ArticleChild abuse & neglect2019
Coerced and forced sexual initiation and its association with negative health outcomes among youth: Results from the Nigeria, Uganda, and Zambia Violence Against Children Surveys.
Article in Child abuse & neglect, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 56 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
- Child protection training for professionals to improve reporting of child abuse and neglect.The Cochrane database of systematic reviews · 2022Pooled it
- Self-harm with suicidal and non-suicidal intent in young people in sub-Saharan Africa: a systematic review.BMC psychiatry · 2020Pooled it
- Depressive symptoms and HIV risk behaviours among adolescents enrolled in the HPTN071 (PopART) trial in Zambia and South Africa.PloS one · 2022Trial
- 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
- Associations Between Forced Sexual Initiation, Post-exposure Prophylaxis Cascades and Subsequent Violence Experiences Among Displaced Young Women in Ugandan Informal Urban Settlements.AIDS and behavior · 2025Article
- Suicidal behaviors among sexual gender-based violence victims in one-stop centers, Northeast Ethiopia.BMC psychiatry · 2025Article
- Measuring the effects of community polygyny on intimate partner violence: a multilevel modeling using nationally representative cross-sectional data.Reproductive health · 2025Article
- Prevalence, risk factors and interventions to prevent violence against adolescents and youths in Sub-Saharan Africa: a scoping review.Reproductive health · 2025Article
- Polygyny and intimate partner violence among married women: Sub-national estimates from a cross-sectional study in the Democratic Republic of the Congo.PLOS global public health · 2025Article
- Prevalence, predictors and selected outcomes of early sexual initiation among adolescents in secondary schools in Lugbe, Abuja, Nigeria: a mixed methods study.BMJ public health · 2025Article
- Associations between violence in childhood, depression and suicide attempts in adolescence: evidence from a cohort study in Luwero district, Uganda.BMC public health · 2024Article
- Does work modify the relationship between violence and mental health among young people? Evidence from the Violence Against Children Surveys in Uganda, Nigeria and Colombia.Journal of global health · 2024Article
- Exploring the mental health of young people in households and schools in Gorongosa District, Center of Mozambique.Scientific reports · 2024Article
- Adverse childhood experiences, mental distress, self-harm and suicidality, and cumulative HIV risk by sex in Lesotho.Child abuse & neglect · 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
- "I Wouldn't Believe Her at First"-A Qualitative Study of Young People's Sexual Consent Perceptions and Negotiation in Nairobi Informal Settlements.Journal of interpersonal violence · 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
- Sexual violence among young women in Nigeria: a cross-sectional study of prevalence, reporting and care-seeking behaviours.African health sciences · 2023Article
- Consortium for violence prevention research, leadership training, and implementation for excellence (CONVERGE): a protocol to train science leaders in gender-based-violence and violence-against-children research for impact.Frontiers in public health · 2023Article
Corrections and comments
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Authors and funding
11 authors at 3 institutions in 3 countries.
Funding
Abstract
introductionCoerced and forced sexual initiation (FSI) can have detrimental effects on children and youth. Understanding health outcomes that are associated with experiences of FSI is important for developing appropriate strategies for prevention and treatment of FSI and its consequences.
methodsThe Violence Against Children Surveys were conducted in Nigeria, Uganda, and Zambia in 2014 and 2015. We examined the prevalence of FSI and its consequences (sexual high-risk behaviors, violence experiences, mental health outcomes, and sexually transmitted infections (STI)) associated with FSI among youth aged 13-24 years in three countries in sub-Saharan Africa.
resultsOver one in ten youth aged 13-24 years who had ever had sex experienced FSI in Nigeria, Uganda, and Zambia. In multivariable logistic regression, FSI was significantly associated with infrequent condom use (OR = 1.4, 95%CI = 1.1-2.1), recent experiences of sexual violence (OR = 1.6, 95%CI: 1.1-2.3), physical violence (OR = 2.2, 95%CI: 1.6-3.0), and emotional violence (OR = 2.0, 95%CI: 1.3-2.9), moderate/serious mental distress (OR = 1.5, 95%CI: 1.1-2.0), hurting oneself (OR = 2.0, 95%CI: 1.3-3.1), and thoughts of suicide (OR = 1.5, 95%CI: 1.1-2.3), after controlling for demographic characteristics. FSI was not statistically associated with engaging in transactional sex, having multiple sex partners, or having a STI.
conclusionFSI is associated with infrequent condom use, recent experiences of violence and mental health outcomes among youth in sub-Saharan Africa, which may increase the risk for HIV and other consequences. Developing strategies for prevention is important for reducing the prevalence of FSI and its effects on children and youth.
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