Prevalence and associated risk factors of violence against conflict–affected female adolescents: a multi–country, cross–sectional study
Open accessAbstract
BACKGROUND: Over half of displaced civilians in humanitarian emergencies are children, and these settings pose unique threats to children's safety with long-lasting consequences. Our study broadens the limited evidence on violence against adolescent girls in emergencies by estimating prevalence and predictors of violence among adolescent girls aged 13-14 in South Kivu, Democratic Republic of the Congo (DRC), and aged 13-19 in refugee camps in the Benishangul-Gumuz region of Ethiopia. METHODS: Survey data were collected from a sample of 1296 adolescent girls using Computer-Assisted Personal Interview and Audio Computer-Assisted Self-Interview programming. Predictors of violence were modeled using multivariable logistic regression. RESULTS: The majority of adolescent girls (51.62%) reported experiencing at least one form of violence victimization in the previous 12 months: 31.78% reported being hit or beaten, 36.79% reported being screamed at loudly or aggressively, and 26.67% experienced unwanted sexual touching, forced sex, and/or sexual coercion. Across both countries, ever having a boyfriend and living with an intimate partner were strong predictors of violence. Fewer years of education completed in DRC, and young age in Ethiopia, were also associated with reported victimization. CONCLUSIONS: Prevalence of violence against adolescent girls is high in these two conflict-affected contexts. Findings indicate a need for programs targeting younger populations, broader efforts to address different forms of victimization, and increased recognition of intimate partners and caregivers as perpetrators of violence in conflict-affected settings.
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There is insufficient research explicitly examining experiences of water insecurity-related SGBV among refugee adolescents and youth.
“There is insuf fi cient research explicitly examining experiences of water insecurity-related SGBV among refugee adolescents and youth who may experience water scarcity (Calderón-Villarreal et al . 2022) and a high prevalence of SGBV before, during, and following con fl ict-related migration (Stark et al. 2017; Logie et al . 2019a).”
From Water insecurity and sexual and gender-based violence among refugee youth: qualitative insights from a humanitarian setting in Uganda (2022) · cites this paper as Stark et al. 2017
Stark et al. is cited for the sentence’s claim about SGBV prevalence, not its opening claim about a water-insecurity research gap. The Results report sexual violence among conflict-affected adolescent girls in the DRC and Ethiopian refugee camps, but do not establish prevalence separately before, during, and after migration. The paper also studies adolescent girls rather than refugee youth generally. (LLM, conf=0.85)
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Cites
The world report on violence and health
Krug, E. G., Mercy, J. A., Dahlberg, L. L., & Zwi, A. B. (2002) · The Lancet · doi:10.1016/s0140-6736(02)11133-0 · Cited by 9,110 · see citing works
Ellsberg, M., Jansen, H. A., Heise, L., Watts, C. H., & Garcia-Moreno, C. (2008) · The Lancet · doi:10.1016/s0140-6736(08)60522-x · Cited by 1,820 · see citing works
Global Prevalence of Past-year Violence Against Children: A Systematic Review and Minimum Estimates
Hillis, S., Mercy, J., Amobi, A., & Kress, H. (2016) · Pediatrics · doi:10.1542/peds.2015-4079 · Cited by 1,477 · see citing works
Longitudinal associations between teen dating violence victimization and adverse health outcomes
Exner-Cortens, D., Eckenrode, J., & Rothman, E. (2013) · Pediatrics · doi:10.1542/peds.2012-1029 · Cited by 837 · see citing works
Sexual Revictimization: A Review of the Empirical Literature
Classen, C. C., Palesh, O. G., & Aggarwal, R. (2005) · Trauma, Violence, & Abuse · doi:10.1177/1524838005275087 · Cited by 813 · see citing works
