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Abstract: Ambivalent sexism (hostile and benevolent sexism) maintains gender inequalities and has been applied to investigate violence against women (VAW). We conducted a comprehensive three-level meta-analytic review testing ambivalent sexism as predictors of VAW-supportive attitudes and behaviors regarding sexual harassment, sexual assault, and intimate partner violence. Relevant articles published between 1996 and April 2022 were retrieved from the PsycINFO, Pro Quest Dissertations and Theses, Cochrane Database Reviews, ERIC, and Web of Science online databases. A total of 141 reports (with 912 unique effect sizes) met our inclusion criteria (e.g., assessed Glick and Fiske’s 1996 ASI and at least one self-reported measure of VAW-supportive attitudes or men's VAW perpetration and/or proclivity; VAW was limited to violence against women perpetrated by men). Our review revealed hostile and benevolent sexism, respectively, were associated with greater VAW-supportive attitudes across genders (r = .47, 95% CI [.43–.50]; r = .26, 95% CI [.23–.29]) and to greater VAW behaviors among men (r = .23, 95% CI [.19–.27]; r = .08, 95% CI [.04–.12]). Our review also highlighted participant gender, VAW type, and domain of VAW as important moderators. Notably, benevolent sexism was more strongly tied to VAW-supportive attitudes among women (r = .31, 95% CI [.27–.35]) than men (r = .22, 95% CI [.18–.26]). Overall, the results underscore the importance of addressing hostile and benevolent sexism in future research and interventions on VAW.

With the rise of social networks, there has been a marked increase in offensive content targeting women, ranging from overt acts of hatred to subtler, often overlooked forms of sexism. The EXIST (sEXism Identification in Social neTworks) competition, initiated in 2021, aimed to advance research in automatically identifying these forms of online sexism. However, the results revealed the multifaceted nature of sexism and emphasized the need for robust systems to detect and classify such content. In this study, we provide an extensive analysis of sexism, highlighting the characteristics and diverse manifestations of sexism across multiple languages on social networks. To achieve this objective, we conducted a detailed analysis of the EXIST dataset to evaluate its capacity to represent various types of sexism. Moreover, we analyzed the systems submitted to the EXIST competition to identify the most effective methodologies and resources for the automated detection of sexism. We employed statistical methods to discern textual patterns related to different categories of sexism, such as stereotyping, misogyny, and sexual violence. Additionally, we investigated linguistic variations in categories of sexism across different languages and platforms. Our results suggest that the EXIST dataset covers a broad spectrum of sexist expressions, from the explicit to the subtle. We observe significant differences in the portrayal of sexism across languages; English texts predominantly feature sexual connotations, whereas Spanish texts tend to reflect neosexism. Across both languages, objectification and misogyny prove to be the most challenging to detect, which is attributable to the varied vocabulary associated with these forms of sexism. Additionally, we demonstrate that models trained on platforms like Twitter can effectively identify sexist content on less-regulated platforms such as Gab. Building on these insights, we introduce a transformer-based system with data augmentation techniques that outperforms competition benchmarks. Our work contributes to the field by enhancing the understanding of online sexism and advancing the technological capabilities for its detection. [ABSTRACT FROM AUTHOR]

Background: Five distinct forms of violence - Physical, Verbal, Sexual, Cyber, and Relational - persistently afflict sexual minorities worldwide. The presence of feminine attributes in Men who have Sex with Men is inherently linked to a heightened susceptibility to various manifestations of violence, thereby exerting detrimental repercussions on both the physical and mental well-being of these individuals. This correlation stands as a principal contributor to the alarmingly elevated rates of suicide attempts among Men who have Sex with Men, particularly during their early years. Data and Methods: This cross-sectional study investigates the risk factors for violence against Men who have Sex with Men in six metropolitan cities across India. Quantitative data were gathered from 300 self-identified Men who have Sex with Men, with 240 providing only quantitative data, while both quantitative and qualitative data were collected from a subset of 60 respondents, ranging in age from 18 to 70 years. Quantitative analysis was conducted using descriptive statistics, chi-square tests, and binary logistic regression to explore the likelihood of different types of violence. Qualitative data collected through in-depth interviews, were analyzed thematically to provide contextual depth and validate the quantitative findings, focusing on specific incidents and key themes associated with violence among Men who have Sex with Men. Results: More than 60 per cent of the respondents encountered at least one type of violence due to their sexuality. More than half of the respondents who engaged in the receptive role during sexual activity reported experiencing sexual violence. The likelihood of encountering verbal violence was found to be nearly six times higher among respondents who were receptive than penetrative sexual partners. Respondents of Muslim religion exhibited a 2.6-fold increase in the likelihood of experiencing sexual violence compared to their Hindu counterparts. Conclusion: Violence against Men who have Sex with Men is a pervasive issue in the six metropolitan cities studied in India, particularly affecting individuals with lower education and low income. These findings resonate with global research, which identifies similar risk factors for violence against sexual minorities, especially in regions with deep-rooted homophobia and socio-economic inequalities. Insights from this study underscore the urgent need for targeted policies and interventions to create a safer, more inclusive environment for this population in India and other parts of the Global South. [ABSTRACT FROM AUTHOR]

