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Mexico XVII - Communication

Communication perspectives - Mexico XVII AIDS Conference
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The Adverse Health And Social Outcomes Of Sexual Coercion: Experiences of young women in developing countries (Part 2)

Date

September 14 2004


Findings from recent studies in diverse settings suggest that females who experience sexual coercion are more likely to experience subsequent incidents of forced sex, as well as (consensual) sexual risk-taking behaviours including:

  • multiple sexual partners
  • non-use of condoms, and
  • increased risk of unintended pregnancy and STIs.

They are also more likely to experience poor mental health outcomes, and alcohol and substance abuse.

  • A WHO multi-country report found that 60% of women whose first sex was forced subsequently experienced sexual violence with an intimate partner, compared to 23-27% of those whose first sex was consensual.
  • In Nicaragua, women who had been severely abused were more likely to have more sexual partners subsequently than women who had not been abused or had been moderately abused.
  • In Thailand young women who had forced first sex were more likely to experience sexual violence later in intimate partnerships.
  • In Uganda coercive first sex was associated with a 71% higher risk of subsequent HIV acquisition.
  • Sexually abused school-going adolescents in India reported higher rates of non-specific physical complaints such as sexual discharge, as well as poor mental health, suicidal ideation, alcohol abuse and cigarette smoking.
  • In Pakistan and Ethiopia, girls who had experienced coercion had feelings of guilt, sadness, rejection and hopelessness, and some reported attempting to commit suicide.



Placed on the Communication Initiative site September 13 2004
Last Updated September 13 2004

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Culturally Effective Strategies

If culturally delicate factors such as male circumcision or fewer multiple concurrent partners are to be effectively addressed, which communication strategies are most required? [choose a maximum of 3]