A Systematic Review of Prevalence Studies of Gender-Based Violence in Complex Emergencies
Stark, L., & Ager, A. (2011) · Trauma, Violence, & Abuse · doi:10.1177/1524838011404252 · Cited by 386 · see citing works
Self-citationZolotor, A. J., Runyan, D. K., Dunne, M. P., Jain, D., Péturs, H. R., Ramirez, C., Volkova, E., Deb, S., Lidchi, V., Muhammad, T., et al. (2009) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2009.09.004 · Cited by 311 · see citing works
Zablotska, I. B., Gray, R. H., Koenig, M. A., Serwadda, D., Nalugoda, F., Kigozi, G., Sewankambo, N., Lutalo, T., Mangen, F. W., & Wawer, M. (2009) · AIDS and Behavior · doi:10.1007/s10461-007-9333-5 · Cited by 181 · see citing works
Flagged first, then by citations
Research works printed but not linked: 25
- [3]Macmillan R Violence and the life course: the consequences of victimization for personal and social development. Annu Rev Sociol 2001 27 1 22 10.1146/annurev.soc.27.1.1 · DOI
- [8]Boney-McCoy S Finkelhor D Is youth victimization related to trauma symptoms and depression after controlling for prior symptoms and family relationships? A longitudinal, prospective study. J Consult Clin Psychol 1996 64 1406 16 10.1037/0022-006X.64.6.1406 8991327 · DOI
- [10]Silverman JG Raj A Mucci LA Hathaway JE Dating violence against adolescent girls and associated substance use, unhealthy weight control, sexual risk behavior, pregnancy, and suicidality. JAMA 2001 286 572 9 10.1001/jama.286.5.572 11476659 · DOI
- [11]Costa BM Kaestle CE Walker A Curtis A Day A Toumbourou JW Longitudinal predictors of domestic violence perpetration and victimization: a systematic review. Aggress Violent Behav 2015 24 261 72 10.1016/j.avb.2015.06.001 · DOI
- [12]Capaldi DM Knoble NB Shortt JW Kim HK A systematic review of risk factors for intimate partner violence. Partner Abuse 2012 3 231 80 10.1891/1946-6560.3.2.231 22754606 PMC3384540 · DOI · Paper page
- [13]Michau L Horn J Bank A Dutt M Zimmerman C Prevention of violence against women and girls: lessons from practice. Lancet 2015 385 1672 84 10.1016/S0140-6736(14)61797-9 25467577 · DOI
- [14]Foshee VA Benefield TS Ennett ST Bauman KE Suchindran C Longitudinal predictors of serious physical and sexual dating violence victimization during adolescence. Prev Med 2004 39 1007 16 10.1016/j.ypmed.2004.04.014 15475036 · DOI
- [16]Hussey JM Chang JJ Kotch JB Child maltreatment in the United States: prevalence, risk factors, and adolescent health consequences. Pediatrics 2006 118 933 42 10.1542/peds.2005-2452 16950983 · DOI
- [17]Meinck F Cluver L Boyes M Longitudinal predictors of child sexual abuse in a large community-based sample of South African youth. J Interpers Violence 2015 29 0886260515596331 26224720
- [18]Sriskandarajah V Neuner F Catani C Predictors of violence against children in Tamil families in northern Sri Lanka. Soc Sci Med 2015 146 257 65 10.1016/j.socscimed.2015.10.010 26521032 · DOI
- [20]Kaestle CE Halpern CT Sexual intercourse precedes partner violence in adolescent romantic relationships. J Adolesc Health 2005 36 386 92 10.1016/j.jadohealth.2004.02.030 15837342 · DOI
- [21]Linder JR Collins AW Parent and peer predictors of physical aggression and conflict management in romantic relationships in early adulthood J Fam Psychol 2005 19 252 62 10.1037/0893-3200.19.2.252 15982103 · DOI · Paper page
- [24]Amowitz LL Reis C Lyons KH Vann B Mansaray B Akinsulure-Smith AM Prevalence of war-related sexual violence and other human rights abuses among internally displaced persons in Sierra Leone. JAMA 2002 287 513 21 10.1001/jama.287.4.513 11798376 · DOI
- [25]Swiss S Jennings PJ Aryee GV Brown GH Jappah-Samukai RM Kamara MS Violence against women during the Liberian civil conflict. JAMA 1998 279 625 9 10.1001/jama.279.8.625 9486762 · DOI
- [26]Usta J Farver J Child sexual abuse in Lebanon during war and peace. Child Care Health Dev 2010 36 361 8 10.1111/j.1365-2214.2010.01082.x 20507328 · DOI
- [27]Catani C Schauer E Neuner F Beyond individual war trauma: domestic violence against children in Afghanistan and Sri Lanka. J Marital Fam Ther 2008 34 165 76 10.1111/j.1752-0606.2008.00062.x 18412824 · DOI