Background: In the investigation of sexual assault cases, a standard practice involves examining female genitalia to identify injuries. The majority of research was done to examine findings in the child age group, but very little research was done on the adult age group. There is a need for guidelines to follow for the interpretation of adult female findings as they hold the same significance as in children. The Dammam Forensic Medicine Center conducted a retrospective chart review study in the period from 2014 to 2021 to examine adult female genital findings utilizing photographic documentation. Results: One hundred sixty-three cases involving adults between the ages of 18 and 52 were examined. Cases were divided into two groups to focus on hymenal findings that fell in the class of no expert consensus. The first group included self-defined virgins, who denied having ever experienced vaginal penetration in their entire lives, including the reported incidence, which represented 38 cases. The rest of the cases had at least a single incident of vaginal penetration. The normal genitourinary findings were found comparable to those in the child age group. All of the participants who showed notches or clefts, below the 3 o'clock or 9 o'clock location, which extends nearly to the base of the hymen, but is not a complete transection belonged to the group with a history of vaginal penetration. The three participants who showed a notch or a cleft in the hymen rim at 3 o'clock or 9 o'clock which extends nearly to the base of the hymen, but is not a complete transection belonged to the same group. Conclusions: Findings that lack expert consensus in the child age group are likely the result of injury in the study participants. This result gives valuable information on genital findings in self-identified virgin adult females, which can be utilized in conjunction with other studies to establish standards for the assessment of cases of alleged sexual assault in adult females. [ABSTRACT FROM AUTHOR]

Adolescents' sexual consent behaviors are critical for developing healthy sexual relationships and preventing experiences of sexual violence. This report uses 2023 Youth Risk Behavior Survey data to describe prevalence of asking for sexual consent verbally at last sexual contact among U.S. high school students. Differences in prevalence of asking for sexual consent verbally by sex, age, race and ethnicity, sexual identity, sex of sexual contacts, and gender identity were examined. Differences in asking for sexual consent verbally also were examined by experiences of sexual violence and sexual behaviors. Sex-stratified logistic regression analyses were performed to determine the association between asking for sexual consent verbally with experiences of sexual violence and sexual behaviors. In addition, data were analyzed using adjusted logistic regression models controlling for age, race and ethnicity, and sexual identity. Among high school students who reported ever having sexual contact, 79.8% reported asking for sexual consent verbally at last sexual contact. A lower percentage of female students (74.5%) reported asking for sexual consent verbally than male students (84.6%). In adjusted sex-stratified analyses, female students who asked for sexual consent verbally had higher prevalence of ever having had sexual intercourse. Male students who asked for sexual consent verbally had higher prevalence of ever having had sexual intercourse and being currently sexually active. Female and male students who asked for sexual consent verbally had higher prevalence of having first sexual intercourse before age 13 and using condoms. In addition, female students who asked for sexual consent verbally during last sexual intercourse had lower prevalence of using alcohol or drugs at last sexual intercourse. Public health researchers and practitioners, health care providers, schools, and youth-serving organizations can use these findings to better understand high school students' verbal sexual consent, improve complex measurement of consent-seeking behaviors, and guide multicomponent sexual health and violence prevention efforts across various settings. [ABSTRACT FROM AUTHOR]

Background: The high psychological burden of rape, together with complications such as pregnancy and chronic conditions, is associated with an increase in mental disorders. Social cognitive theory (SCT) is an important health theory that views behavior as dynamic and influenced by environmental, behavioral and individual factors. The aim of the present research is to determine the effect of an educational intervention on post-traumatic stress disorder and social cognitive theory constructs in women who have experienced sexual assault. Methods/design: This study is randomized, double-blind clinical trial research that will be conducted on 40 women with experience of sexual. In this research, by the intervention program based on social cognitive theory include" awareness, self-efficacy, outcome expectations and environment. Written consent will be obtained from the participants to participate in the research. Participants in the intervention group will be taught about health, hygiene, psychology and stress reduction methods in group or individual sessions according to their preference in 6 sessions of 60 min each, one session per week. A post-test will be conducted for both groups. Discussion: This study provides comprehensive data on the effect of providing an educational intervention using the social cognition Theory. Social cognitive theory focuses on how patterns of behavior are learned and how they function in interaction between the individual and the environment. It seems that the use of this theory in designing the content of educational interventions can be useful and practical. Trial registration: The trial is prospectively recorded at the IRCT registry (Trial ID: IRCT20230926059526N1. Date recorded: 18/10/2023. [ABSTRACT FROM AUTHOR]

Biological fluid stains can be instrumental in solving crimes. Identification of semen can help reconstruct events in sexual assault cases and identify suspects via DNA profiling. Current methods for semen identification suffer from limitations, including destruction of the sample and potential false positives. One of the main unsolved issues is the elimination of underlying substrate interference. In this paper, chemometric approaches were developed to isolate and identify a biofluid stain on interfering substrates using Raman spectroscopy. The first approach, called Multivariate Curve Resolution with the Addition Method, combines the standard addition method with multivariate curve resolution. The second one uses a criterion based on reducing the spectrum complexity when a spectral component is removed from a Raman spectrum of a multi-component sample entirely. The results demonstrate the superiority of the first approach relative to the second for both small volume fraction of the fluid stain compared to the substrate and random noise. [ABSTRACT FROM AUTHOR]

The increasing presence of young people on the Nigerian streets participating in child labour has continued to attract public policy attention. Available research on child labour reveals sparse scholarly information on the security implications for young people in South-West Nigeria, particularly Ondo State. The study aims to understand the argument that child labour poses major security threats to the overall well-being of child labourers. A total of 147 questionnaires were distributed, with 12 focus group discussions and 12 semi-structured interviews conducted with young people and guardians (mostly mothers). Frequency distributions were employed to analyse the quantitative data, and NVivo (v.14) qualitative software was used to identify themes and sub-themes. A content analytical tool was used to make sense of the themes. Child labour activities include street trading, hawking, domestic help and construction work. Causes of child labour activities include lack of access to basic education, cultural and societal beliefs, poverty, and family breakdown, among others. Security threats include occasional kidnapping for ransom, sexual molestation, slavery, exploitation, risk of injury, diseases, and death. The study suggests a more responsive Child's Rights Act in Nigeria for the protection of the rights and dignity of every child. [ABSTRACT FROM AUTHOR]

