Abstract
BackgroundSexual coercion is prevalent in sub-Saharan Africa and is a risk factor for unintended pregnancies, sexually transmitted infections and mental health problems. Alcohol consumption patterns have been suggested to be an important factor behind the experience of sexual coercion among university students.ObjectiveTo study the association between alcohol consumption and the experience of sexual coercion among Ugandan university students.MethodIn 2010, 1954 Ugandan students participated in a cross sectional survey, conducted in Mbarara University of Science and Technology (72% response rate). A self-administered questionnaire assessed socio-demographic factors, alcohol consumption, mental health, and sexual behavior. Multivariable logistic regression analysis was used to examine the various predictors of recent experience of sexual coercion. The data were stratified by sex.ResultsOf the 1954 students, 27.6% reported having experienced sexual coercion and 16.4% stated that they had such an experience recently. Individuals who reported frequent consumption of alcohol, or having consumed alcohol often on the occasion of sexual intercourse, were found to have a higher probability of recent experiences of sexual coercion (OR adjusted 2.29, 95% CI 1.40–3.72, and OR adjusted 2.78, 95% CI 1.56–4.97, respectively). These associations were significant even after adjusting for potential confounders. A synergistic effect was found between poor mental health and frequent consumption of alcohol in conjunction with having sex with regard to its impact on recent experiences of sexual coercion.ConclusionWe found an association between alcohol consumption and experiences of sexual coercion among Ugandan university students. Therefore, universities may want to consider alcohol prevention under their policy framework, as it could reduce the potential risk of sexual coercion.
Highlights
Sexual coercion is prevalent in sub-Saharan Africa and is a risk factor for unintended pregnancies, sexually transmitted infections and mental health problems
A synergistic effect was found between poor mental health and frequent consumption of alcohol in conjunction with having sex with regard to its impact on recent experiences of sexual coercion
We found an association between alcohol consumption and experiences of sexual coercion among Ugandan university students
Summary
Sexual coercion is prevalent in sub-Saharan Africa and is a risk factor for unintended pregnancies, sexually transmitted infections and mental health problems. Sexual coercion is a human rights violation and an important public health concern [1]. It has broadly been defined as any situation in which one person uses verbal or physical means including the administration of drugs or alcohol, with or without the other person’s consent to obtain sexual activity [2]. Sexual coercion can have serious physical, psychological and social consequences for the victims [3] In the shortterm these consequences include unintended pregnancies, abortions, and risky sexual behaviors including early onset of consensual sex, multiple sexual partners, and inconsistent condom use [3,4,5]. To a Ugandan study among adolescents it was found that, 47% of the males report victim experiences and 25% of females report perpetrator behavior [9]
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