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Published in: BMC Public Health 1/2024

Open Access 01-12-2024 | Research

Self-reported sexual coercion among in-school young people with disabilities in Ghana

Authors: Abdul-Aziz Seidu, Akwasi Kumi-Kyereme, Eugene K. M. Darteh

Published in: BMC Public Health | Issue 1/2024

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Abstract

Background

Sexual coercion is one of the major public health concerns globally. This is even more worrying among young people with disabilities (YPWDs). This study assessed the prevalence and factors associated with sexual coercion among in-school young people with disabilities in Ghana.

Methods

Using a cross-sectional study design, pre-tested questionnaires were used to collect data from 979 YPWDs in 15 special schools for the visually and hearing impaired in Ghana. Sexual coercion was the outcome variable. Both descriptive (frequencies and percentages) and inferential analysis (binary logistic regression) were conducted.

Results

About 68% reported that they had been sexually coerced at some point in their lifetime. This was higher among males (69.9%) compared to females (66.8%). Those aged 15–19 (72.19%) had the highest prevalence compared to those aged 20–24 (61.74%). YPWDs in Junior High School [JHS] [aOR = 1.722; CI = 1.227,2.417], and those in the coastal zone [aOR = 1.616; CI = 1.068,2.443] had higher odds of being coerced. However, those belonging to the Islamic religion [aOR = 0.266; CI = 0.0764,0.928] and the visually impaired [aOR = 0.477; CI = 0.318,0.716] had lower odds of being coerced compared to those with no religion, and the hearing impaired, respectively.

