Evidence map›Paper›PMID 42245092›Full record

ArticlePsychology of violence2026

Characterizing sexual violence perpetrated by adolescents in South Africa and associations with HIV and STI risk behaviors.

Caroline Kuo, Dan J Stein, Linda-Gail Bekker, Miaoyan Chen, Katherine Gill, Millicent Atujuna, Larry Brown, Laura Whiteley, William Beardslee, Morayo Akande and 2 more

Abstract read
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In one paragraph

Article in Psychology of violence, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

12 authors.

Caroline KuoAmerican University, Department of Health Sciences, Washington DC, USA.
Dan J SteinUniversity of Cape Town, Department of Psychiatry and Neuroscience Institute, Cape Town, South Africa.
Linda-Gail BekkerDesmond Tutu Health Foundation, Cape Town, South Africa.
Miaoyan ChenBrown University School of Public Health, Department of Biostatistics, Providence, Rhode Island, USA.
Katherine GillDesmond Tutu Health Foundation, Cape Town, South Africa.
Millicent AtujunaDesmond Tutu Health Foundation, Cape Town, South Africa.
Larry BrownAlpert Medical School of Brown University School, Department of Psychiatry and Human Behavior, Providence, Rhode Island, USA.
Laura WhiteleyAlpert Medical School of Brown University School, Department of Psychiatry and Human Behavior, Providence, Rhode Island, USA.
William BeardsleeHarvard University, Department of Psychiatry, Boston, USA.
Morayo AkandeJohns Hopkins University, Bloomberg School of Public Health, Department of Population, Family and Reproductive Health, Baltimore, USA.
Haley AdrianAmerican University, Department of Health Sciences, Washington DC, USA.
Tao LiuBrown University School of Public Health, Department of Biostatistics, Providence, Rhode Island, USA.

Funding

Our Family Our Future: A resilience-oriented family intervention to prevent adolescent HIV/STI infection and depression in South AfricaR01MH114843 · NIMH · BROWN UNIVERSITY · PI BEKKER, LINDA-GAIL GAIL, KUO, CAROLINE CHIA · 2017 to 2021
$2.8M
NIMH NIH HHS R01 MH114843
6 · The paper itself

Abstract

Objective: Data on sexual violence perpetration among adolescents has not been widely available in South Africa. This paper characterizes sexual violence perpetration and identifies factors associated with perpetration. Method: Data were derived from a secondary analysis of N=879, 14-16 year old adolescents with elevated risk for depression, and recruited via house-to-house community sampling for participation in a randomized controlled trial testing the efficacy of a behavioral intervention for prevention of HIV, STIs, and depression. Data were collected from 2018-2023 in South Africa. Results: Nearly half of participants (45.8%) attempted and/or completed one or more acts of sexual violence perpetration. The most common act of completed perpetration was coerced touching (30.5%), followed by oral sex (18.2%), vaginal sex (12.1%), and anal sex (11.9%). The most common act of attempted perpetration was oral sex (15.5%) followed by vaginal sex (11.2%) and anal sex (10.6%). Boys engaged in more violent perpetration than girls. Regression analysis adjusted for age and gender showed that having more sexual partners (p<0.001), drug use (p<0.001), and less parental monitoring (p=0.057) remained independent risk factors. Conclusions: Public health intervention is urgently needed to address sexual violence perpetration among adolescents. Future interventions should be timed for early adolescence, and should develop adolescents' understanding of rape, assault, and gaining sexual consent for a range of sexual touching, not just penetrative sex. Interventions to address violence should concurrently address sexual and reproductive health risk behaviors as well as substance use.

Indexed as

adolescentsHIVSexual violenceSouth Africa

Identifiers

PMID42245092
PMCPMC13232772

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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.