{"id":498,"date":"2011-10-11T20:04:26","date_gmt":"2011-10-11T20:04:26","guid":{"rendered":"https:\/\/blogs.bmj.com\/sti\/?p=498"},"modified":"2011-10-11T20:04:26","modified_gmt":"2011-10-11T20:04:26","slug":"how-does-the-experience-of-sexual-coercion-influence-subsequent-sexual-behaviour","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/sti\/2011\/10\/11\/how-does-the-experience-of-sexual-coercion-influence-subsequent-sexual-behaviour\/","title":{"rendered":"How does the experience of sexual coercion influence subsequent sexual behaviour?"},"content":{"rendered":"<p>Does the experience of sexual coercion predispose the sufferer to the kind of sexual behaviour likely to render him\/her more vulnerable to HIV?\u00a0 Knowing the extent and the mechanisms of such influence could be helpful to those planning public health interventions in high risk populations.\u00a0 How important to HIV prevention is it to modify coercive behaviour? \u00a0Of course, answers to such questions are likely to differ from one culture to another.<\/p>\n<p>Results of a recent study on 1,200 university students at Mbarara University Uganda, based on a self-administered questionnaire, has established, for this setting at least, a strong association between <em>coercion<\/em>, measured on a validated scale of six items, and 3 out of 4 <em>\u201chigh-risk\u201d sexual behaviours<\/em>.\u00a0 Significant odds ratios (OR), adjusted for various social and other confounders, are given for: (1.) having previously had sex: OR 1.6; (2.) early sexual debut (\u226418 years): OR 2.4; (3.) having had \u22653 sexual partners: OR 1.9.\u00a0 There was no significant association with the fourth type of high-risk behaviour: inconsistent condom use.\u00a0 The results obtained also indicate a significant correlation between coercion and 3 social factors: namely, religious background, mental health scores and capacity to trust.\u00a0 The authors conclude that religion, high trust in others, and good mental health help to buffer the negative effect of sexual coercion.<\/p>\n<p>These results will no doubt be of interest to anyone planning HIV interventions in settings that could be considered culturally comparable to those of a Ugandan university. \u00a0\u00a0However, the study seems to fall somewhat short of demonstrating causal mechanisms, even for the setting of the study \u2013 something that the authors themselves acknowledge would be hard to achieve.<\/p>\n<p>One particularly interesting aspect of this study \u2013 which, according to its authors, marks it out from previous work \u2013 is that males report coercion almost at the same levels as females (29% as against 31%), and most of the associations between coercion and high-risk behaviour (as well as the buffering effects of social and religious factors) apply, in varying measure, not just to females but to both sexes. \u00a0It will be interesting to see how far this is borne out by future studies in this area.<\/p>\n<p>Agardh A, Odberg-Pettersson K, \u00d6stergren, \u201c<a href=\"http:\/\/www.biomedcentral.com\/1471-2458\/11\/527\">Experience of sexual coercion and risky sexual behavior among Ugandan university students\u201d,<\/a> <strong> <\/strong><em>BMC Public Health<\/em> 2011,\u00a0<strong>11<\/strong>:527\u00a0(4\u00a0July\u00a02011)<\/p>\n<p><a href=\"http:\/\/www.biomedcentral.com\/search\/results.asp?terms=sexual+coercion&amp;x=29&amp;y=8&amp;chkJBiol=chkJBiol&amp;area=2024&amp;registerlist=&amp;Submitted=\">http:\/\/www.biomedcentral.com\/search\/results.asp?terms=sexual+coercion&amp;x=29&amp;y=8&amp;chkJBiol=chkJBiol&amp;area=2024&amp;registerlist=&amp;Submitted=<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Does the experience of sexual coercion predispose the sufferer to the kind of sexual behaviour likely to render him\/her more vulnerable to HIV?\u00a0 Knowing the extent and the mechanisms of such influence could be helpful to those planning public health interventions in high risk populations.\u00a0 How important to HIV prevention is it to modify coercive [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/sti\/2011\/10\/11\/how-does-the-experience-of-sexual-coercion-influence-subsequent-sexual-behaviour\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":152,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2043],"tags":[],"class_list":["post-498","post","type-post","status-publish","format-standard","hentry","category-behaviour"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>How does the experience of sexual coercion influence subsequent sexual behaviour? 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