Sexual violence against children in South Africa: A nationally representative cross-sectional study of prevalence and correlates
| dc.contributor.author | Ward, Catherine L | |
| dc.contributor.author | Artz, Lillian | |
| dc.contributor.author | Leoschut, Lezanne | |
| dc.contributor.author | Kassanjee, Reshma | |
| dc.contributor.author | Burton, Patrick | |
| dc.coverage.spatial | South Africa | en_ZA |
| dc.date.accessioned | 2018-05-10T08:54:19Z | |
| dc.date.available | 2018-05-10T08:54:19Z | |
| dc.date.issued | 2018 | |
| dc.description.abstract | Background We could identify no nationally representative South African studies of sexual violence against children. Methods A multistage sampling frame, stratified by province, urban/rural and race group, selected households. Within households, children aged 15-17 years were interviewed after obtaining parental consent. The final sample was 5,631 (94.6% participation rate). Findings 9.99% (95%CI 8.65-11.47) of boys and 14.61% (95%CI 12.83-16.56) of girls reported some lifetime sexual victimisation. Physical abuse, emotional abuse, neglect, family violence, and other victimisations, were all strongly associated with sexual victimisation. The following were associated with greater risk of sexual abuse (adjusted OR); school enrolment (OR 2.12; 95%CI 1.29-3.48); urban dwelling (OR 0.59; 95%CI 0.43-0.80); having a flush toilet (OR 1.43; 95%CI 1.04-1.96); having a substance-misusing parent ( OR 2.37; 95%CI 1.67-3.36); being disabled (OR 1.42; 95%CI 1.10-1.82); female but not male caregivers’ poorer knowledge of the child’s whereabouts, friends and activities (OR 1.07; 95%CI 0.75-1.53) and poorer quality of the relationship with the child (OR 1.20; 95%CI 0.55-2.60). Respondents’ own substance misuse (OR 4.72; 95%CI 3.73-5.98) and high-risk sexual behaviour (OR 3.71; 95%CI 2.99-4.61) were the behaviours most frequently associated with sexual abuse, with mental health conditions far less prevalent but nonetheless strongly associated with sexual victimisation (PTSD OR 2.81, 95%CI 1.65-4.78; depression OR 3.43, 95% CI 2.26-5.19; anxiety OR 2.48, 95%CI 1.61-3.81). Interpretation Sexual violence is widespread among both girls and boys, and is associated with serious health problems. Associated factors require multi-sectoral responses to prevent sexual violence or mitigate consequences. | en_ZA |
| dc.identifier.apacitation | Ward, C. L., Artz, L., Leoschut, L., Kassanjee, R., & Burton, P. (2018). Sexual violence against children in South Africa: A nationally representative cross-sectional study of prevalence and correlates. <i>The Lancet Global Health</i>, http://hdl.handle.net/11427/28034 | en_ZA |
| dc.identifier.chicagocitation | Ward, Catherine L, Lillian Artz, Lezanne Leoschut, Reshma Kassanjee, and Patrick Burton "Sexual violence against children in South Africa: A nationally representative cross-sectional study of prevalence and correlates." <i>The Lancet Global Health</i> (2018) http://hdl.handle.net/11427/28034 | en_ZA |
| dc.identifier.citation | Ward, C.L., Artz, L., Leoschut, L., Kassanjee, R., & Burton, P. (2018). Sexual violence against children in South Africa: A nationally representative cross-sectional study of prevalence and correlates. The Lancet Global Health, 6, e460-e468. doi: 10.1016/S2214-109X(18)30060-3 | en_ZA |
| dc.identifier.ris | TY - Journal Article AU - Ward, Catherine L AU - Artz, Lillian AU - Leoschut, Lezanne AU - Kassanjee, Reshma AU - Burton, Patrick AB - Background We could identify no nationally representative South African studies of sexual violence against children. Methods A multistage sampling frame, stratified by province, urban/rural and race group, selected households. Within households, children aged 15-17 years were interviewed after obtaining parental consent. The final sample was 5,631 (94.6% participation rate). Findings 9.99% (95%CI 8.65-11.47) of boys and 14.61% (95%CI 12.83-16.56) of girls reported some lifetime sexual victimisation. Physical abuse, emotional abuse, neglect, family violence, and other victimisations, were all strongly associated with sexual victimisation. The following were associated with greater risk of sexual abuse (adjusted OR); school enrolment (OR 2.12; 95%CI 1.29-3.48); urban dwelling (OR 0.59; 95%CI 0.43-0.80); having a flush toilet (OR 1.43; 95%CI 1.04-1.96); having a substance-misusing parent ( OR 2.37; 95%CI 1.67-3.36); being disabled (OR 1.42; 95%CI 1.10-1.82); female but not male caregivers’ poorer knowledge of the child’s whereabouts, friends and activities (OR 1.07; 95%CI 0.75-1.53) and poorer quality of the relationship with the child (OR 1.20; 95%CI 0.55-2.60). Respondents’ own substance misuse (OR 4.72; 95%CI 3.73-5.98) and high-risk sexual behaviour (OR 3.71; 95%CI 2.99-4.61) were the behaviours most frequently associated with sexual abuse, with mental health conditions far less prevalent but nonetheless strongly associated with sexual victimisation (PTSD OR 2.81, 95%CI 1.65-4.78; depression OR 3.43, 95% CI 2.26-5.19; anxiety OR 2.48, 95%CI 1.61-3.81). Interpretation Sexual violence is widespread among both girls and boys, and is associated with serious health problems. Associated factors require multi-sectoral responses to prevent sexual violence or mitigate consequences. DA - 2018 DB - OpenUCT DP - University of Cape Town J1 - The Lancet Global Health LK - https://open.uct.ac.za PB - University of Cape Town PY - 2018 T1 - Sexual violence against children in South Africa: A nationally representative cross-sectional study of prevalence and correlates TI - Sexual violence against children in South Africa: A nationally representative cross-sectional study of prevalence and correlates UR - http://hdl.handle.net/11427/28034 ER - | en_ZA |
| dc.identifier.uri | http://hdl.handle.net/11427/28034 | |
| dc.identifier.vancouvercitation | Ward CL, Artz L, Leoschut L, Kassanjee R, Burton P. Sexual violence against children in South Africa: A nationally representative cross-sectional study of prevalence and correlates. The Lancet Global Health. 2018; http://hdl.handle.net/11427/28034. | en_ZA |
| dc.language | eng | en_ZA |
| dc.publisher | The Lancet Global Health | en_ZA |
| dc.publisher.department | Department of Psychology | en_ZA |
| dc.publisher.faculty | Faculty of Humanities | en_ZA |
| dc.publisher.institution | University of Cape Town | |
| dc.rights | Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | en_ZA |
| dc.source | The Lancet Global Health | en_ZA |
| dc.source.uri | https://www.journals.elsevier.com/the-lancet-global-health/ | |
| dc.subject.other | violence against children | |
| dc.subject.other | sexual violence | |
| dc.subject.other | South Africa | |
| dc.title | Sexual violence against children in South Africa: A nationally representative cross-sectional study of prevalence and correlates | en_ZA |
| dc.type | Journal Article | en_ZA |
| uct.type.filetype | Text | |
| uct.type.filetype | Image | |
| uct.type.publication | Research | en_ZA |
| uct.type.resource | Article | en_ZA |