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Determinants of Sexual Violence at Sexual Debut against in-School Adolescents in Ghana

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Abstract

Very few studies examine sexual violence perpetrated on adolescents in Ghana or in sub-Saharan Africa more generally. Using data collected in 2015 as part of a multi-country initiative, we employed multinomial logit models to examine violence experienced by Ghanaian adolescents at sexual debut. Results of our gender-specific models showed violence at sexual debut is gendered. While adolescent girls reported higher levels of forced sex (rape) at sexual debut, boys reported higher levels of coercion. Compared to those who had sex at relatively older ages, girls who had sex at younger ages were significantly more likely to say they were raped, were coerced or that sex ‘just happened’ than to report sex was wanted. Both male and female adolescents were significantly more likely to report sex was forced than wanted if the sexual partner was older. Female respondents who lived with family members other than their parents were significantly more likely to report forced sex (rape). We recommend government and interested stakeholders to promote social norms that discourage violence against adolescents. School-based programs, such as Ghana’s comprehensive sexuality education, must focus on equipping adolescents with the confidence and skills required to handle cultural pressures and the power differences that characterize sexual relationships.

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References

  • Adamcyzk, A., & Hayes, B. E. (2012). Religion and sexual behaviors: Understanding the influence of Islamic cultures and religious affiliation for explaining sex outside of marriage. American Sociological Review, 77(5), 723–746.

    Article  Google Scholar 

  • Adinkrah, M. (2011). Criminalizing rape within marriage: Perspectives of Ghanaian university students. International Journal of Offender Therapy and Comparative Criminology, 55(6), 982–1010.

    Article  PubMed  Google Scholar 

  • Amo-Adjei, J., & Tuoyire, D. A. (2016). Do ethnicity and polygyny contribute to justification of men beating women in Ghana? Women & Health, 56(1), 48–64.

    Article  Google Scholar 

  • Amoah, J. (2007). The world on her shoulders: The rights of the girl-child in the context of culture and identity. Essex Human Rights Review, 4(2), 1–23.

    Google Scholar 

  • Amoakohene, M. I. (2004). Violence against women in Ghana: A look at women's perceptions and review of policy and social responses. Social Science & Medicine, 59(11), 2373–2385.

    Article  Google Scholar 

  • Andersson, N., Paredes-Solís, S., Milne, D., Omer, K., Marokoane, N., Laetsang, D., & Cockcroft, A. (2012). Prevalence and risk factors for forced or coerced sex among school-going youth: National cross-sectional studies in 10 southern African countries in 2003 and 2007. BMJ Open, 2(2), E000754 e000754.

    Article  PubMed  PubMed Central  Google Scholar 

  • Awusabo-Asare, K., et al. (2017). From paper to practice: Sexuality education policies and their implementation in Ghana. New York: Guttmacher Institute https://www.guttmacher.org/report/sexuality-education-ghana.

    Google Scholar 

  • Azzopardi, P., Kennedy, E., & Patton, G. C. (2017). Data and indicators to measure adolescent health, social development and well-being, Innocenti research briefs no. 2017–04. Florence: UNICEF Office of Research – Innocenti.

    Google Scholar 

  • Beninger, C. (2013). Combating sexual violence in schools in sub-Saharan Africa: Legal strategies under regional and international human rights law. African Human Rights Law Journal, 13, 281–301.

    Google Scholar 

  • Bernacchi, E., Fabris, A., & Zelano, M. (2016). Multi-country study on the drivers of violence affecting children. Italian report. Firenze: Istituto degli Innocenti.

    Google Scholar 

  • Blake, M. T., Drezett, J., Vertamatti, M. A., Adami, F., Valenti, V. E., Paiva, A. C., Viana, J. M., Pedroso, D., & Abreu, L. C. (2014). Characteristics of sexual violence against adolescents girls and adult women. BMC Women’s Health, 14, 15 http://www.biomedcentral.com/1472-6874/14/15.

    Article  PubMed Central  Google Scholar 

  • Boakye, K. E. (2009). Culture and nondisclosure of child sexual abuse in Ghana: A theoretical and empirical exploration. Law & Social Inquiry, 34(4), 951–979.

    Article  Google Scholar 

  • Boateng, F. D. (2015). Victims of sexual assaults: The experiences of Ghanaian women. International Review of Victimology, 21(3), 343–360.

