (AUTHOR) uxp1@cdc.gov, Padilla, Mabel1 (AUTHOR), Villaveces, Andrés1 (AUTHOR), Patel, Pragna2 (AUTHOR), Atuchukwu, Victor3 (AUTHOR), Onotu, Dennis3 (AUTHOR), Apondi, Rose4 (AUTHOR), Aluzimbi, George4 (AUTHOR), Chipimo, Peter5 (AUTHOR), Kancheya, Nzali5 (AUTHOR), Kress, Howard1 (AUTHOR)
Source: Child Abuse & Neglect. Oct2019, Vol. 96, pN.PAG-N.PAG. 1p.
Subject Terms: *Sexually transmitted diseases, *Youth, *Demographic characteristics, Youths' sexual behavior, Violence, Human sexuality, Suicide risk factors
Geographic Terms: Uganda, Nigeria, Zambia
Abstract: Coerced and forced sexual initiation (FSI) can have detrimental effects on children and youth. Understanding health outcomes that are associated with experiences of FSI is important for developing appropriate strategies for prevention and treatment of FSI and its consequences. The Violence Against Children Surveys were conducted in Nigeria, Uganda, and Zambia in 2014 and 2015. We examined the prevalence of FSI and its consequences (sexual high-risk behaviors, violence experiences, mental health outcomes, and sexually transmitted infections (STI)) associated with FSI among youth aged 13–24 years in three countries in sub-Saharan Africa. Over one in ten youth aged 13–24 years who had ever had sex experienced FSI in Nigeria, Uganda, and Zambia. In multivariable logistic regression, FSI was significantly associated with infrequent condom use (OR = 1.4, 95%CI = 1.1–2.1), recent experiences of sexual violence (OR = 1.6, 95%CI: 1.1–2.3), physical violence (OR = 2.2, 95%CI: 1.6–3.0), and emotional violence (OR = 2.0, 95%CI: 1.3–2.9), moderate/serious mental distress (OR = 1.5, 95%CI: 1.1–2.0), hurting oneself (OR = 2.0, 95%CI: 1.3–3.1), and thoughts of suicide (OR = 1.5, 95%CI: 1.1–2.3), after controlling for demographic characteristics. FSI was not statistically associated with engaging in transactional sex, having multiple sex partners, or having a STI. FSI is associated with infrequent condom use, recent experiences of violence and mental health outcomes among youth in sub-Saharan Africa, which may increase the risk for HIV and other consequences. Developing strategies for prevention is important for reducing the prevalence of FSI and its effects on children and youth. [ABSTRACT FROM AUTHOR]
Copyright of Child Abuse & Neglect is the property of Pergamon Press - An Imprint of Elsevier Science and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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DbLabel: Education Research Complete
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PubType: Academic Journal
PubTypeId: academicJournal
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  Data: Coerced and forced sexual initiation and its association with negative health outcomes among youth: Results from the Nigeria, Uganda, and Zambia Violence Against Children Surveys.
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  Data: <searchLink fieldCode="AR" term="%22Nguyen%2C+Kimberly+H%2E%22">Nguyen, Kimberly H.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> uxp1@cdc.gov</i><br /><searchLink fieldCode="AR" term="%22Padilla%2C+Mabel%22">Padilla, Mabel</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Villaveces%2C+Andrés%22">Villaveces, Andrés</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Patel%2C+Pragna%22">Patel, Pragna</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Atuchukwu%2C+Victor%22">Atuchukwu, Victor</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Onotu%2C+Dennis%22">Onotu, Dennis</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Apondi%2C+Rose%22">Apondi, Rose</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Aluzimbi%2C+George%22">Aluzimbi, George</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chipimo%2C+Peter%22">Chipimo, Peter</searchLink><relatesTo>5</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kancheya%2C+Nzali%22">Kancheya, Nzali</searchLink><relatesTo>5</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kress%2C+Howard%22">Kress, Howard</searchLink><relatesTo>1</relatesTo> (AUTHOR)
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  Label: Abstract
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  Data: Coerced and forced sexual initiation (FSI) can have detrimental effects on children and youth. Understanding health outcomes that are associated with experiences of FSI is important for developing appropriate strategies for prevention and treatment of FSI and its consequences. The Violence Against Children Surveys were conducted in Nigeria, Uganda, and Zambia in 2014 and 2015. We examined the prevalence of FSI and its consequences (sexual high-risk behaviors, violence experiences, mental health outcomes, and sexually transmitted infections (STI)) associated with FSI among youth aged 13–24 years in three countries in sub-Saharan Africa. Over one in ten youth aged 13–24 years who had ever had sex experienced FSI in Nigeria, Uganda, and Zambia. In multivariable logistic regression, FSI was significantly associated with infrequent condom use (OR = 1.4, 95%CI = 1.1–2.1), recent experiences of sexual violence (OR = 1.6, 95%CI: 1.1–2.3), physical violence (OR = 2.2, 95%CI: 1.6–3.0), and emotional violence (OR = 2.0, 95%CI: 1.3–2.9), moderate/serious mental distress (OR = 1.5, 95%CI: 1.1–2.0), hurting oneself (OR = 2.0, 95%CI: 1.3–3.1), and thoughts of suicide (OR = 1.5, 95%CI: 1.1–2.3), after controlling for demographic characteristics. FSI was not statistically associated with engaging in transactional sex, having multiple sex partners, or having a STI. FSI is associated with infrequent condom use, recent experiences of violence and mental health outcomes among youth in sub-Saharan Africa, which may increase the risk for HIV and other consequences. Developing strategies for prevention is important for reducing the prevalence of FSI and its effects on children and youth. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Child Abuse & Neglect is the property of Pergamon Press - An Imprint of Elsevier Science and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=138755604
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      – Type: doi
        Value: 10.1016/j.chiabu.2019.104074
    Languages:
      – Code: eng
        Text: English
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        PageCount: 1
        StartPage: N.PAG
    Subjects:
      – SubjectFull: Sexually transmitted diseases
        Type: general
      – SubjectFull: Youth
        Type: general
      – SubjectFull: Demographic characteristics
        Type: general
      – SubjectFull: Youths' sexual behavior
        Type: general
      – SubjectFull: Violence
        Type: general
      – SubjectFull: Human sexuality
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      – SubjectFull: Suicide risk factors
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      – SubjectFull: Uganda
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      – SubjectFull: Nigeria
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              Text: Oct2019
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