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Sexual Victimization, Self-Efficacy to Refuse Sex While Drinking, and Regretting Alcohol-Involved Sex among Underserved Youth in Kampala, Uganda

Bibliographic Data

ID15467335
AuthorsMonica H Swahn (0000-0002-6663-3885, Kennesaw State University, corresponding author), Rachel Culbreth (0000-0002-5270-2608, Georgia State University), Rachel E Culbreth (0009-0000-7463-3490, Georgia State University), Amanda K Gilmore (0000-0002-5376-9206, Georgia State University), Dominic J Parrott (0000-0002-4893-123X, Georgia State University), Leah E Daigle (0000-0002-4879-1441, Georgia State University), Rogers Kasirye (0000-0003-0365-4379, Uganda Youth Development Link, Kampala P.O. Box 12659, Uganda), Paul Bukuluki (0000-0002-5388-5469, Makerere University)
Year2022
Volume19
Issue4
Pages1915-1915
Publication date2022-02-09
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19041915
PMID35206104
OpenAlexW4211223852
LanguageEN
Citations received4
References cited37

The purposes of this study were to determine whether youth who have experienced sexual victimization (SV) have lower self-efficacy to refuse sex and to identify intervention strategies for rape survivors to mitigate further health-risks and harm. Cross-sectional data from the 2014 Kampala Youth Survey ( n = 1134) of youth aged 12 to 18 years recruited from Uganda Youth Development Link drop-in centers were used to conduct the analyses. Multivariable statistics were computed to determine the correlates (i.e., sex, education, homelessness, problem drinking, and SV) for (1) self-efficacy to refuse sex, (2) self-efficacy to refuse sex while drinking, and (3) regretting sex due to alcohol use. Among participants, 16.9% reported SV (79% were female and 21% were male). In the final adjusted model, self-efficacy to refuse sex while drinking was only associated with homelessness (OR: 0.52; 95% CI: 0.36, 0.74). Previous SV was not associated with lower self-reports of self-efficacy to refuse sex compared to those who had not experienced SV. Additionally, SV was not associated with increased reports of regrets for sex attributed to alcohol use. Alcohol prevention strategies for the most at-risk youth, including homeless youth, are warranted to improve self-efficacy to refuse sex among youth living in the slums of Kampala

Environmental health · Harm · Intervention (counseling · Psychiatry · Self-efficacy · Demography · Homelessness and Social Issues · Intimate Partner and Family Violence · Medicine · Psychology · Sex work and related issues · Social Psychology · Gerontology

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Citations per year2
Citation span2024 - 2026 (3)
Highly citedNo

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