    Article  Google Scholar 

  • Boone, M., Cherenack, E., & Wilson, P. (2015). Self-efficacy for sexual risk reduction and partner HIV status as correlates of sexual risk behavior among HIV-positive adolescent girls and women. AIDS Patient Care and STDs, 29(6), 346–353.

    Article  PubMed  PubMed Central  Google Scholar 

  • Decker, M. R., Wood, S. N., Ndinda, E., Yenokyan, G., Sinlcair, J., Maksud, N., Ross, B., Omondi, B., & Ndirangu, M. (2018). Sexual violence among adolescent young girls and women in Malawi: A cluster randomized controlled implementation trial of empowerment self-defence training. BMC Public Health, 18, 1341. https://doi.org/10.1186/s12889-018-6220-0.

    Article  PubMed  PubMed Central  Google Scholar 

  • Devries, K. M., & Meinck, F. (2018). Sexual violence against children and adolescents in South Africa: Making the invisible visible. The Lancet Global Health, 6(4), PE367–PE368.

    Article  Google Scholar 

  • Domestic Violence and Victim Support Unit (DOVVSU) of the Ghana Police Service. (2015). Official statistics for 2014. Accra: DOVVSU.

  • Dunmore, E., Clark, D. M., & Ehlers, A. (2001). A prospective investigation of the role of cognitive factors in persistent posttraumatic stress disorder (PTSD) after physical or sexual assault. Behaviour Research and Therapy, 39(9), 1063–1084.

    Article  CAS  PubMed  Google Scholar 

  • East, P. L., & Hokoda, A. (2015). Risk and protective factors for sexual and dating violence victimization: A longitudinal, prospective study of Latino and African American adolescents. Journal of Youth and Adolescence, 44(6), 1288–1300.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ellsberg, M., Vyas, A., Madrid, B., Quintanilla, M., Zelaya, J., & Stockl, H. (2017). Violence against adolescent girls: Falling through the cracks? Ending violence in childhood global report 2017. New Delhi: Know Violence in Childhood.

    Google Scholar 

  • Essuman, R., & Amo-Adjei, J. (2019). Formative study on parenting practices in Ghana: Stakeholders understanding of raising children (girls and boys aged 0–19 years). Accra: Technical report submitted to UNICEF Ghana office.

    Google Scholar 

  • Eswaran, M., & Malhotra, N. (2011). Domestic violence and women’s autonomy in developing countries: Theory and evidence. Canadian Journal of Economics/Revue canadienne d'économique, 44(4), 1222–1263.

    Article  Google Scholar 

  • Falconer, J. (2008). The road to health: A final report on school safety. Toronto District School Board: School Community Safety Advisory Panel.

    Google Scholar 

  • Faramarzi, M., Esmailzadeh, S., & Mosavi, S. (2005). Prevalence and determinants of intimate partner violence in Babol City, Islamic Republic of Iran. Eastern Mediterranean Health Journal, 11(5–6), 870–879.

    CAS  PubMed  Google Scholar 

  • Finke, R., & Adamczyk, A. (2008). Explaining morality: Using international data to reestablish the macro/micro link. Sociological Quarterly, 49, 615–650.

    Article  Google Scholar 

  • Finkelhor, D. (2012). Characteristics of crimes against juveniles. Durham, NH: Crimes against Children Research Center.

    Google Scholar 

  • Fisher, B. S., Daigle, L. E., & Cullen, F. T. (2010). Unsafe in the ivory tower: The sexual victimization of college women. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Folayan, M. O., Harrison, A., Brown, B., Odoteyinbo, M., Stockman, J. K., Ajuwon, A. J., & Caceres, C. F. (2016). Associations between forced sexual init aiation, HIV status, sexual risk behavior, life stressors, and coping strategies among adolescents in Nigeria. PLoS One, 11(5), e0155210. https://doi.org/10.1371/journal.pone.0155210.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Fulu, E., Jewkes, R., Roselli, T., & Garcia-Moreno, C. (2013). Prevalence of and factors associated with male perpetration of intimate partner violence: Findings from the UN multi-country cross-sectional study on men and violence in Asia and the Pacific. The Lancet Global Health, 1(4), e187–e207.

    Article  PubMed  Google Scholar 

  • Ghana Education Service, Ministry of Education. (2012). School health education programme: policy guidelines, Accra: Ghana Education Service.

