TY - JOUR PY - 2011// TI - Prevalence and Correlates of Forced Sex Perpetration and Victimization in Botswana and Swaziland JO - American journal of public health A1 - Wolfe, William A1 - Leiter, Karen A1 - Tsai, Alexander A1 - Weiser, Sheri A1 - Lacopino, Vincent A1 - Hlanze, Zakhe A1 - Phaladze, Nthabiseng A1 - Shannon, Kate A1 - Heisler, Michele SP - 1068 EP - 1074 VL - 101 IS - 6 N2 - Objectives. We sought to identify correlates of forced sex perpetration among men and victimization among women in Botswana and Swaziland. Methods. We surveyed a 2-stage probability sample of 2074 adults from the 5 districts of Botswana with the highest HIV prevalence rates and all 4 regions of Swaziland. We used multivariable logistic regression to identify correlates of forced sex victimization and perpetration. Results. Lifetime prevalence rates of forced sex victimization of women were 10.3% in Botswana and 11.4% in Swaziland; among men, rates of perpetration were 3.9% in Botswana and 5.0% in Swaziland. Lifetime history of forced sex victimization was the strongest predictor of forced sex perpetration by men in Botswana (adjusted odds ratio [OR]=13.70; 95% confidence interval [CI]=4.55, 41.50) and Swaziland (adjusted OR=5.98; 95% CI=1.08, 33.10). Problem or heavy drinking was the strongest predictor of forced sex victimization among women in Botswana (adjusted OR=2.55; 95% CI=1.19, 5.49) and Swaziland (OR=14.70; 95% CI=4.53, 47.60). Conclusions. Sexual violence in Botswana and Swaziland is a major public health and human rights problem. Ending codified gender discrimination can contribute to fundamentally changing gender norms and may be an important lever for gender-based violence prevention in these countries. (Am J Public Health. Published online ahead of print April 14, 2011: e1-e7. doi:10.2105/AJPH.2010.300060).

Language: en

LA - en SN - 0090-0036 UR - http://dx.doi.org/10.2105/AJPH.2010.300060 ID - ref1 ER -