ArticleChild abuse & neglect2016
The relationship between parental presence and child sexual violence: Evidence from thirteen countries in sub-Saharan Africa.
Article in Child abuse & neglect, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
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Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it, 77 citations in OpenAlex.
- Factors Associated With Violence Against Children in Low- and Middle-Income Countries: A Systematic Review and Meta-Regression of Nationally Representative Data.Trauma, violence & abuse · 2021Pooled it
- The relationship between adverse childhood experiences and common mental disorders among pregnant women living with HIV in Malawi.Journal of affective disorders · 2022Trial
- Associations of Father and Adult Male Presence with First Pregnancy and HIV Infection: Longitudinal Evidence from Adolescent Girls and Young Women in Rural South Africa (HPTN 068).AIDS and behavior · 2021Trial
- Article
- Maternal Cancer Mortality and Orphanhood: A Neglected Global Health and Equity Challenge.Annals of global health · 2026Review
- Regional and national estimates of children affected by all-cause and COVID-19-associated orphanhood and caregiver death in Brazil, by age and family circumstance: a modeling study.Lancet regional health. Americas · 2025Article
- Child Sexual Abuse and Associated Factors Among High School Female Students in Arba Minch Zuria Woreda, Southern Ethiopia: A Cross-Sectional Study.Journal of obstetrics and gynaecology of India · 2025Article
- Orphanhood vulnerabilities for violence and HIV by education, sex, and orphan type among 18-24-year-old youth: findings from the 2018 Lesotho violence against children and youth survey.Psychology, health & medicine · 2024Article
- Implementing ecological momentary assessments to measure violence and adolescent HIV transmission risk: Lessons from Johannesburg, South Africa.PLOS digital health · 2024Article
- Psychosocial consequences and early life factors impact on the occurrence of childhood sexual assault among secondary school students in Southern Ethiopia: unmatched case-control study.Frontiers in reproductive health · 2024Article
- Violence Exposure, Self-Reported Mental Health Concerns and Use of Alcohol and Drugs for Coping among Youth in the Slums of Kampala, Uganda.International journal of mental health · 2024Article
- Exploring the effect of early menarche on sexual violence among adolescent girls and young women in southeastern Ghana: a longitudinal mediation analysis.Sexual and reproductive health matters · 2023Article
- Conducting Ethical Field Research on Rape in West African Settings: Case Study of 2018 Liberian Field Survey.Healthcare (Basel, Switzerland) · 2023Article
- Long-Term Post-Transition Outcomes of Adolescents and Young Adults Living With Perinatally and Non-perinatally Acquired HIV in Southeast Asia.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023Article
- Children orphaned from COVID-19 in Thailand: maximize use of civil registration database for policies.Frontiers in public health · 2023Article
- Sexual Violence against Children in Rwanda: Prevalence and Associated Factors.Rwanda journal of medicine and health sciences · 2022Article
- Review
- Association between violence and mental distress, self-harm and suicidal ideation and attempts among young people in Malawi.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2022Article
- Effects of Early Social Bonds on Adolescent Trajectories of Sexual Risk Behaviors Among South African Girls.AIDS and behavior · 2022Article
- Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
There are compelling reasons to believe that orphans - many millions due to the AIDS epidemic - are more likely to be sexually victimized during childhood. Few studies have empirically investigated sexual violence disparities, and those that do suffer from methodological limitations and limited geographic scope. We used nationally representative data on female adolescents (15-17 years) from 13 countries in sub-Saharan Africa. We built multilevel logistic models to test for an association between the dependent variables (orphanhood and parental absence) and sexual violence, both within countries and pooled across all countries. Approximately 10% of adolescent girls reported past experiences of sexual violence; a third of those victimized were 14 years or younger at the time of their first forced encounter. Paternal orphaning (OR 1.36, p≤0.01), double orphaning (OR 1.47, p≤0.05), and paternal absence (OR 1.28; p≤0.05) were significantly associated with experiencing sexual violence in pooled analyses. Fewer findings reached significance within individual countries. Our findings suggest that the lack of a father in the home (due to death or absence) places girls at heightened risk for childhood sexual abuse; further research identifying pathways of vulnerability and resilience specific to this population is needed. Our findings also indicate that abuse often starts at an early age; thus promising programs should be adapted for younger age groups and rigorously tested.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.