Literature is sparse regarding men's attitudes towards male sexual assault and the role that the sexuality of those involved may have. Despite the high prevalence of chemsex and GHB (gamma-hydroxybutyrate) participation among men who have sex with men, no study has yet investigated attitudes towards such. Utilising a community sample of 141 UK men, participants were randomly assigned into one of six conditions based on victim sexuality (heterosexual or homosexual) and the drug used present during the sexual assault (chemsex, chemical submission, or no drugs). All participants completed the Male Rape Victim and Perpetrator Blaming Scale and Victim-Blaming Empathy Scale to measure victim-blame and empathy attributions. Results of a two-way MANOVA revealed a significant difference between participant gender and empathic ratings, with heterosexual participants significantly less likely to empathise than their homosexual counterparts. A non-significant difference was observed between the conditions alongside a non-significant interaction. Nevertheless, results indicate that victims in the chemsex condition, along with heterosexual victims, encountered the greatest victim-blaming attributions and the lowest rates of participant empathy overall. Findings overall appear to indicate a general decline in victim-blame attitudes towards men who have sex with men, though a level of uncertainty was apparent among the sample. Implications and limitations of the work are discussed alongside the importance of future research and psychoeducation interventions. [ABSTRACT FROM AUTHOR]

Conceptions or ideas that couples hold about sexual consent could be a key factor in their communication, mutual respect, and the prevention of sexual violence. The multifaceted nature of sexual consent makes it a complex concept. The aim of the present study was to explore individuals' ideas and understanding of sexual intercourse in two distinct contexts: consensual and non-consensual. We used a qualitative approach, adopting the methodology of thematic analysis. In total, 113 surveys obtained from the general population (76.1% women and 23.9% men aged 18 to 59 years) were studied. Two open-ended questions were asked about the general topic of sexual consent, where we distinguished sexual activity in which there is sexual consent vs. no consent. The phases of the thematic analysis approach were applied. For the consensual context, the following themes emerged: mutual reciprocity and respect; open, clear communication and agreements; and awareness and emotional well-being. For the non-consensual context, the following themes emerged: violence and sexual assault, absence and ambiguity of sexual consent, and lack of communication. All of these aspects should be considered in couples' communication and sexual education to facilitate and improve sexual relationships and, in turn, prevent violence and sexual aggression. [ABSTRACT FROM AUTHOR]

Background: Sexual violence against women is a pervasive public health challenge and human rights violation, with global prevalence rates of approximately one in three women affected, notably prevalent in African countries. Understanding its multifaceted determinants is crucial for developing targeted intervention strategies. Thus, this study aimed to investigate factors associated with sexual violence against reproductive-age ever-married women in Ghana. Methods: A weighted sample of 3,816 reproductive-age ever-married women from the 2022 Ghana Demographic and Health Survey (DHS) was included. To accommodate the hierarchical nature of the DHS data and the binary outcome variable 'sexual violence', a multilevel mixed-effect logistic regression model was employed. The deviance value was utilized for selecting the best-fitted model. In the multivariable multilevel binary logistic regression analysis, adjusted odds ratios (AORs) along with their respective 95% confidence intervals (CIs) were utilized to gauge the association strength, with statistical significance set at a p-value < 0.05. Result: The prevalence of sexual violence was found to be 8.80% (95% CI: 7.94–9.74). Factors positively associated with sexual violence included women's decision-making autonomy (AOR = 1.39, 95% CI: 1.08–1.74), husband/partner's alcohol consumption (AOR = 3.88, 95% CI: 2.98–5.06), sex of household head (AOR = 1.31, 95% CI: 1.02–1.68), and justification of beating (AOR = 1.35, 95% CI: 1.01–1.81). Conversely, women's age showed a negative association with sexual violence (AOR = 0.68, 95% CI: 0.48–0.98). Conclusion: In conclusion, prioritizing initiatives that empower women in decision-making roles, provide support for those struggling with alcohol consumption, and raise awareness about its impact on interpersonal relationships and the risk of sexual violence is essential. Furthermore, addressing harmful gender norms, particularly those justifying violence, and considering demographic characteristics are vital components of comprehensive strategies to prevent and mitigate sexual violence. [ABSTRACT FROM AUTHOR]

This article analyzes violence against women in the novel "Páradais" by Fernanda Melchor. It examines physical and sexual violence against female characters, as well as sexist cognitive schemas and socialization agents that contribute to these behaviors. The objective is to understand how macho violence is represented in the work and compare it to Mexican social reality. The importance of the feminist perspective in understanding these manifestations of violence and power is highlighted. Additionally, the objectification of women in sexual relationships and the influence of culture and pornography on the perception of rape are mentioned. [Extracted from the article]

When contemporary worship music emerged over fifty years ago, it was born in part out of the desire for more intimate worship. Widely adopted by white evangelicals, intimate lyrics have granted the genre the nickname of "Jesus is my boyfriend" music. Recently, language for God's love has depicted an aggressive, overwhelming force through words like "reckless," "jealous," and "insatiable." This article examines connections between this language, sexual intimacy and consent, and evangelical worship. In line with feminist liturgists who have long considered how gendered religious language impacts women's experiences, it explores the gendered impacts of contemporary worship music's intimate and aggressive lyrics. Following analysis of several songs that use this language, the article concludes with suggestions for how language and worship structures could be altered to provide respect and agency to worshippers of all genders. [ABSTRACT FROM AUTHOR]

