TY - JOUR
T1 - Prevalence and health impact of intimate partner violence and non-partner sexual violence among female adolescents aged 15-19 years in vulnerable urban environments
T2 - A multi-country study
AU - Decker, Michele R.
AU - Peitzmeier, Sarah
AU - Olumide, Adesola
AU - Acharya, Rajib
AU - Ojengbede, Oladosu
AU - Covarrubias, Laura
AU - Gao, Ersheng
AU - Cheng, Yan
AU - Delany-Moretlwe, Sinead
AU - Brahmbhatt, Heena
N1 - Funding Information:
This research was supported by Young Health Programme, a partnership between AstraZeneca, Johns Hopkins Bloomberg School of Public Health, and Plan International, a leading global children's charity. In Ibadan, the study was funded by The Bill and Melinda Gates Institute at Johns Hopkins Bloomberg School of Public Health through its funding to The Centre for Population and Reproductive Health, University of Ibadan.
Funding Information:
Disclaimer: Publication of this article was supported by the Young Health Programme, a partnership between AstraZeneca, Johns Hopkins Bloomberg School of Public Health, and Plan International. The opinions or views expressed in this article are those of the author and do not necessarily represent the official position of the funders.
Publisher Copyright:
© 2014 Society for Adolescent Health and Medicine.
PY - 2014/12/1
Y1 - 2014/12/1
N2 - Purpose Globally, adolescent women are at risk for gender-based violence (GBV) including sexual violence and intimate partner violence (IPV). Those in economically distressed settings are considered uniquely vulnerable.Methods Female adolescents aged 15-19 from Baltimore, Maryland, USA; New Delhi, India; Ibadan, Nigeria; Johannesburg, South Africa; and Shanghai, China (n = 1,112) were recruited via respondent-driven sampling to participate in a cross-sectional survey. We describe the prevalence of past-year physical and sexual IPV, and lifetime and past-year non-partner sexual violence. Logistic regression models evaluated associations of GBV with substance use, sexual and reproductive health, mental health, and self-rated health.Results Among ever-partnered women, past-year IPV prevalence ranged from 10.2% in Shanghai to 36.6% in Johannesburg. Lifetime non-partner sexual violence ranged from 1.2% in Shanghai to 12.6% in Johannesburg. Where sufficient cases allowed additional analyses (Baltimore and Johannesburg), both IPV and non-partner sexual violence were associated with poor health across domains of substance use, sexual and reproductive health, mental health, and self-rated health; associations varied across study sites.Conclusions Significant heterogeneity was observed in the prevalence of IPV and non-partner sexual violence among adolescent women in economically distressed urban settings, with upwards of 25% of ever-partnered women experiencing past-year IPV in Baltimore, Ibadan, and Johannesburg, and more than 10% of adolescent women in Baltimore and Johannesburg reporting non-partner sexual violence. Findings affirm the negative health influence of GBV even in disadvantaged urban settings that present a range of competing health threats. A multisectoral response is needed to prevent GBV against young women, mitigate its health impact, and hold perpetrators accountable.
AB - Purpose Globally, adolescent women are at risk for gender-based violence (GBV) including sexual violence and intimate partner violence (IPV). Those in economically distressed settings are considered uniquely vulnerable.Methods Female adolescents aged 15-19 from Baltimore, Maryland, USA; New Delhi, India; Ibadan, Nigeria; Johannesburg, South Africa; and Shanghai, China (n = 1,112) were recruited via respondent-driven sampling to participate in a cross-sectional survey. We describe the prevalence of past-year physical and sexual IPV, and lifetime and past-year non-partner sexual violence. Logistic regression models evaluated associations of GBV with substance use, sexual and reproductive health, mental health, and self-rated health.Results Among ever-partnered women, past-year IPV prevalence ranged from 10.2% in Shanghai to 36.6% in Johannesburg. Lifetime non-partner sexual violence ranged from 1.2% in Shanghai to 12.6% in Johannesburg. Where sufficient cases allowed additional analyses (Baltimore and Johannesburg), both IPV and non-partner sexual violence were associated with poor health across domains of substance use, sexual and reproductive health, mental health, and self-rated health; associations varied across study sites.Conclusions Significant heterogeneity was observed in the prevalence of IPV and non-partner sexual violence among adolescent women in economically distressed urban settings, with upwards of 25% of ever-partnered women experiencing past-year IPV in Baltimore, Ibadan, and Johannesburg, and more than 10% of adolescent women in Baltimore and Johannesburg reporting non-partner sexual violence. Findings affirm the negative health influence of GBV even in disadvantaged urban settings that present a range of competing health threats. A multisectoral response is needed to prevent GBV against young women, mitigate its health impact, and hold perpetrators accountable.
KW - Adolescent
KW - Intimate partner violence
KW - Sexual violence
UR - http://www.scopus.com/inward/record.url?scp=84918786002&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84918786002&partnerID=8YFLogxK
U2 - 10.1016/j.jadohealth.2014.08.022
DO - 10.1016/j.jadohealth.2014.08.022
M3 - Article
C2 - 25454004
AN - SCOPUS:84918786002
SN - 1054-139X
VL - 55
SP - S58-S67
JO - Journal of Adolescent Health
JF - Journal of Adolescent Health
IS - 6
ER -