Conclusion

There is a relatively high prevalence of sexual coercion among in- school YPWDs in Ghana. This is significantly associated with level of education, ecological zone, religion, and the type of disability. This calls for a concerted effort by policy makers such as the Ghana Education Service, Ghana Federation of the Disabled, Ministry of Education, Ministry of Gender, Children and Social Protection to intensify sex education and put in pragmatic steps to halt this serious public health issue.
Literature
1.
go back to reference WHO. Global report on health equity for persons with disabilities. Geneva: WHO; 2022. p. 1–312. WHO. Global report on health equity for persons with disabilities. Geneva: WHO; 2022. p. 1–312.
2.
go back to reference GSS. Ghana 2021 Population and Housing Census report on difficulty in performing activities. 3F. Accra: GSS; 2021. p. 1–81. GSS. Ghana 2021 Population and Housing Census report on difficulty in performing activities. 3F. Accra: GSS; 2021. p. 1–81.
3.
go back to reference Gréaux M, Moro MF, Kamenov K, Russell AM, Barrett D, Cieza A. Health equity for persons with disabilities: a global scoping review on barriers and interventions in healthcare services. Int J Equity Health. 2023;22(1):236.PubMedPubMedCentralCrossRef Gréaux M, Moro MF, Kamenov K, Russell AM, Barrett D, Cieza A. Health equity for persons with disabilities: a global scoping review on barriers and interventions in healthcare services. Int J Equity Health. 2023;22(1):236.PubMedPubMedCentralCrossRef
4.
5.
go back to reference Fomba H, Ouedraogo HG, Cissé K, Kouanda S. Prevalence and factors associated with the occurrence of sexual violence among people with disabilities in Burkina Faso. AIDS Care. 2022;34(sup1):11–7.PubMedCrossRef Fomba H, Ouedraogo HG, Cissé K, Kouanda S. Prevalence and factors associated with the occurrence of sexual violence among people with disabilities in Burkina Faso. AIDS Care. 2022;34(sup1):11–7.PubMedCrossRef
6.
go back to reference Stermac L, Cripps J, Badali V, Amiri T. Sexual coercion experiences among Canadian University students with disabilities. JPED. 2018;31(4):321–33. Stermac L, Cripps J, Badali V, Amiri T. Sexual coercion experiences among Canadian University students with disabilities. JPED. 2018;31(4):321–33.
7.
go back to reference Atteberry-Ash B, Walls NE, Kattari SK, Peitzmeier SM, Kattari L, Langenderfer-Magruder L. Forced sex among youth: accrual of risk by gender identity, sexual orientation, mental health and bullying. J LGBT Youth. 2020;17(2):193–213.CrossRef Atteberry-Ash B, Walls NE, Kattari SK, Peitzmeier SM, Kattari L, Langenderfer-Magruder L. Forced sex among youth: accrual of risk by gender identity, sexual orientation, mental health and bullying. J LGBT Youth. 2020;17(2):193–213.CrossRef
9.
go back to reference Keetile M, Rakgoasi SD. Factors associated with first heterosexual sex; sexual coercion and sexual risk behaviors among adolescents in Botswana. Sex Res Social Policy. 2021;18:261–70.CrossRef Keetile M, Rakgoasi SD. Factors associated with first heterosexual sex; sexual coercion and sexual risk behaviors among adolescents in Botswana. Sex Res Social Policy. 2021;18:261–70.CrossRef
10.
go back to reference Tenkorang EY, Amo-Adjei J, Kumi-Kyereme A, Kundhi G. Determinants of sexual violence at sexual debut against in-school adolescents in Ghana. J Fam Violence. 2021;36:813–24.CrossRef Tenkorang EY, Amo-Adjei J, Kumi-Kyereme A, Kundhi G. Determinants of sexual violence at sexual debut against in-school adolescents in Ghana. J Fam Violence. 2021;36:813–24.CrossRef
11.
go back to reference Oladunni TM. Sexual behavior and practices among adolescents with disabilities in Southwest Nigeria. Sex Disabil. 2012;30:289–99.CrossRef Oladunni TM. Sexual behavior and practices among adolescents with disabilities in Southwest Nigeria. Sex Disabil. 2012;30:289–99.CrossRef
12.
go back to reference Parekh T, Gimm G, Kitsantas P. Sexually transmitted infections in women of Reproductive Age by disability type. Am J Prev Med. 2023;64(3):393–404.PubMedCrossRef Parekh T, Gimm G, Kitsantas P. Sexually transmitted infections in women of Reproductive Age by disability type. Am J Prev Med. 2023;64(3):393–404.PubMedCrossRef
13.