Background: Sexual violence is a violation of women's rights, resulting in significant physical and psychological challenges and adverse reproductive health outcomes. Addressing these issues demands urgent public health interventions and support systems to mitigate the profound impact on individuals and societies. Thus, this study aimed to assess sexual violence against ever-married reproductive-age women in East Africa. Methods: Data retrieved from the recent Demographic and Health Survey (DHS) of East African countries was used, and a weighted sample of 40,740 ever-married reproductive-age women was included. To identify factors associated with sexual violence, multilevel mixed-effects models utilizing robust Poisson regression were applied. Akaike's and Bayesian information criteria, as well as deviance, were utilized to compare the models. In the multivariable regression model, adjusted prevalence ratios (APR) with 95% confidence intervals (CI) were used to estimate the strength of association, with statistical significance set at a p-value < 0.05. Result: The pooled proportion of sexual violence among ever-married reproductive-age women in East Africa was 13.05% (95% CI: 12.74–13.36). The multivariable multilevel robust Poisson regression revealed that age at first cohabitation/marriage, having a primary educational level, being employed, residing in a female-headed household, having a husband/partner who drinks alcohol, and living in rural areas were positively associated with sexual violence. On the contrary, having secondary and higher educational levels and living in communities with a high proportion of uneducated women were negatively associated with sexual violence. Conclusion: Empowering girls and women through education reduces their vulnerability. Effective programs should prioritize workplace safety, financial independence, and robust legal protections against harassment and abuse. Raising awareness about the impact of alcohol abuse on relationships and the heightened risk of sexual violence is crucial. Moreover, enhancing access to support services and community networks, especially in rural areas, is essential for preventing and responding to sexual violence. [ABSTRACT FROM AUTHOR]

Introduction: The Sexual Violence Relief center Soccorso Violenza Sessuale (SVS) is a specialist service, situated in Sant'Anna Hospital, an Obstetrics and Gynecology facility in Turin, North-West Italy. The study aimed to qualitatively analyze the transcripts of interviews routinely conducted by gynecologist and midwife in the first part of the medical examination of migrant patients accessing care at SVS after being subjected to conflict-related sexual violence (CRSV) in their home country or during migration and to explore the adverse outcomes of such violence on their health. Methods: Interview transcripts were purposely selected to include adult migrant patients (age > 18) subjected to CRSV in the different phases of migration and accessing SVS from January 1st, 2014, to September 4th, 2023. Data was extracted from the SVS archive, anonymized, and thematically analyzed. Results and discussion: In total, 43 interview transcripts were eligible for inclusion. All of them were related to cisgender women of Sub-Saharan origin describing different forms of violence as a driver for migration. CRSV was disclosed by 18 survivors as occurring in their home country and by 31 in transit (e.g., Libya), the most reported type being rape. 49% of the patients described adverse physical outcomes of CRSV, while 72% reported psychological sequelae. The findings confirm high levels and different modalities of violence throughout the migratory route. Qualitative analysis of interview transcripts served as a valuable source for understanding how survivors described the CRSV they endured, its consequences, as well as other violence encountered during migration. [ABSTRACT FROM AUTHOR]

Background: Sexual violence among higher education students is a global public health problem. Identifying the characteristics of students who report victimization can serve as basis for programmes that target vulnerable students. Methods: The study was conducted among 30,114 Nigerian higher education students. They were selected from 18 institutions comprising universities, polytechnics, and colleges of education. The purpose of the study was to assess the characteristics of students who reported sexual violence (rape, attempted rape and sexual harassment) and to determine the association between reporting and their characteristics. Results: Our findings showed that 37% of the students reported experiencing sexual violence. Regression analysis showed that the odds of reporting among female students were two times greater than that of the male students (CI = 1.58–1.78; P < 0.001). The students who were traditionalists (aOR = 2.65, p < 0.001) or from other religious groups (aOR = 3.28, p < 0.001) had higher odds of reporting than those who were Christians. All the age groups represented in the study had significantly higher odds of reporting except those between 25 and 29 years (aOR = 1.03; p = 0.616). Non-final year students had significantly 7% lower odds of reporting (p = 0.037) than the first-year students. The students in the arts and humanities-related programmes significantly had higher odds of reporting than those in the science-related programs (aOR = 1.08; p = 0043). In addition, polytechnic and colleges of education students were two times more likely to report sexual violence than university students (p < 0.001). Also, the students from other regions were two times more likely to report sexual violence than those from Southwest region. Conclusion: The study concluded that sexual violence reporting by higher education students differ by their types of schools, sex, religion, level of education and geographical location. [ABSTRACT FROM AUTHOR]