  • Greathouse, S. M., Saunders, J., Mathews, M., Keller, K. M., & Miller, L. L. (2015). A review of the literature on sexual assault perpetrator characteristics and behaviors. Santa Monica, California: Research report published by the RAND Corporation https://www.rand.org/content/dam/rand/pubs/research_reports/RR1000/RR1082/RAND_RR1082.pdf.

    Book  Google Scholar 

  • Harner (2003). Sexual violence and Adolescents. Applied Research Forum. National Online Resource Centre on Violence Against Women. Harrisburg, PA: VAWnet, a project of the National Resource Center on Domestic Violence/Pennsylvania Coalition Against Domestic Violence. https://rhyclearinghouse.acf.hhs.gov/sites/default/files/docs/17690-Sexual_Violence_and_Adolescents.pdf

  • Heslop, J., Parkes, J., Januario, F., Samwel, S., & Hess, T. (2015). Sexuality, sexual norms and schooling: Choice-coercion dilemmas. In J. Parkes (Ed.), Gender violence in poverty contexts: The educational challenge (pp. 135–150). London and New York: Routledge.

    Google Scholar 

  • Hickman, L. J., Jaycox, L. H., & Aronoff, J. (2004). Dating violence among adolescents: Prevalence, gender distribution, and prevention programme effectiveness. Trauma, Violence and Abuse, 5(2), 123–142.

    Article  PubMed  Google Scholar 

  • Hulton, L. A., Cullen, R., & Khalokho, S. W. (2000). Perceptions of the risks of sexual activity and their consequences among Ugandan adolescents. Studies in Family Planning, 31(1), 35–46.

    Article  CAS  PubMed  Google Scholar 

  • Jejeebhoy, S. J., & Bott, S. (2005). Non-consensual sexual experiences of young people: A review of the evidence from developing countries. Regional working papers, no. 13. New Delhi: Population Council.

    Google Scholar 

  • Jewkes, R. (2002). Intimate partner violence: Causes and prevention. The Lancet, 359(9315), 1423–1429.

    Article  Google Scholar 

  • Jewkes, R., Sen, P., & Garcia-Moreno, C. (2002). World report on violence and health (pp. 149–181). Geneva: World Health Organization.

    Google Scholar 

  • Kabiru, C., Izugbara, C., & Beguy, D. (2013). The health and wellbeing of young people in sub-Saharan Africa: An under-researched area? BMC International Health and Human Rights, 13(1), 11.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kalra, G., & Bhugra, D. (2013). Sexual violence against women: Understanding cross-cultural intersections. Indian Journal of Psychiatry, 55(3), 244–249.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kast, N. R., Eisenberg, M. E., & Sieving, R. E. (2016). The role of parent communication and connectedness in dating violence victimization among Latino adolescents. Journal of Interpersonal Violence, 31(10), 1932–1955.

    Article  PubMed  Google Scholar 

  • Kastbom, A. A., Sydsjo, G., Bladh, M., Priebe, G., & Svedin, C. (2015). Sexual debut before the age of 14 leads to poorer psychosocial health and risky behavior in life. Acta Paediatrica, 104, 91–100.

    Article  PubMed  Google Scholar 

  • Krug, E. G., Dalhberg, L. L., Mercy, J. A., Zwi, A. B., & Lozano, R. (2002). Sexual violence. World report on violence and health, 149–181.

  • Livingston, J., Hequembourg, A., Testa, M., & Vanzile-Tamsen, C. (2007). Unique aspects of adolescent sexual victimization experiences. Psychology of Women Quarterly, 31(4), 331–343.

    Article  PubMed  PubMed Central  Google Scholar 

  • Long, J. S. (1997). Regression models for categorical and limited dependent variables. Thousand Oaks, CA: Sage.

  • Mann, R. E., Hanson, R. K., & Thornton, D. (2010). Assessing risk for sexual recidivism: Some proposals on the nature of psychologically meaningful risk factors. Sexual Abuse: A Journal of Research and Treatment, 22(2), 191–217.

    Article  Google Scholar 

  • Metzler, C. W., Noell, J., Biglan, A., Ary, D., & Smolkowski, K. (1994). The social context for risky sexual behavior among adolescents. Journal of Behavioral Medicine, 17(4), 419–438.

    Article  CAS  PubMed  Google Scholar 

  • Ministry of Gender, Children & Social Protection. (2015). Investing in children earns huge dividends. Report on investment, budgeting, and economic burden of child protection violations in Ghana. Ghana: UNICEF https://www.unicef.org/ghana/media/1941/file/Investing%20in%20children.pdf.

