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Individual and community-level socioeconomic position and its association with adolescents experience of childhood sexual abuse: a multilevel analysis of sixcountries in Sub-Saharan Africa
Department of Public Health Sciences, Midsweden University, Sweden, and Centre for Evidence-Based Global Health, Nigeria.
Division of Social Medicine, Department of Public Health Sciences, Karolinska Institute, Sweden.
Warwick - Centre for Applied Health Research and Delivery (WCAHRD), Division of Health Sciences, Warwick Medical School, The University of Warwick, Coven try, CV4 7AL, United Kingdom.
Department of Public Health Sciences, Midsweden University, Sweden, and Division of Social Medicine, Department of Public Health Sciences, Karolinska Institute, Sweden.
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2013 (engelsk)Inngår i: Journal of Injury and Violence Research, ISSN 2008-2053, E-ISSN 2008-4072, Vol. 6, nr 1, s. 21-30Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

BACKGROUND: Childhood sexual abuse (CSA) is a substantial global health and human rights problem and consequently a growing concern in sub-Saharan Africa. We examined the association between individual and community-level socioeconomic status (SES) and the likelihood of reporting CSA.

METHODS: We applied multiple multilevel logistic regression analysis on Demographic and Health Survey data for 6,351female adolescents between the ages of 15 and 18 years from six countries in sub-Saharan Africa, between 2006 and 2008.

RESULTS: About 70% of the reported cases of CSA were between 14 and 17 years. Zambia had the highest proportion of reported cases of CSA (5.8%). At the individual and community level, we found that there was no association between CSA and socioeconomic position. This study provides evidence that the likelihood of reporting CSA cut across all individual SES as well as all community socioeconomic strata.

CONCLUSIONS: We found no evidence of socioeconomic differentials in adolescents’ experience of CSA, suggesting that adolescents from the six countries studied experienced CSA regardless of their individual- and community-level socioeconomic position. However, we found some evidence of geographical clustering, adolescents in the same community are subject to common contextual influences. Further studies are needed to explore possible effects of countries’ political, social, economic, legal, and cultural impact on Childhood sexual abuse.

sted, utgiver, år, opplag, sider
2013. Vol. 6, nr 1, s. 21-30
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URN: urn:nbn:se:hig:diva-16050DOI: 10.5249/jivr.v6i1.316PubMedID: 23797565OAI: oai:DiVA.org:hig-16050DiVA, id: diva2:688764
Tilgjengelig fra: 2014-01-17 Laget: 2014-01-17 Sist oppdatert: 2018-03-13bibliografisk kontrollert

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