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Childhood sexual abuse among girls and determinants of sexual risk behaviours in adult life in sub-Saharan Africa
Department of Public Health Sciences, Mid Sweden University, Sundsvall, Sweden; Centre for Evidence-Based Global Health, Nigeria.
Division of Social Medicine, Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Centre for Applied Health Research and Delivery (WCAHRD), Division of Health Sciences, Warwick Medical School, The University of Warwick, Coventry, UK.
Department of Public Health Sciences, Mid Sweden University, Sundsvall, Sweden; Division of Social Medicine, Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
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2015 (English)In: Journal of Aggression, Conflict and Peace Research, ISSN 1759-6599, Vol. 7, no 2, 67-75 p.Article in journal (Refereed) Published
Abstract [en]

Purpose The purpose of this paper is to investigate the relationship between child sexual abuse and sexual risk behaviours as well as its potential mediators.

Design/methodology/approach This cross-sectional study used data from a cross-sectional study from 12,800 women between 15 and 49 years of age included in the 2008 Nigerian Demographic and Health Survey. Structural equation modelling (SEM) was applied to assess the association between childhood sexual abuse (CSA) and sexual risk behaviours.

Findings The authors found that CSA was directly associated with sexual risk behaviours. In addition, the association between CSA and sexual risk behaviour was also partially mediated by alcohol and cigarette use.

Research limitations/implications The results show that being abused in childhood is important for the subsequent development of sexual risk behaviours in adulthood and the association is mediated by alcohol and cigarette use.

Practical implications The results may be helpful for policy makers and health care planners in designing cultural sensitive public health intervention that will reduce the burden of CSA, its long-term effects (sexual risk behaviours) and intervening mediators that increase the risks.

Social implications These findings suggest that to reduce sexual risks, interventions to address sexual abuse needs to include other social problems (smoking, alcohol) that victims result to when faced with trauma.

Originality/value The current study is the only one so far in sub-Saharan Africa to have explored the relation between CSA and sexual risk behaviours using SEM.

Place, publisher, year, edition, pages
2015. Vol. 7, no 2, 67-75 p.
Keyword [en]
Alcohol, Structural equation modelling, Sub-Saharan Africa, Smoking, Childhood sexual abuse, Sexual risk behaviours
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:hig:diva-19214DOI: 10.1108/JACPR-04-2014-0121Scopus ID: 2-s2.0-84928563421OAI: oai:DiVA.org:hig-19214DiVA: diva2:805904
Available from: 2015-04-16 Created: 2015-04-16 Last updated: 2015-05-28Bibliographically approved

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CiteExportLink to record
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Cite
Citation style
  • apa
  • harvard-cite-them-right
  • ieee
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  • Other style
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Language
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Output format
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