    Google Scholar 

  • Moore, A. M., Awusabo-Asare, K., Madise, N., John-Langba, J., & Kumi-Kyereme, A. (2007). Coerced first sex among adolescent girls in sub-Saharan Africa: Prevalence and context. African Journal of Reproductive Health, 11(3), 62–82.

    Article  PubMed  PubMed Central  Google Scholar 

  • Moosa, Z. (2012) Violence against women and girls in the post-2015 framework: Why and how. Action Aid, http://www.worldwewant2015.org/node/283242.

  • Mullinax, M. (2018) Adolescent sexual violence: A silent global epidemic that needs our attention. American Jewish World Service Blog, April 24, 2018. https://ajws.org/blog/adolescent-sexual-violence-a-silent-global-epidemic-that-needs-our-attention/

  • Naezer, M., Rommes, E., & Jansen, W. (2017). Empowerment through sex education? Rethinking paradoxical policies. Sex Education, 17(6), 712–728.

    Article  Google Scholar 

  • National Population Council. (2000). Adolescent Reproductive Health Policy (ARHP). Accra: Republic of Ghana.

  • Olafson, E. (2011). Child sexual abuse: demography, impact, and interventions. Journal of Child & Adolescent Trauma, 4(1), 8–21.

  • Panchaud, C., Keogh, S. C., Stillman, M., Awusabo-Asare, K., Motta, A., Sidze, E., & Monzon, A. S. (2019). Towards comprehensive sexuality education: A comparative analysis of the policy environment surrounding school-based sexuality education in Ghana, Peru, Kenya and Guatemala. Sex Education, 19(3), 277–296.

    Article  Google Scholar 

  • Peltzer, K., & Pengpid, S. (2015). Early sexual debut and associated factors among in-school adolescents in six Caribbean countries. The West Indian Medical Journal, 64(4), 351–356.

    CAS  PubMed  Google Scholar 

  • Peterman, A., Palermo, T & Bredenkamp, C. (2011). Estimates and determinants of sexual violence in the Democratic Republic of Congo. American Journal of Public Health, 101(6), 1060–1067.

  • Rao, P. (2018). Confronting sexual violence in schools: countries and activists adopt tough measures to tackle the growing crisis. https://www.un.org/africarenewal/magazine/august-november-2018/confronting-sexual-violence-schools. Accessed 4 Nov 2020.

  • Raudenbush, S, W. & Bryk, A, S. (2002) Hierarchical linear models: Applications and data analysis methods London: Sage.

  • Richter, L., Mabaso, M., Ramjith, J., & Norris, S. A. (2015). Early sexual debut: Voluntary or coerced? Evidence from longitudinal data in South Africa—The birth to twenty plus study. South African Medical Journal, 105(4), 204–307.

    Article  Google Scholar 

  • Said, A. P., & Costa, L. F. (2019). Family dynamics of boys victims of sexual abuse. Paedeia, 29(e2908), 1982–4327.

    Google Scholar 

  • Sedziafa, P., Tenkorang, E. Y., & Owusu, A. Y. (2015). “He always hit me on my ears”: The health effects of intimate partner violence among a group of patrilineal women in Ghana. Culture, Health & Sexuality, 18(12), 1379–1392.

    Article  Google Scholar 

  • Snyder, H, N. (2000) Sexual assault of young children as reported to law enforcement: Victim, incident, and offender characteristics. Washington, DC: U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics. Retrieved from https://www.bjs.gov/content/pub/pdf/saycrle.pdf December 16, 2019.

  • Tenkorang, E. Y., & Maticka-Tyndale, E. (2008). Investigating the timing of first sexual intercourse among young people in Nyanza, Kenya. International Family Planning Perspectives, 34(4), 177–188.

    Article  PubMed  Google Scholar 

  • Tenkorang, E. Y., Fernando, R., & Maticka-Tyndale, E. (2009). Perceived risks of HIV/AIDS and first sexual intercourse among youth in Cape Town, South Africa. AIDS & Behavior, 13(2), 234–245.

    Article  Google Scholar 

  • Tenkorang, E. Y., Yeboah, E. H., Adobea, Y. O., & Bannerman, R. (2013). Factors influencing domestic and marital violence against women in Ghana. Journal of Family Violence, 28(8), 771–781.