go back to reference Williams CM, Clear ER, Coker AL. Sexual coercion and sexual violence at first intercourse associated with sexually transmitted infections. Sex Transm Dis. 2013;40(10):771.PubMedPubMedCentralCrossRef Williams CM, Clear ER, Coker AL. Sexual coercion and sexual violence at first intercourse associated with sexually transmitted infections. Sex Transm Dis. 2013;40(10):771.PubMedPubMedCentralCrossRef
15.
go back to reference Mailhot Amborski A, Bussieres E-L, Vaillancourt-Morel M-P, Joyal CC. Sexual violence against persons with disabilities: a meta-analysis. Trauma Violence Abuse. 2022;23(4):1330–43.PubMedCrossRef Mailhot Amborski A, Bussieres E-L, Vaillancourt-Morel M-P, Joyal CC. Sexual violence against persons with disabilities: a meta-analysis. Trauma Violence Abuse. 2022;23(4):1330–43.PubMedCrossRef
16.
go back to reference Apatinga GA, Tenkorang EY, Issahaku P. Silent and lethal: consequences of sexual violence against married women in Ghana. J Interpers Violence. 2021;36(23–24):NP13206–13228.PubMedCrossRef Apatinga GA, Tenkorang EY, Issahaku P. Silent and lethal: consequences of sexual violence against married women in Ghana. J Interpers Violence. 2021;36(23–24):NP13206–13228.PubMedCrossRef
17.
go back to reference Spencer CN, Khalil M, Herbert M, Aravkin AY, Arrieta A, Baeza MJ, Bustreo F, Cagney J, Calderon-Anyosa RJC, Carr S, et al. Health effects associated with exposure to intimate partner violence against women and childhood sexual abuse: a burden of proof study. Nat Med. 2023;29:3243–58.PubMedPubMedCentralCrossRef Spencer CN, Khalil M, Herbert M, Aravkin AY, Arrieta A, Baeza MJ, Bustreo F, Cagney J, Calderon-Anyosa RJC, Carr S, et al. Health effects associated with exposure to intimate partner violence against women and childhood sexual abuse: a burden of proof study. Nat Med. 2023;29:3243–58.PubMedPubMedCentralCrossRef
18.
go back to reference Plummer S-B, Findley PA. Women with disabilities’ experience with physical and sexual abuse: review of the literature and implications for the field. Trauma Violence Abuse. 2012;13(1):15–29.PubMedCrossRef Plummer S-B, Findley PA. Women with disabilities’ experience with physical and sexual abuse: review of the literature and implications for the field. Trauma Violence Abuse. 2012;13(1):15–29.PubMedCrossRef
19.
go back to reference Bekele T, Deressa W. Experience of sexual coercion and associated factors among female students of Ambo University in Ethiopia. Sci J Public Health. 2014;2(6):532–8. Bekele T, Deressa W. Experience of sexual coercion and associated factors among female students of Ambo University in Ethiopia. Sci J Public Health. 2014;2(6):532–8.
20.
go back to reference Yemsrach K, Aliye K, Bisrat Z, Robera O. Sexual coercion and associated factors among female private university students in Bishoftu Town, East Shewa Ethiopia. J Womens Health Issues Care. 2017;6(4):2. Yemsrach K, Aliye K, Bisrat Z, Robera O. Sexual coercion and associated factors among female private university students in Bishoftu Town, East Shewa Ethiopia. J Womens Health Issues Care. 2017;6(4):2.
21.
go back to reference Odu BK, Olusegun GF. Determinant of sexual coercion among university female students in South-West Nigeria. J Emerg Trends Educ Res Policy Stud. 2012;3(6):915–20. Odu BK, Olusegun GF. Determinant of sexual coercion among university female students in South-West Nigeria. J Emerg Trends Educ Res Policy Stud. 2012;3(6):915–20.
22.
go back to reference Rominski SD, Moyer CA, Darteh EK, Munro-Kramer ML. Sexual coercion among students at the University of Cape Coast, Ghana. Sex Cult. 2017;21:516–33.CrossRef Rominski SD, Moyer CA, Darteh EK, Munro-Kramer ML. Sexual coercion among students at the University of Cape Coast, Ghana. Sex Cult. 2017;21:516–33.CrossRef
23.
go back to reference Konlan KD, Dangah MM. Students’ experiences of sexual harassment; a descriptive cross-sectional study in a college of education. Ghana Heliyon. 2023;9(4):e14764.PubMedCrossRef Konlan KD, Dangah MM. Students’ experiences of sexual harassment; a descriptive cross-sectional study in a college of education. Ghana Heliyon. 2023;9(4):e14764.PubMedCrossRef
24.
