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S e x u a l  V i o l e n c e

 
Sexual Violence and Health



Note: Sexual Violence can occur between strangers, acquaintances, family members, or intimate partners. It is often a strategy used in intimate partner violence. Many other sections of this web site (Health effects of IPV, Clinical Guidelines, Effective Health Care Response, etc contain information relevant for the health care response to sexual violence.

The following is an excerpt from the World Health Organization Web Site
http://www.who.int/violence_injury_prevention/violence/
interpersonal/ip3/en/

·        Definitions

·        Burden of Disease

·        Risk Factors


Sexual Violence

Sexual violence is defined in the World Report on Violence and Health (http://www.who.int/violence_injury_prevention/violence/world_report/en/) as "any sexual act, attempt to obtain a sexual act, unwanted sexual comments or advances, or acts to traffic a person’s sexuality, using coercion, threats of harm or physical force, by any person regardless of relationship to the victim, in any setting, including but not limited to home and work". Sexual violence encompasses physically forced or otherwise coerced sex, attempts at coerced sex, assault with a sexual organ, sexual harassment including sexual humiliation, forced marriage or cohabitation including marriage of children, forced prostitution and trafficking in women, forced abortion, denial of the right to use contraception or protect self from disease, and acts of violence against women’s sexuality such as female genital mutilation and social virginity inspections.

Sexual violence can occur between family members and intimates, and between acquaintances and strangers. Sexual violence can occur throughout the life cycle, from infancy to old age , and involves women and men, both as victims and as perpetrators. Although it affects both sexes, it is most frequently perpetrated by boys and men towards girls and women.

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Burden of disease

The true extent of sexual violence is unknown, though available data reviewed for the World Report on Violence and Health suggests that one in five women may experience sexual violence by an intimate partner in their lifetime. In national studies on sexual violence conducted in Canada, Finland, Switzerland, Great Britain, and the United States of America, between 2% and 13% of women report being the victim of either an attempted or completed rape by a partner in their lifetime. In smaller population-based studies, for example in London, England, Guadalajara, Mexico, and the Midland Province in Zimbabwe, the reported rate is higher at about 25%.

For many women, sexual violence begins in childhood and adolescence and can take place in a variety of contexts including the home, school, and the community. Studies conducted in diverse places such as Cameroon, Caribbean, Peru, New Zealand, South Africa, and Tanzania find high rates of reported forced sexual initiation. Different studies have found a range from 7.4% to 46% of adolescent women, and 3.6% to 20% of adolescent men who have reported sexual coercion at the hands of family members, teachers, boyfriends, or strangers.

Sexual violence has significant health consequences, including suicide, PTSD, other mental illnesses, unwanted pregnancy, sexually transmitted diseases, HIV/AIDS, self-inflicted injuries, and, in the case of child sexual abuse, adoption of high risk behaviors such as multiple sexual partners and drug use. ( for more detailed information go to Health Effects of IPV

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Risk factors for sexual violence

There are many factors increasing the risk of someone being coerced into sex or forcing sex on another person. Some of these factors are related to the attitudes, beliefs and behaviors of the individuals involved, while others are deeply rooted in the social environment – including peer, family, community and societal environments. Such factors not only influence the likelihood of sexual violence, but also the reaction to it. The World Report on Violence and Health presents the following sets of risk factors for sexual violence:

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Factors increasing women’s vulnerability

Factors increasing men’s risk of committing rape
Individual level
  • being young
  • using alcohol or drugs
  • having mental health problems, particularly with post-traumatic stress disorder
  • having previously been raped or sexually abused
  • men using alcohol or drugs
  • men holding attitudes and beliefs supportive of sexual violence, including coercive sexual fantasies and blaming women for arousing them
  • a pattern of behaviour that is impulsive, antisocial, and hostile toward women

having been sexually abused as a child

Family and close environment level
  • having many sexual partners
  • involvement in sex work
  • being in an intimate relationship, especially one characterized by physical and emotional violence
  • growing up in a family environment characterized by physical violence, little emotional support, and few economic resources

associating with sexually aggressive peers

Community level
  • being educated and economically empowered, at least where sexual violence perpetrated by an intimate partner is concerned
  • poverty
  • poverty – mediated through a crisis of masculine identity

weak sanctions against men who are sexually violent

Societal level
  • community and social expectations that women are responsible for protecting their modesty and controlling their sexuality
  • community and societal norms of male superiority and male sexual entitlement
  • societies where laws and policies related to gender equality and sexual violence are weak
  • community and social expectations that women are responsible for protecting their modesty and controlling their sexuality
  • community and societal norms of male superiority and male sexual entitlement
  • high levels of all forms of violence in a society

societies where laws and policies related to gender equality and sexual violence are weak


 

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