    Article  Google Scholar 

  • Tenkorang, E. Y., Yuji, S., Sedziafa, A. P., Kuuire, V., & Banchani, E. (2015). Validity of self-report data in hypertension research; findings from the study on global ageing and adult health. Journal of Clinical Hypertension, 17(12), 977–984.

    Article  PubMed  PubMed Central  Google Scholar 

  • Tolman, D.L. (2012). Female adolescents, sexual empowerment and desire: a missing discourse of gender inequity. Sex Roles, 66, 11–12.

  • Tooley, J., Dixon, P., & Amuah, I. (2007). Private and public schooling in Ghana: A census and comparative survey. Review of Education, 53, 389–415.

    Google Scholar 

  • Tusiime, S., Musinguzi, G., Tinkitina, B., Mwebaza, N., Kisa, R., Anguzu, R., & Kiwanuka, N. (2015). Prevalence of sexual coercion and its association with unwanted pregnancies among young pregnant females in Kampala, Uganda: A facility based cross-sectional study. BMC Women’s Health, 15(1), 79.

    Article  PubMed  PubMed Central  Google Scholar 

  • United Nations Children’s Fund. (2014). A statistical snapshot of violence against adolescent girls. New York: UNICEF https://www.unicef.org/publications/index_76212.html.

    Google Scholar 

  • Van Campen, K. S., & Pilat, M. (2010). Addressing teen sexual violence through prevention education (Frances McClelland Institute for Children, Youth, and Families research link, Vol. 2, No. 2). Tucson, AZ: The University of Arizona.

    Google Scholar 

  • Vyas, S. (2018). Unequal power relations and partner violence against women in Tanzania: A cross-sectional analysis. BMC Women's Health, 18(1), 185.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wamoyi, J., Fenwick, A., Urassa, M., Zaba, B., & Stones, W. (2011). “Women’s bodies are shops”: Beliefs about transactional sex and implications for understanding gender power and HIV prevention in Tanzania. Archives of Sexual Behavior, 40(1), 5–15.

    Article  PubMed  Google Scholar 

  • Ward, C. L., Artz, L., Leoschut, L., Kassanjee, R., & Burton, P. (2018). Sexual violence against children in South Africa: A nationally representative cross-sectional study of prevalence and correlates. The Lancet Global Health, 6(4), PE460–PE468 e460.

    Article  Google Scholar 

  • Wekerle, C., & Wolfe, D. A. (1999). Dating violence in mid-adolescence: Theory, significance and emerging prevention initiatives. Clinical Psychology Review, 19(4), 435–456.

    Article  CAS  PubMed  Google Scholar 

  • Whittier, N. (2015). Where are the children?: Theorizing the missing piece in gendered sexual violence. Gender & Society, 30(1), 95–108.

    Article  Google Scholar 

  • WHO. (2005) WHO multi-country study on women's health and domestic violence against women: summary report of initial results on prevalence, health outcomes and women’s responses. https://apps.who.int/iris/bitstream/handle/10665/43310/9241593512_eng.pdf?sequence=1. Accessed 4 Nov 2020.

  • World Health Organization. (2003). Gender dimension of HIV status disclosure to sexual partners: Rates, barriers and outcomes. A review paper. Geneva: WHO.

    Google Scholar 

  • World Health Organization. (2013) Responding to intimate partner violence and sexual violence against women: WHO clinical and policy guidelines. World Health Organization. https://www.who.int/reproductivehealth/publications/violence/9789241548595/en/. Accessed 4 Nov 2020.

  • World Health Organization. (2014) Violence against women: intimate partner and sexual violence against women: intimate partner and sexual violence have serious short-and long-term physical, mental and sexual and reproductive health problems for survivors: fact sheet (No. WHO/RHR/14.11). World Health Organization. https://apps.who.int/iris/handle/10665/112325. Accessed 4 Nov 2020.

  • World Health Organization/London School of Hygiene and Tropical Medicine. (2010). Preventing intimate partner and sexual violence against women: Taking action and generating evidence. Geneva: World Health Organization https://www.who.int/violence_injury_prevention/publications/violence/9789241564007_eng.pdf.

    Google Scholar 

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Tenkorang, E.Y., Amo-Adjei, J., Kumi-Kyereme, A. et al. Determinants of Sexual Violence at Sexual Debut against in-School Adolescents in Ghana. J Fam Viol 36, 813–824 (2021). https://doi.org/10.1007/s10896-020-00220-x

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