go back to reference Gbagbo FY, Rockson GNY, Quansah F, Ameyaw EK. Sexual coercion and harassment of students with disabilities in a Public University in Ghana. J Sex Marital Ther. 2023;1(18):798–815.CrossRef Gbagbo FY, Rockson GNY, Quansah F, Ameyaw EK. Sexual coercion and harassment of students with disabilities in a Public University in Ghana. J Sex Marital Ther. 2023;1(18):798–815.CrossRef
25.
go back to reference Opoku MP, Huyser N, Mprah WK, Badu E, Alupo BA. Sexual violence against women with disabilities in Ghana: accounts of women with disabilities from Ashanti Region. Disabil CBR Incl Dev. 2016;27(2):91–111.CrossRef Opoku MP, Huyser N, Mprah WK, Badu E, Alupo BA. Sexual violence against women with disabilities in Ghana: accounts of women with disabilities from Ashanti Region. Disabil CBR Incl Dev. 2016;27(2):91–111.CrossRef
26.
go back to reference Tenkorang EY, Owusu YA. Coerced first sexual intercourse among women in Ghana: evidence from the demographic and Health Survey. Sex Cult. 2013;17:167–84.CrossRef Tenkorang EY, Owusu YA. Coerced first sexual intercourse among women in Ghana: evidence from the demographic and Health Survey. Sex Cult. 2013;17:167–84.CrossRef
27.
go back to reference Mfoafo-M’Carthy M, Grischow JD, Stocco N. Cloak of invisibility: a literature review of physical disability in Ghana. SAGE Open. 2020;10(1):2158244019900567.CrossRef Mfoafo-M’Carthy M, Grischow JD, Stocco N. Cloak of invisibility: a literature review of physical disability in Ghana. SAGE Open. 2020;10(1):2158244019900567.CrossRef
28.
go back to reference Bronfenbrenner U, Ceci SJ. Nature-nuture reconceptualized in developmental perspective: a bioecological model. Psychol Rev. 1994;101(4): 568.PubMedCrossRef Bronfenbrenner U, Ceci SJ. Nature-nuture reconceptualized in developmental perspective: a bioecological model. Psychol Rev. 1994;101(4): 568.PubMedCrossRef
29.
go back to reference Christensen LS. The new portrayal of female child sexual offenders in the print media: a qualitative content analysis. Sex Cult. 2018;22:176–89.CrossRef Christensen LS. The new portrayal of female child sexual offenders in the print media: a qualitative content analysis. Sex Cult. 2018;22:176–89.CrossRef
30.
go back to reference Merrill N, Fivush R. Intergenerational narratives and identity across development. Dev Rev. 2016;40:72–92.CrossRef Merrill N, Fivush R. Intergenerational narratives and identity across development. Dev Rev. 2016;40:72–92.CrossRef
31.
go back to reference Tudge JR, Mokrova I, Hatfield BE, Karnik RB. Uses and misuses of Bronfenbrenner’s bioecological theory of human development. J Family Theory Rev. 2009;1(4):198–210.CrossRef Tudge JR, Mokrova I, Hatfield BE, Karnik RB. Uses and misuses of Bronfenbrenner’s bioecological theory of human development. J Family Theory Rev. 2009;1(4):198–210.CrossRef
32.
go back to reference Christensen J. A critical reflection of Bronfenbrenner s development ecology model. Probl Educ 21st Century. 2016;69(1):22–8.CrossRef Christensen J. A critical reflection of Bronfenbrenner s development ecology model. Probl Educ 21st Century. 2016;69(1):22–8.CrossRef
33.
go back to reference Kumi-Kyereme A. Sexual and reproductive health services utilisation amongst in-school young people with disabilities in Ghana. Afr J Disabil (Online). 2021;10:1–9. Kumi-Kyereme A. Sexual and reproductive health services utilisation amongst in-school young people with disabilities in Ghana. Afr J Disabil (Online). 2021;10:1–9.
34.
go back to reference Kumi-Kyereme A, Adam I, Adongo CA, Oduro GY, Darteh EKM, Adjakloe YA. Influence of leisure on sexual behaviour of young people with hearing and vision loss in Ghana. Ann Leis Res. 2022;1(21):253–73. Kumi-Kyereme A, Adam I, Adongo CA, Oduro GY, Darteh EKM, Adjakloe YA. Influence of leisure on sexual behaviour of young people with hearing and vision loss in Ghana. Ann Leis Res. 2022;1(21):253–73.
35.
go back to reference Agardh A, Odberg-Pettersson K, Östergren P-O. Experience of sexual coercion and risky sexual behavior among Ugandan university students. BMC Public Health. 2011;11:1–12.CrossRef Agardh A, Odberg-Pettersson K, Östergren P-O. Experience of sexual coercion and risky sexual behavior among Ugandan university students. BMC Public Health. 2011;11:1–12.CrossRef
36.