Background: Gender-based violence is a tool that primarily functions to maintain gendered power hierarchies. Manifestations of gender-based violence, sexual assault and street harassment have been shown to have significant effects on mental wellbeing in the global North, however there is little research centering the experiences and consequences of gendered harassment in the Africa region. Methods: We analyzed a cross-sectional random sample of 372 women attending a major university in Eswatini in 2017 to measure the prevalence of street harassment among female university students and assess the relationship between experiences of sexual assault, sexualized street harassment, and mental health outcomes in this population. Results: We found that in the previous 12 months, women reported experiencing high levels of sexual assault (20%), street harassment (90%), and depression (38%). Lifetime sexual assault, past 12 months sexual assault, and street harassment were all significantly associated with symptoms of depression. We created a structural model to test hypothesized causal pathways between street harassment, previous experiences of sexual assault, and symptoms of depression, with social support as a potential mediator. We found that a history of sexual violence significantly mediated the association between street harassment and depression, and that social support mediated a large proportion of the association between both forms of gender-based violence and depression. Conclusion: Sexualized street harassment is associated with increased depressive symptomology for nearly all women, however the effects are especially pronounced for women who have previous experiences of sexual violence. Sexualized street harassment functions as a tool to maintain gendered power hierarchies by reminding women of ongoing threat of sexual violence even in public spaces. Social support and solidarity among women is a potentially important source of resiliency against the physical and mental harms of all forms of gender based violence. [ABSTRACT FROM AUTHOR]

Background: Many adolescents are vulnerable to gender-based violence, and it is a major public health issue. Even though the burden of gender-based violence is still high in Ethiopia, there is a lack of summary information to address the problem. Therefore, this study aimed to assess the pooled magnitude and factors associated with gender-based violence among female students in Ethiopian higher educational institutions. Methods: The primary articles were searched using databases like PubMed, Google Scholar, CINAHL, SCOPUS, EMBASE, and African Journal Online. Articles that assessed the magnitude and factors associated with GBV among female students in Ethiopia were included. A Microsoft Excel spreadsheet was used to extract the data, which was then exported to Stata version 14 for further analysis. The statistical heterogeneity was evaluated using the I² test. Due to heterogeneity, a random effect meta-analysis model was employed. Publication bias was checked through Egger's weighted regression test and funnel plot. Results: This study included twenty-five primary studies with 13,013 participants. The prevalence of lifetime GBV (n = 7), sexual violence (n = 25), and physical violence (n = 7) was found to be 51.42% (42.38, 60.46), 46.53% (39.86, 53.21), and 37.93% (24.68, 51.18), respectively. Witnessing their mother's abuse by their father during childhood, a lack of open discussion in the family about reproductive health and related personal issues, alcohol consumption, and tight family control were some of the factors significantly associated with lifetime gender-based violence. Furthermore, those who had drunken friends, a regular boyfriend, multiple sexual partners, and chat chewing were factors significantly associated with lifetime sexual violence. Conclusions and recommendations: Our findings revealed that half of female students at higher institutions suffered from violence. So it is recommended to provide accessible information about the consequences of GBV and early intervention for students with the above factors. [ABSTRACT FROM AUTHOR]

Background: Stigma is a key barrier to disclosing traumatic experiences of violence in childhood with adverse consequences for help-seeking behaviour. Disclosing behavior differs by gender and the form of violence experienced. However, there is a lack of comprehensive studies that address societal perceptions of males and females with a history of sexual or physical violence in childhood. Therefore, our aim is to focus on the impact of gender on the perception of individuals who experienced sexual or physical violence in childhood. Methods: We conducted a study on a representative sample of the German general population in terms of age and gender. Participants were randomly assigned to brief case vignettes addressing sexual or physical violence in childhood. Analyses base on a sample of n = 659 individuals (50.1% female). Stigma was assessed through examining respondents' readiness to address specific traumas in conversation and respondents' attitudes toward the individuals in the vignettes. Mann–Whitney U tests were applied to check for differences between female and male victims and survivors as well as female and male respondents. Results: Our results reveal that male victims and survivors face higher negative stereotypes (harm, unpredictability) and evoke communication barriers more often when compared to female victims and survivors, especially in male respondents. Sexual violence is associated with more distinct gender differences than physical violence. Conclusions: Findings reflect greater stigma toward male victims and survivors of sexual violence than female ones. Men had a greater tendency to stigmatize – especially toward their same-gender peers. Socially ingrained gender roles may act as a basis for different communication cultures and the notion of victim-perpetrator constellations in which males are not envisaged as victims. [ABSTRACT FROM AUTHOR]

Background : Rape is one of the trauma incidents with the highest risk of subsequent post-traumatic stress disorder. Early interventions, such as prolonged exposure therapy (PE), have shown promise in preventing PTSD following a sexual assault. The primary objective of this internal pilot trial was to examine the feasibility of the EIR study protocol, which used modified prolonged exposure therapy (mPE) as a preventive intervention after rape. Methods: This parallel two-arm clinical pilot study involved three sexual assault centers (SACs) in Trondheim, Oslo, and Vestfold, with data collected between June 2022 and March 2023. Women seeking assistance at one of these three SACs within 72 h after rape or attempted rape received acute medical treatment and forensic examinations. Women who wanted further psychosocial treatment were, if eligible and consenting, recruited to complete baseline assessments and a clinical interview before being randomized to one of two study arms. The intervention group prescribed up to five sessions of modified PE (mPE) in addition to treatment as usual (TAU), starting within the first 14 days after the rape incident, followed by weekly sessions. The other group received TAU. The present pilot evaluation is based on 22 participants, i.e., nine mPE + TAU and 13 TAU alone. Primary outcomes were predefined progression criteria regarding recruitment, retention, intervention implementation, a harm reporting system, and applying biological measurements and actigraphy. Results: During the 6-month recruitment period, 235 women visited the three SACs. After eligibility screening and consent, 22 (9.4%) women were randomized. Three months later, 14 (63.6%) participants completed the final assessments. Intervention implementation was successful using trained SAC personnel to deliver mPE. The harm reporting system was used according to the study's plan, and adverse and serious adverse events were detected during the trial. The biological measurements and actigraphy had substantial missing data but were still considered usable for statistical analyses. Conclusion: It may be feasible to conduct a full-scale RCT of early intervention after rape by comparing mPE + TAU to TAU alone. Minor design refinements were made to the protocol to enhance the main study outcome. Trial registration: ClinicalTrials.gov Identifier: NCT05489133. Registered on 15 July 2022, retrospectively. [ABSTRACT FROM AUTHOR]