- [28]Dubow EF Boxer P Huesmann LR Landau S Dvir S Shikaki K Cumulative effects of exposure to violence on posttraumatic stress in Palestinian and Israeli youth. J Clin Child Adolesc Psychol 2012 41 837 44 10.1080/15374416.2012.675571 22540411 PMC3461244 · DOI
- [29]Stark L Wessells M Sexual violence as a weapon of war. JAMA 2012 308 677 8 10.1001/jama.2012.9733 22893163 · DOI
- [31]Morgos D Worden JW Gupta L Psychosocial effects of war experiences among displaced children in southern Darfur. Omega (Westport) 2007-2008 56 229 53 10.2190/OM.56.3.b 18300649 · DOI
- [34]Reza A Brieding MJ Gulaid J Mercy JA Blanton C Mthethwa Z Sexual violence and its health consequences for female children in Swaziland: a cluster survey study. Lancet 2009 373 1966 72 10.1016/S0140-6736(09)60247-6 19428100 · DOI
- [37]Falb KL Tanner S Ward L Erksine D Noble E Assazenew A Creating Opportunities through Mentorship, Parental involvement, and Safe Spaces (COMPASS) program: multi-country study protocol to protect girls from violence in humanitarian settings. BMC Public Health 2016 16 231 10.1186/s12889-016-2894-3 26945586 PMC4779562 · DOI
- [40]Nasrullah M Zakar R Zakar MZ Abbas S Safdar R Shaukat M Knowledge and attitude towards child marriage practice among women married as children-a qualitative study in urban slums of Lahore, Pakistan. BMC Public Health 2014 14 1148 10.1186/1471-2458-14-1148 25374265 PMC4289044 · DOI
- [42]Stark L Warner A Lehmann H Boothby N Ager A Measuring the incidence and reporting of violence against women and girls in Liberia using the ‘neighborhood method’. Confl Health 2013 7 20 10.1186/1752-1505-7-20 24059598 PMC3850791 · DOI
- [43]Lundgren R Amin A Addressing intimate partner violence and sexual violence among adolescents: emerging evidence of effectiveness. J Adolesc Health 2015 56 1 Suppl S42 50 10.1016/j.jadohealth.2014.08.012 25528978 · DOI
- [44]Stark L Landis D Violence against children in humanitarian settings: a literature review of population-based approaches. Soc Sci Med 2016 152 125 37 10.1016/j.socscimed.2016.01.052 26854623 · DOI
Cited by
Sorted by citations
Hodes, M., Anagnostopoulos, D., & Skokauskas, N. (2018) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-018-1115-2 · Cited by 28 · see citing works
Logie, C. H., Okumu, M., Coelho, M., Loutet, M. G., Narasimhan, M., Lukone, S. O., Kisubi, N., Musoke, D. K., Kyambadde, P., Dorea, C., et al. (2022) · Journal of Water Sanitation and Hygiene for Development · doi:10.2166/washdev.2022.236 · Cited by 19 · see citing works
- Authors
- Stark, L., Asghar, K., Yu, G., Bora, C., Baysa, A. A., & Falb, K. L.
- Affiliations
- Columbia University (US)
- New York University (US)
- International Rescue Committee (US)
- Venue
- Journal of Global Health
- Published
- 2017-05-30
- Volume
- 7
- Issue
- 1
- Pages
- 010416-010416
- ISSN
- 2047-2978 (ISSN-L)
- 2047-2986
- PMC
- PMC5460397
- OpenAlex
- W2621212464
- Cited by
- 146
- References
- 8
- Citations by year
- 2026: 4 · 2025: 12 · 2024: 14 · 2023: 5 · 2022: 12 · 2021: 14 · 2020: 60 · 2019: 9 · 2018: 13 · 2017: 3
- FWCI
- 24.55
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Journal of Global Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, cc-by)
- Topics
- Social Sciences › Health › Intimate Partner and Family Violence
- Social Sciences › Gender Studies › Gender, Security, and Conflict
- Health Sciences › Health Professions › General Health Professions › Health and Conflict Studies
- Keywords
- adolescent girls, conflict-affected settings, humanitarian crisis, refugee camps, intimate partner violence, sexual violence, physical violence, risk factors, prevalence, South Kivu, Benishangul-Gumuz, forced sex
- MeSH terms
- Armed Conflicts, Adolescent, Cross-Sectional Studies, Ethiopia, Female, Humans, Surveys and Questionnaires, Refugees, Risk Factors, Violence, Democratic Republic of the Congo, Prevalence, Young Adult
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