go back to reference Anderson ML, Kobek Pezzarossi CM. Violence against deaf women: effect of partner hearing status. J Deaf Stud Deaf Educ. 2014;19(3):411–21.PubMedCrossRef Anderson ML, Kobek Pezzarossi CM. Violence against deaf women: effect of partner hearing status. J Deaf Stud Deaf Educ. 2014;19(3):411–21.PubMedCrossRef
37.
go back to reference Benedet J, Grant I. Hearing the sexual assault complaints of women with mental disabilities: evidentiary and procedural issues. McGill LJ. 2007;52:515. Benedet J, Grant I. Hearing the sexual assault complaints of women with mental disabilities: evidentiary and procedural issues. McGill LJ. 2007;52:515.
38.
go back to reference Benedet J, Grant I. Sexual assault and the meaning of power and authority for women with mental disabilities. Fem Legal Stud. 2014;22:131–54.CrossRef Benedet J, Grant I. Sexual assault and the meaning of power and authority for women with mental disabilities. Fem Legal Stud. 2014;22:131–54.CrossRef
39.
go back to reference Jahanfar S, Ahmadpour P, Mirghafourvand M. Forced sex and its predictors among students attending university: a cross-sectional study. Arch Public Health. 2022;80(1):1–10.CrossRef Jahanfar S, Ahmadpour P, Mirghafourvand M. Forced sex and its predictors among students attending university: a cross-sectional study. Arch Public Health. 2022;80(1):1–10.CrossRef
40.
go back to reference Béné C, Merten S. Women and fish-for-sex: transactional sex, HIV/AIDS and gender in African fisheries. World Dev. 2008;36(5):875–99.CrossRef Béné C, Merten S. Women and fish-for-sex: transactional sex, HIV/AIDS and gender in African fisheries. World Dev. 2008;36(5):875–99.CrossRef
41.
go back to reference Dollahite DC, Lambert NM. Forsaking all others: how religious involvement promotes marital fidelity in Christian, Jewish, and Muslim couples. Rev Religious Res. 2007; 4(3):290–307. Dollahite DC, Lambert NM. Forsaking all others: how religious involvement promotes marital fidelity in Christian, Jewish, and Muslim couples. Rev Religious Res. 2007; 4(3):290–307.
42.
go back to reference Ghaffari M, Gharghani ZG, Mehrabi Y, Ramezankhani A, Movahed M. Premarital sexual intercourse-related individual factors among Iranian adolescents: a qualitative study. Iran Red Crescent Med J. 2016;18(2):e21220.PubMedPubMedCentralCrossRef Ghaffari M, Gharghani ZG, Mehrabi Y, Ramezankhani A, Movahed M. Premarital sexual intercourse-related individual factors among Iranian adolescents: a qualitative study. Iran Red Crescent Med J. 2016;18(2):e21220.PubMedPubMedCentralCrossRef
43.
go back to reference Harrell E. Crime against persons with disabilities, 2009-2015-Statistical tables. In: Bureau of Justice Statistics Retrieved July 2017. 2017. p. 13. Harrell E. Crime against persons with disabilities, 2009-2015-Statistical tables. In: Bureau of Justice Statistics Retrieved July 2017. 2017. p. 13.
44.
go back to reference Anderson ML, Leigh IW. Intimate partner violence against deaf female college students. Violence against Women. 2011;17(7):822–34.PubMedCrossRef Anderson ML, Leigh IW. Intimate partner violence against deaf female college students. Violence against Women. 2011;17(7):822–34.PubMedCrossRef
45.
go back to reference Kumi-Kyereme A, Seidu A-A, Darteh EKM. Factors contributing to challenges in accessing sexual and reproductive health services among young people with disabilities in Ghana. Global Social Welf. 2021;8:189–98.CrossRef Kumi-Kyereme A, Seidu A-A, Darteh EKM. Factors contributing to challenges in accessing sexual and reproductive health services among young people with disabilities in Ghana. Global Social Welf. 2021;8:189–98.CrossRef
46.
go back to reference Mprah WK. Perceptions about barriers to sexual and reproductive health information and services among deaf people in Ghana. Disabil CBR Incl Dev. 2013;24(3):21–36.CrossRef Mprah WK. Perceptions about barriers to sexual and reproductive health information and services among deaf people in Ghana. Disabil CBR Incl Dev. 2013;24(3):21–36.CrossRef
Metadata
Title
Self-reported sexual coercion among in-school young people with disabilities in Ghana
Authors
Abdul-Aziz Seidu
Akwasi Kumi-Kyereme
Eugene K. M. Darteh
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-024-18631-6

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