Recent years have witnessed an unprecedented rise in attacks on women's rights and freedom in sub‐Saharan Africa. No historical quantitative research exists that analyzes how sexual, physical, and emotional violence against women is influenced by the rise of radical Islam in Nigeria. Consecutive survey data for the years 2008, 2013, and 2018 were analyzed to determine associations between religion and other risk factors for violence against women. Multiple logistic regression was used to control for covariates. Sexual violence against Muslim women increased by 216.7% compared to a 25.4% increase among Catholics. Muslim women with no education had a lower estimate of the sexual violence they experienced (β = −0.15, CI: −0.137 to −0.016) than Christian women with no education (β = −0.05, CI: −0.138 to −0.004). The risk of violence against women has increased in recent years due to the activities of Boko Haram in the Muslim‐dominant north. We show that the effects of religion and education on violence against women are interconnected. [ABSTRACT FROM AUTHOR]

Introduction: Maternal stress and trauma during pregnancy have been shown to influence cortisol levels and epigenetic patterns, including DNA methylation, in the offspring. This study aimed to determine whether a tailor‐made family intervention could help reduce cortisol levels in children born to traumatized mothers, and to determine whether it effected offspring DNA methylation. The secondary aim was to determine whether the family intervention influenced DNA methylation aging, a marker of biological aging. Methods: A needs‐based family intervention was designed to help address relational difficulties and family functioning, and included a focus on family strengths and problem‐solving patterns. Women survivors of sexual violence during the Kosovar war in 1998–1999, and their families (children with or without partners) were randomly assigned to 10 sessions of a family therapy over a 3–5‐month period, or to a waitlist control group. Both mothers and children completed assessments prior to and after the intervention phase. Children's blood samples collected at these two time points were used to measure cortisol and epigenome‐wide DNA methylation patterns (Illumina EPIC array). Cortisol levels, and genome‐wide DNA methylation changes pre‐/postintervention were compared between children in the intervention and the waitlist groups. DNA methylation age and accelerated biological aging were calculated. Results: Sixty‐two women–child dyads completed the study, 30 were assigned first to the intervention group, and 32 to the waitlist control group. In adjusted linear regression, the family intervention was associated with a significant decline in cortisol levels compared to the waitlist control (β = −124.72, 95% confidence interval [CI]: −197.4 to −52.1, p =.001). Children in the intervention group, compared to the waitlist control group, showed >1% differential methylation degree at 5819 CpG (5'—C—phosphate—G—3') sites across the genome (p <.01), with the largest methylation difference being 21%. However, none of these differences reached genome‐wide significant levels. There was no significant difference in DNA methylation aging between the two groups. Conclusion: We find evidence that a tailored family‐based intervention reduced stress levels in the children (based on cortisol levels), and modified DNA methylation levels at a number of sites across the genome. This study provides some preliminary evidence to suggest the potential for tailored interventions to help break the intergenerational transmission of trauma, however, large studies powered to detect associations at genome‐wide significant levels are needed. [ABSTRACT FROM AUTHOR]

Youth in the US experience high rates of sexual violence. Historically, adults design and deliver preventive initiatives, with youth limited to participants and recipients. The use of community-based participatory research and other participatory approaches can expand the reach and impact of adolescent sexual violence prevention initiatives by positioning youth as leaders and co-researchers. This systematic review explores both adolescent violence prevention programs and research projects that take a participatory, youth-engaged, or youth-led approach. This review aims to understand what activities youth are involved in and how they are equipped for their roles. Following PRISMA guidelines, the review located eight eligible articles that involved high school youth or younger as more than data, focused on adolescent sexual or dating violence prevention, and whose programs or studies were conducted in the United States. I reviewed each article for programmatic and study specifics, with special attention to which stages youth participated in and how capacity-building was incorporated. The results revealed that youth can participate in a variety of activities, though they are involved in certain stages more than others, and that capacity-building ranged in breadth and frequency. I call researchers to detail youth activities and training, and explain clearly their participatory approach and decisions. [ABSTRACT FROM AUTHOR]

The existing literature on sexual consent is extensive, but a new social approach to this topic is emerging, necessitating further research. This article addresses a gap in understanding how men's interactions with other men, who are not their sexual partners, both before and during sexual encounters, influence their approach to consent beyond sexual cues. The study involved sixteen interviews and two focus groups with men aged 18–25. Conducted within the framework of the Consent project (PID2019-110466RB-100), this research aims to analyze how communicative acts, beyond verbal exchanges, shape relationships where either consent or coercion prevails. The findings reveal that when men engage in coercive interactions with non-sexual male peers, these interactions can encourage the violation of consent in their sexual relationships. Conversely, some men reject this coercive behavior, take a stand, and support others in avoiding situations that compromise consent. These results underscore the importance of addressing norms of masculinity and male interactions to ensure that all individuals can autonomously make decisions about their sexual lives. [ABSTRACT FROM AUTHOR]

