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Childhood sexual abuse among girls and determinants of sexual risk behaviours in adultlife in sub-Saharan Africa
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences. Centre for Evidence-Based Global Health, Nigeria.
Karolinska Institutet, Stockholm, Sweden.
Warwick Medical School, The University of Warwick, Coventry, UK.
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences. Division of Social Medicine, Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.ORCID iD: 0000-0001-5221-9504
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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, Childhood sexual abuse, Sexual risk behaviours, Smoking, Structural equation modelling, Sub-Saharan Africa
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:miun:diva-22995DOI: 10.1108/JACPR-04-2014-0121Scopus ID: 2-s2.0-84928563421OAI: oai:DiVA.org:miun-22995DiVA: diva2:747222
Available from: 2014-09-16 Created: 2014-09-16 Last updated: 2015-08-13Bibliographically approved

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CiteExportLink to record
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Citation style
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