Evidence map›Paper›PMID 34168030›Full record

SynthesisBMJ open2021

Measurement and prevalence of sexual harassment in low- and middle-income countries: a systematic review and meta-analysis.

Meghna Ranganathan, Joyce Wamoyi, Isabelle Pearson, Heidi Stöckl

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

28 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Article
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  10. Violence against women and girls research: Leveraging gains across disciplines.Proceedings of the National Academy of Sciences of the United States of America · 2025
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  18. Sexual Harassment at Work: Scoping Review of Reviews.Psychology research and behavior management · 2024
    Article
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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

4 authors.

Meghna RanganathanGlobal Health and Development, London School of Hygiene and Tropical Medicine Faculty of Public Health and Policy, London, UK Meghna.Ranganathan@lshtm.ac.uk.ORCID 0000-0001-5827-343X
Joyce WamoyiNational Institute for Medical Research, Department of Sexual and Reproductive Health, Mwanza, Tanzania.
Isabelle PearsonGlobal Health and Development, London School of Hygiene and Tropical Medicine Faculty of Public Health and Policy, London, UK.ORCID 0000-0001-8857-5703
Heidi StöcklGlobal Health and Development, London School of Hygiene and Tropical Medicine Faculty of Public Health and Policy, London, UK.ORCID 0000-0002-0907-8483

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe synthesise evidence on sexual harassment from studies in low-income and middle-income countries (LMICs) to estimate its prevalence and conduct a meta-analysis of the association between sexual harassment and depressive symptoms.

methodsWe searched eight databases. We included peer-reviewed studies published in English from 1990 until April 2020 if they measured sexual harassment prevalence in LMICs, included female or male participants aged 14 and over and conceptualised sexual harassment as an independent or dependant variable. We appraised the quality of evidence, used a narrative syntheses approach to synthesise data and conducted a random effects meta-analysis.

resultsFrom 49 included studies, 38 focused on workplaces and educational institutions and 11 on public places. Many studies used an unclear definition of sexual harassment and did not deploy a validated measurement tool. Studies either used a direct question or a series of behavioural questions to elicit information on acts considered offensive or defined as sexual harassment. Prevalence was higher in educational institutions than in workplaces although there was high heterogeneity in prevalence estimates across studies with no international comparability. This posed a challenge for calculating an overall estimate or measuring a range. Our meta-analysis showed some evidence of an association between sexual harassment and depressive symptoms (OR: 1.75; 95% CI: 1.11 to 2.76; p=0.016) although there were only three studies with a high risk of bias.

conclusionTo our knowledge, this is the first systematic review to assess measurement approaches and estimate the prevalence of sexual harassment across settings in LMICs. We also contribute a pooled estimate of the association between sexual harassment and depressive symptoms in LMICs. There is limited definitional clarity, and rigorously designed prevalence studies that use validated measures for sexual harassment in LMICs. Improved measurement will enable us to obtain more accurate prevalence estimates across different settings to design effective interventions and policies.

Indexed as

Developing CountriesSexual HarassmentCross-Sectional StudiesFemaleHumansMalePovertyPrevalencedepression & mood disorderspublic healthsexual and gender disorders

Identifiers

PMID34168030
PMCPMC8231049

What OpenQuestion holds

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LicenceCC BY-NC
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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.