The scientific literature has shown an increasing demand by citizens and society at large to stop using people who have committed sexual violence against children as a reference in academia. However, research has not explored the fact that in some sectors of society, the rejection of individuals who have exercised sexual abuse against children is entirely deliberate. This study analyzes, for the first time, the incoherence of many academics when it comes to their positioning regarding different renowned authors who commit sexual abuse against children, and the consequences of such incoherence according to several citizens. To that end, social media analytics and interviews with 16 individuals aged 27 to 70 years from different professions, including university professors, construction workers and retired lawyers, were conducted. The results show three main consequences of the incoherence of academics who use as a reference authors who have defended and exercised pederasty: promoting social mistrust toward those academics, as there is no coherence between what they say and do; normalizing and promoting pederasty and impunity toward abusers, creating a sense that "anything goes"; and silencing and revictimizing victims, which creates a context of great vulnerability to develop a healthy sexuality. [ABSTRACT FROM AUTHOR]

Sexual assault and relationship violence are a public health issue on college campuses. In order to prevent gender-based violence, it is important to understand the multiple protective factors that could be utilized in university prevention programming. Self-efficacy has not been thoroughly explored as a factor that could influence whether people recognize healthy romantic and sex relationship behaviors. The purpose of this study was to examine whether self-efficacy has a significant relationship with recognizing consent and healthy relationships and whether it impacts a person's likelihood to practice active consent. The results of this study demonstrated that self-efficacy has a significant relationship with a person's confidence in their ability to recognize consent behaviors, practice consent behaviors, and recognize when they are in a healthy relationship. Future research should further explore how self-efficacy can be a protective factor in preventing sex and relationship violence. [ABSTRACT FROM AUTHOR]

This study delves into the complex decision-making processes of sexual violence survivors regarding public disclosure of their experiences. By constructing a cognitive map from interviews with ten media consultants, this research highlights that survivors often prefer seeking justice through social media rather than legal channels. This study was conducted in Israel, and it underscores the importance survivors place on the disclosure process itself, valuing voice and respect over the outcome. This research, part of a larger project that includes interviews with victims, focuses on the choice between social media and institutional channels, analyzing cognitive processes through the lens of media consultants. While the constructed cognitive map provides a clear framework for understanding the decisions made by survivors of sexual violence, it simplifies complex emotional and psychological factors. Future research may enhance this map by incorporating a deeper analysis of survivors' internal conflicts and the interplay between emotional coping mechanisms and external pressures to disclose their experiences. From background conversations with survivors, it was understood that two main factors influence their decision: the process versus the outcome and whether to turn to social media or institutional channels. This nuanced approach provides valuable insights into the specific choices made by survivors when determining where to disclose their assaults. By designing this cognitive map, this study helps understand the needs and priorities of the survivors, such as the importance of voice, respect, and the nature of the disclosure process, and aims to aid future research and decision makers in better understanding and supporting the decision-making processes of sexual violence survivor. [ABSTRACT FROM AUTHOR]

Forty years after the beginning of the transition in Argentina and 50 years after the Chilean coup d'état, this article analyzes the sexual violence against women implemented in clandestine detention centers (CDCs) as political, terrorist, and genocidal violence. Through a qualitative approach to the testimonies of former political prisoners, this paper aims to understand sexual violence against women in the experiences of concentration camps as a specific form of violence within the framework of conservative reconstructions of the civil-military dictatorships in Argentina and Chile. This violence, which was a total patriarchal act, not only sought to punish and discipline “deviant” female militants, but also to harm militant men. Likewise, it was established as a permanent threat against female detainees and a way of suppressing change and subjective, cultural, and social subversions, which, in parallel or as part of the political experience, developed in the countries of the Latin American Southern Cone. It is argued that sexual violence is a form of terrorism and genocide, since it projects terror into a specific group of the population and seeks to annul the possibility of being a woman when she breaks with the sacralized mandates of the patriarchal order. [ABSTRACT FROM AUTHOR]

This article explores the development of the #ArewaMeToo movement in Northern Nigeria. The study is contextualized within the theory of transnational feminism to argue that digital practices among non-Western women are more than merely a technological advancement and are significantly attuned to the socio-political climate of their societies. Therefore, as the #MeToo movement which began in the West goes global, women in Northern Nigerian have found a space to effect social change by resisting socio-cultural practices that challenge their social agency. Using the interview method, we articulate the uniqueness of #ArewaMeToo as a movement that is rooted in specific sociocultural challenges of Nigerian society. We also contend that ethnographic studies produce robust data to understand cultural specificity and enable solutions to address the problems raised by the movement. [ABSTRACT FROM AUTHOR]

I seek to analyze the narrative construction of the reporter's book A Vida Nunca Mais Será a Mesma (Life Will Never Be the Same Again, 2021), which tells stories of sexual violence against women and also features the first-person account of the author herself, Adriana Negreiros. I try to understand (a) how journalistic fundamentals such as precision and objectivity are articulated/tensioned with lacunar and fragmentary traces of testimony; and (b) how adopting a feminist/gendered perspective on journalistic narrative can bring to light traumatic female experiences that, throughout history, have been placed in the background. To do this, I examine the book and an interview conducted with the author in 2023, concluding that a feminist approach to journalism and testimony can open up affective spaces for women's stories to be told. [ABSTRACT FROM AUTHOR]

