ArticleReproductive health2021
Magnitude of child sexual abuse and its associated factors among high school female students in Dire Dawa, Eastern Ethiopia: a cross-sectional study.
Article in Reproductive health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Determinants of Adolescent Sexual Behavior in Sub-Saharan Africa: A Systematic Review of In-School and Out-of-School Adolescents.Public health reviews · 2025Pooled it
- Hidden gender-based violence and its causes among women in Okugu Refugee Camp, Ethiopia: a cross-sectional study.BMJ open · 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
- Magnitude of female child sexual abuse in Ethiopia: A systematic review and meta-analysis.Heliyon · 2025Article
- Child sexual abuse and its determinants among children in Addis Ababa Ethiopia: Systematic review and meta-analysis.PLOS global public 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
- Sociodemographic and Clinical Characteristics of Child Sexual Abuse Reported to an Urban Public Hospital in Southern India, 2019-22.Indian pediatrics · 2023Article
- Characteristics and Factors Associated With Age and Gender Among Peruvian Children and Adolescents Who Are Victims of Sexual Violence.Global pediatric health · 2023Article
- Prevalence and Factors Associated with Sexual Violence against Children in a Brazilian State.International journal of environmental research and public health · 2022Article
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Authors and funding
4 authors at 1 institution in 1 country.
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Abstract
backgroundChild sexual abuse (CSA) refers to the involvement of a child (< 18 years) in sexual activity that he or she does not fully comprehend, is unable to give informed consent to, or for which the child is not developmentally prepared and cannot give consent, or that violates the laws or social taboos of society. It is a serious public health problem affecting millions of people each year worldwide but the most neglected and least documented form of violence in Ethiopia among school girls. Therefore, this study aimed to assess the magnitude of child sexual abuse and its associated factors among female high school students in the Dire Dawa administration, Eastern Ethiopia.
methodsAn institutional-based cross-sectional study was conducted among female high school students in Dire Dawa administration between March 1 and 23/2021. We employed stratified and multistage sampling techniques to include 794 participants from selected high schools. A pretested self-administered questionnaire was used, and the data were analyzed using the SPSS software version 24.
resultsThe proportion of students who reported at least one form of sexual abuse was 384 (48.9%) and approximately 19% of the students reported rape from the total respondents. Students who live alone 4.3 times (AOR 4.30; 95% CI 1.81-10.24), those who live with their friends five times (AOR 5.02; 95% CI 2.24-8.04), and those who live with their single parent three times (AOR 3.31; 95% CI 1.23-8.89) more likely to experience sexual abuse than those living with both parents. The odds of experiencing sexual abuse among students of rural residence were 3.2 times higher than their urban counterparts (AOR 3.2; 95% CI 2.02-4.51). Students who didn't drink alcohol were 70% more protective than those who drank alcohol (AOR 0.70; 95% CI 0.28-0.97). Among rape survivors (64, 37.9%) developed unwanted pregnancies, 26.0% of them underwent an abortion, and (39, 26.0%) developed STI as an outcome of sexual abuse.
conclusionThis study demonstrated that the magnitude of child sexual abuse among female students in Dire Dawa was high. Lack of discussion about sexual issues with parents, living without both parents, drinking alcohol, and being a rural residence had a significant association with child sexual abuse. Unwanted pregnancy, abortion, and STIs have been reported as reproductive health outcomes of rape. Therefore, policymakers should introduce and strengthen comprehensive sexual and reproductive health education both in school and out of school, in addition to formal education to reduce the magnitude of the problem. Parents should discuss all sexual and reproductive health issues with their children to reduce the magnitude and consequences of child sexual abuse.
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