Evidence map›Paper›PMID 33588818›Full record

ArticleBMC public health2021

Experience of and factors associated with violence against sexual and gender minorities in nine African countries: a cross-sectional study.

Alex Müller, Kristen Daskilewicz, Mc Lean Kabwe, Anna Mmolai-Chalmers, Chelsea Morroni, Nelson Muparamoto, Adamson S Muula, Vincent Odira, Martin Zimba, Southern and Eastern African Research Collective for Health (SEARCH)

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
10.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Article
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  4. "Not Ideal Uncles": Unveiling Childhood Sexual Victimization and Hidden Identity Struggles of GBTQI+ Youth in Sex Work in Botswana.International journal of sexual health : official journal of the World Association for Sexual Health · 2026
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  5. Review
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  12. Participatory development of theAdvances in global health · 2025
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  19. Lifetime sexual violence among transgender women and travestis (TGW) in Brazil: Prevalence and associated factors.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2024
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 4 countries.

Alex MüllerGender Health and Justice Research Unit, University of Cape Town, Cape Town, South Africa. alex.muller@uct.ac.za.ORCID 0000-0002-3254-7591
Kristen DaskilewiczGender Health and Justice Research Unit, University of Cape Town, Cape Town, South Africa.
Mc Lean KabweThe Lotus Identity, Lusaka, Zambia.
Anna Mmolai-ChalmersLesbians, Gays and Bisexuals of Botswana, Gaborone, Botswana.
Chelsea MorroniLiverpool School of Tropical Medicine and Botswana UPenn Partnership, Gaborone, Botswana.
Nelson MuparamotoDepartment of Sociology, University of Zimbabwe, Harare, Zimbabwe.
Adamson S MuulaCollege of Medicine, University of Malawi, Blantyre, Malawi.
Vincent OdiraMaaygo, Kisumu, Kenya.
Martin ZimbaFriends of Rainka, Lusaka, Zambia.
Southern and Eastern African Research Collective for Health (SEARCH)
University of Cape Town · ZAUniversity of Malawi · MWUniversity of Zimbabwe · ZW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this research was to assess physical and sexual violence experienced by sexual and gender minorities in nine African countries, and to examine factors associated with violence.

methodsWe conducted an exploratory multi-country cross-sectional study among self-identifying sexual and gender minorities, using a survey tool available in paper and online. Participants were sampled through venue-based and web-based convenience sampling. We analysed data using descriptive statistics and logistic regression, with Stata15.

findingsOf 3798 participants, 23% were gender minorities, 20% were living with HIV, and 18% had been coerced into marriage. Fifty-six per cent of all participants had experienced physical or sexual violence in their lifetime, and 29% in the past year. Gender minorities had experienced significantly higher levels of violence compared to cisgender (sexual minority) participants. The variable most strongly associated with having experienced violence was being coerced into marriage (AOR, 3.02), followed by people living nearby knowing about one's sexual orientation and/or gender identity (AOR, 1.90) and living with HIV (AOR, 1.47).

conclusionSexual and gender minorities in Eastern and Southern Africa experience high levels of violence. Sexual orientation and gender identity need to be recognised as risk factors for violence in national and regional law and policy frameworks. States should follow the African Commission Resolution 275 and provide protection against violence based on real or perceived sexual orientation or gender identity.

Indexed as

Gender IdentitySexual and Gender MinoritiesAfrica, SouthernCross-Sectional StudiesFemaleHumansMaleSexual BehaviorViolenceAfricaBisexualDiscriminationGayIntersexLesbianSexual and gender minoritySexual orientation and gender identity and expressionTransgenderViolence

Identifiers

PMID33588818
PMCPMC7885233
OpenAlexW3131823229

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.