The experience of sexual coercion among young people in Kenya
The experience of sexual coercion among young people in Kenya
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DOI：
10.1363/3018204
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发表时间：
2004-12-01
期刊：
影响因子：
--
通讯作者：
Erulkar, AS
中科院分区：
文献类型：
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作者：
Erulkar, AS
背景：对发展中国家年轻人性行为的研究普遍忽视了发生性行为的环境，大多数情况下假设年轻人发生性行为是自愿的并且是双方同意的。少数已发表的关于非自愿性行为的研究通常使用高度选择性的样本，忽略了男性和已婚年轻人的经历。方法：2001 年对肯尼亚尼耶里的年轻人进行的一项基于人口的调查包括一个关于性胁迫的特殊模块。使用描述性数据和多变量分析来探讨 10-24 岁已婚和未婚男性和女性中性强迫的普遍性和模式。结果：在有性经历的受访者中，21% 的女性和 11% 的男性在强迫情况下经历过性行为。大多数施暴者都是亲密伴侣，包括男朋友、女朋友和丈夫。在多变量逻辑回归中，曾经结婚的女性以及不与父母或配偶同住的女性遭受性胁迫的风险显着升高（比值比分别为 2.6 和 3.1）；性胁迫与有多个性伴侣和生殖道感染有关（2.2和2.5）。被强迫发生性行为的男性明显高于那些没有第一伴侣且年长至少五岁的男性 (82.9)。 结论：针对年轻人的生殖健康计划需要解决非自愿性行为问题，包括男性和已婚女性的特殊需求。
CONTEXT: Studies of sexual behavior among young people in the developing world have generally neglected the circumstances in which sex takes place, most often assuming that when young people have sex, it is wanted and consensual. The few published studies on nonconsensual sex have often used highly selective samples, ignoring the experience of males and of married young people.METHODS: A 2001 population-based survey of young people in Nyeri, Kenya, included a special module on sexual coercion. Descriptive data and multivariate analysis are used to explore the prevalence and patterns of sexual coercion among married and unmarried males and females aged 10-24.RESULTS: Among the sexually experienced respondents, 21% of females and 11% of males had experienced sex under coercive conditions. Most of the perpetrators were intimate partners, including boyfriends, girlfriends and husbands. In a multivariate logistic regression, females who had ever been married and those who did not live with a parent or spouse had a significantly elevated risk of sexual coercion (odds ratios, 2.6 and 3.1, respectively); sexual coercion was associated with having had multiple sexual partners and with having had a reproductive tract infection (2.2 and 2.5). Males who had been coerced into sex were significantly more likely than those who had not to have had a first partner who was older by at least five years (82.9).CONCLUSION: Reproductive health programs for young people need to address nonconsensual sex, including the special needs of males and of married females.