Sexual violence against female university students in Ethiopia
Tóm tắt
Though many women are suffering the consequences of sexual violence, only few victims speak out as it is sensitive and prone to stigma. This lack of data made it difficult to get full picture of the problem and design proper interventions. Thus, the aim of this study was to assess the prevalence and factors associated with sexual violence among female students of Wolaita Sodo University, south Ethiopia. Institution based cross-sectional study was conducted among 462 regular female Wolaita Sodo University students on April 7/2015. Participants were selected by simple random sampling. Data were collected by self-administered questionnaire. Data entry and analysis was done by EPI info and SPSS statistical packages respectively. Descriptive statistics were done. Moreover, bivariate and multivariate analyses were also carried out to identify predictors of sexual violence. The age of respondents ranged from 18 to 26 years. Lifetime sexual violence was found to be 45.4%. However, 36.1% and 24.4% of respondents reported experiencing sexual violence since entering university and in the current academic year respectively. Life time sexual violence was positively associated with witnessing inter-parental violence as a child, rural childhood residence, having regular boyfriend, alcohol consumption and having friends who drink regularly; while it was negatively associated with discussing sexual issues with parents. Sexual violence is a common phenomenon among the students. More detailed research has to be conducted to develop prevention and intervention strategies.
Tài liệu tham khảo
WHO. World Report on Violence and Health, World Health Organization, Geneva, 2012 available at http://www.who.int/violence_injury_prevention/violence/world_report/en/
Ellsberg M, Heise L, Pena R, Agurto S, Winkvist A. Researching domestic violence against women: methodological and ethical considerations. Stud Fam Plan. 2001;32(1):1–16. doi:10.1111/j.1728-4465.2001.00001.x. http://gender.care2share.wikispaces.net/file/view/(13)ResearchingDVMethods.pdf
United Nations General Assembly. Declaration on the elimination of violence against women. 1993. Available at http://www.un.org/documents/ga/res/48/a48r104.htm
The fourth world conference on women, Beijing China, 4–15 September 1995 New York, NY, United Nations, 1995. available at http://www.un.org/womenwatch/daw/beijing/pdf/Beijing%20full%20report%20E.pdf
WHO: Putting women first: Ethical and safety recommendations for research on domestic violence against women. 2001, Geneva, [http://www.who.int/gender/violence/womenfirtseng.pdf].
Vienna Declaration and Program of Action, Adopted by the World Conference on Human Rights, Vienna, 14–25 June 1993. New York, NY, United Nations. http://www.ohchr.org/Documents/ProfessionalInterest/vienna.pdf
Roseman MJ, Reichenbach L: International conference on population and development at 15 years: achieving sexual and reproductive health and rights for all?. Am J Public Health 2010, 100 (3): 403–406. doi:10.2105/AJPH.2009.177873.
World Health Organization: Violence against women fact sheet Geneva, Switzerland http://www.who.int/mediacentre/factsheets/fs239/en/
Heise L. Violence against women: a neglected public health issue in less developed countries. Soc Sci Med. 2010;39(9):1165–79.
GarcÍa-Moreno C, Jansen HAFM, Ellsberg M, Heise L, Watts C: World Health Organization multi-country study on Women’s health and domestic violence against women: initial results on prevalence, health outcomes and women’s responses. http://www.who.int/gender/violence/who_multicountry_study/en/,
Heise L, Ellsberg M, Gottmoeller M. A global overview of gender-based violence. Int J Gynaecol Obstet. 2002;78(Suppl 1): S5-14. Available at https://www.ncbi.nlm.nih.gov/pubmed/12429433.
United Nations: Division for the Advancement of Women, Department of Economic and Social Affairs. Secretary-General’s In-Depth Study on Violence against Women. United Nations General Assembly, 61st Session: Advancement of Women, 2006. Available at: http://www.un.org/womenwatch/daw/vaw/ Accessed June 21, 2014.
Gossaye Y, Deyessa N, Berhane Y, Ellsberg M, Emmelin M, Ashenafi M, Alem A, Negash A, Kebede D, Kullgren G, Ulf H. Butajira rural health program: womens life events study in rural Ethiopia. Ethiop J Health Dev. 2003;17(Suppl 2):1–51. http://www.un.org/womenwatch/daw/Review/responses/ETHIOPIA-English.pdf
Walsh et al. Lifetime prevalence of gender-based violence in US women: Associations with mood/anxiety and substance use disorders; J Psychiatr Res 2015; 62: 7–13. doi:10.1016/j.jpsychires.2015.01.002.
Deyessa N, Berhane Y, Ellsberg M, Emmelin M, Kullgren G, Ulf H: Intimate partner violence and depression among women in rural Ethiopia: a cross-sectional study. Clin Pract Epidemiol in Ment Health. 2009;5:8. doi:10.1186/1745-0179-5-8. http://www.cpementalhealth.com/content/5/1/8
Gorfu M, Demise A. Sexual violence against schoolgirls in Jimma zone: prevalence, pattern and consequences. Ethiopian Journal of Education and Science. 2007;2(2):11–37.
