ArticleThe Journal of pediatrics2019
Childhood Violence Is Associated with Forced Sexual Initiation Among Girls and Young Women in Malawi: A Cross-Sectional Survey.
Article in The Journal of pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.
- Prevalence of sexual coercion and associated factors among adolescents and young adults in Africa: a systematic review and meta-analysis.Frontiers in reproductive health · 2025Pooled it
- The relationship between adverse childhood experiences and common mental disorders among pregnant women living with HIV in Malawi.Journal of affective disorders · 2022Trial
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- Article
- Excess Burdens and Mental Health Consequences of Physical Violence Victimization Among Sexual Minority Adolescents and Young Adults in Colombia and Honduras: A Pooled Population-Based Study.Journal of interpersonal violence · 2025Article
- Prevalence, risk factors and interventions to prevent violence against adolescents and youths in Sub-Saharan Africa: a scoping review.Reproductive health · 2025Article
- Age-disparate relationships at first sex and reproductive autonomy, empowerment, and sexual violence among adolescent girls and young women in Rwanda.SSM - population health · 2024Article
- Reaching Youth Through Faith Leaders: Evaluation of the Faith Matters! Initiative.AIDS education and prevention : official publication of the International Society for AIDS Education · 2023Article
- HIV Infection Among Adolescents Residing in Urban Informal Settlements of Kenya.AIDS education and prevention : official publication of the International Society for AIDS Education · 2023Article
- How the Global Violence Against Children and Youth Surveys Help Improve Pediatric Global Health.Pediatrics · 2022Article
- The prevalence, incidence, and recurrence of intimate partner violence and its association with adverse childhood experiences among pregnant and breastfeeding women living with HIV in Malawi.Therapeutic advances in infectious diseaseArticle
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo describe associations between childhood violence and forced sexual initiation in young Malawian females. STUDY
designWe analyzed data from 595 women and girls who were 13-24 years old who ever had sex and participated in Malawi's 2013 Violence Against Children Survey, a nationally representative household survey. We estimated the overall prevalence of forced sexual initiation and identified subgroups with highest prevalences. Using logistic regression, we examined childhood violence and other independent predictors of forced sexual initiation.
resultsThe overall prevalence of forced sexual initiation was 38.9% among Malawian girls and young women who ever had sex. More than one-half of those aged 13-17 years at time of survey (52.0%), unmarried (64.6%), or experiencing emotional violence in childhood (56.9%) reported forced sexual initiation. After adjustment, independent predictors of forced sexual initiation included being unmarried (aOR, 3.54; 95% CI, 1.22-10.27) and any emotional violence (aOR, 2.47; 95% CI, 1.45-4.24). Those experiencing emotional violence alone (aOR, 3.04; 95% CI: 1.01-9.12), emotional violence in combination with physical or nonpenetrative sexual violence (aOR, 2.50; 95% CI, 1.23-5.09), and emotional violence in combination with physical and nonpenetrative sexual violence (aOR, 2.61; 95% CI, 1.20-5.67) had an increased independent odds of forced sexual initiation.
conclusionsExperiences of forced sexual initiation are common among Malawian females. Emotional violence is strongly associated with forced sexual initiation, alone and in combination with other forms of childhood violence. The relationship between emotional violence and forced sexual initiation highlights the importance of comprehensive strategies to prevent childhood violence.
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