Histories of forced sex and health outcomes among Southern African lesbian and bisexual women: a cross-sectional study.

Journal: BMC women's health

Volume: 15

Issue: 

Year of Publication: 2015

Affiliated Institutions:  HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York, NY, USA, tgs@columbia.edu.

Abstract summary 

Experiences of forced sex have been shown to be prevalent in Southern Africa. Negative outcomes of forced sex have been documented in general populations of women and men and include alcohol abuse, drug use, mental health problems, mental distress, sexual health problems and poor overall health. This study is the first to examine experiences of forced sex and associated health problems among lesbian and bisexual women in Southern Africa.This study is based on data collected as part of a collaborative endeavor involving various Southern African community-based organizations. Lesbian and bisexual women in four Southern African countries participated in a cross-sectional survey, for a total study sample of 591.Nearly one-third of participants had been forced to have sex at some time in their lives. Thirty-one percent of all women reported to have experienced forced sex at least once in their life: 14.9% reported forced sex by men only; 6.6% reported forced sex by women only; 9.6% had had forced sexual experiences with both men and women. Participants experienced forced sex by men as more serious than forced sex by women; forced sex by women was more likely to involve intimate partners compared to forced sex by men. Participants who experienced forced sex by men were more likely to report drug problems, mental distress and lower sense of belonging. Forced sex by women was associated with drinking problems and mental distress. Having experienced forced sex by both men and women was associated with lower sense of belonging to the LGBT community, drug use problem and mental distress.The findings indicate that forced sex among Southern African women is a serious issue that needs further exploration. Clinicians should be made aware of the prevalence and possible consequences of forced sex among lesbian and bisexual women. Policies and community interventions should be designed to address this problem.

Authors & Co-authors:  Sandfort Frazer Matebeni Reddy Southey-Swartz

Study Outcome 

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Statistics
Citations :  Andersson N, Ho-Foster A, Matthis J, Marokoane N, Mashiane V, Mhatre S, et al. National cross sectional study of views on sexual violence and risk of HIV infection and AIDS among South African school pupils. BMJ. 2004;329(7472):952. doi: 10.1136/bmj.38226.617454.7C.
Authors :  6
Identifiers
Doi : 22
SSN : 1472-6874
Study Population
Men,Women
Mesh Terms
Adult
Other Terms
Study Design
Study Approach
Country of Study
Publication Country
England