WHO. Study on women’s health and life events in Ethiopia, Final core questionnaire (Version 10.3): Produced by WHO multi-country study core team; adapted by Addis Ababa University and Umea University, March 18, 2002.
Gelaye B, Arnold D, Williams MA, Goshu M, Berhane Y. Depressive symptoms among female college students experiencing gender-based violence in Awassa, Ethiopia. Journal of Interpersonal Violence. 2009;24:464-481. doi:10.1177/0886260508317173
Worku A, Addisie M. Sexual violence among female high school students in Debark (NW Ethiopia). East African Medical Journal. 2002;79:96–99.
Heise L. Violence against women: the hidden health burden. World Health Stat Q. 1993;46(1):78–84. http://www.uneca.org/adfvi/documents/UNFPA-RH-effects-of-GBV.pdf
Center for Rights, Education and Awareness: Exploring sexuality a youth Perspective Series: A journey towards embracing sexual rights. In Setting Standards in Upholding Women’s Rights. Nairobi: Center for Rights, Education and Awareness; 2006.
Shimekaw B, Megabiaw B, Alamrew Z. Prevalence and associated factors of sexual violence among private college female students in Bahir Dar city, north western Ethiopia. Health. 2013;5:1069–75. doi:10.4236/health.2013.56143.
Takele A, Setegn T. “Sexual Coercion and Associated Factors among Female Students of Madawalabu University, Southeast Ethiopia.” Advances in Public Health, vol. 2014, Article ID 417517, 8 pages, 2014. doi:10.1155/2014/417517
Bekele T, Deressa W. Experience of Sexual Coercion and Associated Factors among Female Students of Ambo University in Ethiopia. Science Journal of Public Health. Vol. 2, No. 6, 2014, pp. 532–538. doi:10.11648/j.sjph.20140206.16
Bekele T, Kaso M, Gebremariam A, Deressa W. Sexual violence and associated factors among female students of Madawalabu University in Ethiopia. Epidemiology (sunnyvale). 2015;5:190. doi:10.4172/2161-1165-1000190.
Tadesse S, et al. Assessment of sexual coercion among Addis Ababa University female students. Ethiopia (MPH Thesis): Addis Ababa; 2013.
Fitaw Y, Haddis K, Million F. G/Selassie K. Gender based violence among high school students in north West Ethiopia. Ethiop Med J. 2005;43(4):215–21.
Worku A, Addisie M. Sexual violence among female high school students debark. North West Ethiopia East Afr Med J. 2002;79(2):96–9.
Mulugeta E, Kassaye M, Berhane Y. Prevalence and outcomes of sexual violence among high school students. Ethiop Med J. 1998;36(3):167–74.
Sendo EG, Meleku M. Prevalence and factors associated with sexual violence among female students of Hawassa University in Ethiopia. Science Postprint 2015;1(2):e00047. 10.14340/spp.2015.04A0002.
Arnold D, Gelaye B, Goshu M, Berhane Y, Williams MA. Prevalence and risk factors of gender-based violence among female college students in Awassa, Ethiopia. Violence Vict. 2008;23:787–800.
Spencer GA. Dating violence: A comparison of rural, suburban, and urban teens. J Adolesc Health. 2000;27(5):302–5.
Abbey A. Alcohol-related sexual assault: a common problem among college students. J Stud Alcohol Suppl. 2002;14:118–28.
Testa M, Parks KA. The role of women’s alcohol consumption in sexual victimization. Aggress Violent Beh. 1996;1(3):217–34.
Testa M, Vanzile-Tamsen C, Livingston JA, Buddie AM. The role of women’s alcohol consumption in managing sexual intimacy and sexual safety motives. J Stud Alcohol. 2006;67(5):665–74.
Mehra D, et al. Is drinking alcohol associated with sexual coercion among Ugandan university students?: a cross-sectional study. Reproductive Health. 2014;11:7.
Lehrer JA, Lehrer VL, Lehrer EL, Oyarzun P. Sexual Violence in College Students in Chile (October 2007). IZA Discussion Paper No. 3133. Available at SSRN: http://ssrn.com
Gupta J, Falb KL, Lehmann H, Kpebo D, Xuan Z, Hossain M, Zimmerman C, Watts C, Annan J. Gender norms and economic empowerment intervention to reduce intimate partner violence against women in rural Cote d'Ivoire: a randomized controlled pilot study. BMC Int Health Hum Right. 2013;13:46. doi:10.1186/1472-698X-13-46.
Kinyanda E, et al. Intimate partner violence as seen in post conflict eastern Uganda: prevalence, risk factors and mental health consequences. BMC International Health and Human Rights. 2016;16:5.
Teitelman AM, Ratcliffe SJ, Cederbaum JA. Parent–adolescent communication about sexual pressure, maternal norms about relationship power, and STI/HIV protective behaviors of minority urban girls. Journal of the American Psychiatric Nurses Association, 14(1), 2008 50–60. http://doi.org/10.1177/1078390307311770.
Kaiser Family Foundation, Decision-Making about Sex: SexSmarts, 2000b. available at http://www.kff.org/hivaids/sexsmarts-decision-making-3064/