In consequence of the suffering endured by their country during the colonial era, South African “Born Free” authors have openly output and published their explicit writings as a socio-political critique of the brutal colonial practices. These dehumanizing, brutal actions have violently emerged along various social axes, including abusive gang-violations, slavery, starvation policies, apartheid, and education deprivation, to regard a few. In theory, these severely malicious practices controversially prone the victim, who has been affected by one of them, to trauma. But they are, as investigated by other researchers, not wholly but partly reflected in Kopano Matlwa’s Evening Primrose. The current article, purposely, endeavors to affirm the traumatic agonies from which the fiction’s central persona has been greatly suffered for a number of reasons, gang-rape being the foremost among them. To itemize trauma-agitational ordeals, the paper will referentially invoke Cathy Caruth’s certain correspondent elicitations concerned with trauma and its inveterate memories to draw on. Thus, in the analysis process, the paper will methodologically set out to centralize the scope of its framework on Sigmund Freud’s ‘denial’ and also Dominick LaCapra’s comprehensive views on ‘acting out,’ sticking to different works by these two theorists in addition to making a reference to Caruth’s contributive trauma explorations. This is to conclusively see whether the traumatized characters’ memories will continue to be flowed or coped with throughout the foregoing fiction. [ABSTRACT FROM AUTHOR]

Patriarchy is a social system that systematically considers women as inferior to men. Therefore, this study aimed to examine patriarchal ideology and its detrimental effects on characters in Naomi Alderman's The Power. Using a qualitative descriptive and a feminist methodology, the results showed that patriarchal violence manifested in various forms, including physical and sexual assault as well as murder. This narrative suggested that women empowered by the control over electricity retaliated against men, showing the negative effects of patriarchy extended to both genders. [ABSTRACT FROM AUTHOR]

Objective Child sexual violence is a multidimensional problem of many contemporary societies, affecting people of all sexes, social stratum and age groups. Offenses involving children and adolescents are more serious, given their total or partial dependence on parents and caregivers. Information on child sexual violence in Brazil is found in raw form and without detail. The objective was to compare the information with social and economic data in the state of Paraná. Methods The authors conducted a retrospective study of secondary data from the Notifiable Diseases Information System (SINAN) on cases of sexual violence involving victims aged 0 to 19 years. Results are presented according to notification characteristics. The authors applied exploratory spatial data analysis to assess spatial autocorrelations and investigated relationships by the ordinary least squares regression model. Results Between 2017 and 2021, there were 13,403 reports of child sexual violence in Paraná State, Brazil. Most victims (82.8%) were female and aged between 10 and 14 years. The majority of sexual violence cases (67.8%) occurred in the home environment. The highest rates on a population basis were observed in the North Central and Greater Curitiba regions, mainly in cities with higher population density and with higher rates of other types of violence. Conclusion The results provide data that can promote a broader understanding of the distribution of sexual violence and the state and associated variations. It is expected to improve the provision of care for victims of child sexual violence and assist in strategic planning to prevent future offenses. [ABSTRACT FROM AUTHOR]

Abstract Background The high psychological burden of rape, together with complications such as pregnancy and chronic conditions, is associated with an increase in mental disorders. Social cognitive theory (SCT) is an important health theory that views behavior as dynamic and influenced by environmental, behavioral and individual factors. The aim of the present research is to determine the effect of an educational intervention on post-traumatic stress disorder and social cognitive theory constructs in women who have experienced sexual assault. Methods/design This study is randomized, double-blind clinical trial research that will be conducted on 40 women with experience of sexual. In this research, by the intervention program based on social cognitive theory include" awareness, self-efficacy, outcome expectations and environment. Written consent will be obtained from the participants to participate in the research. Participants in the intervention group will be taught about health, hygiene, psychology and stress reduction methods in group or individual sessions according to their preference in 6 sessions of 60 min each, one session per week. A post-test will be conducted for both groups. Discussion This study provides comprehensive data on the effect of providing an educational intervention using the social cognition Theory. Social cognitive theory focuses on how patterns of behavior are learned and how they function in interaction between the individual and the environment. It seems that the use of this theory in designing the content of educational interventions can be useful and practical. Trial registration: The trial is prospectively recorded at the IRCT registry (Trial ID: IRCT20230926059526N1. Date recorded: 18/10/2023.

Abstract Background In the investigation of sexual assault cases, a standard practice involves examining female genitalia to identify injuries. The majority of research was done to examine findings in the child age group, but very little research was done on the adult age group. There is a need for guidelines to follow for the interpretation of adult female findings as they hold the same significance as in children. The Dammam Forensic Medicine Center conducted a retrospective chart review study in the period from 2014 to 2021 to examine adult female genital findings utilizing photographic documentation. Results One hundred sixty-three cases involving adults between the ages of 18 and 52 were examined. Cases were divided into two groups to focus on hymenal findings that fell in the class of no expert consensus. The first group included self-defined virgins, who denied having ever experienced vaginal penetration in their entire lives, including the reported incidence, which represented 38 cases. The rest of the cases had at least a single incident of vaginal penetration. The normal genitourinary findings were found comparable to those in the child age group. All of the participants who showed notches or clefts, below the 3 o’clock or 9 o’clock location, which extends nearly to the base of the hymen, but is not a complete transection belonged to the group with a history of vaginal penetration. The three participants who showed a notch or a cleft in the hymen rim at 3 o’clock or 9 o’clock which extends nearly to the base of the hymen, but is not a complete transection belonged to the same group. Conclusions Findings that lack expert consensus in the child age group are likely the result of injury in the study participants. This result gives valuable information on genital findings in self-identified virgin adult females, which can be utilized in conjunction with other studies to establish standards for the assessment of cases of alleged sexual assault in adult females.

Abstract Background Gender-based violence is a tool that primarily functions to maintain gendered power hierarchies. Manifestations of gender-based violence, sexual assault and street harassment have been shown to have significant effects on mental wellbeing in the global North, however there is little research centering the experiences and consequences of gendered harassment in the Africa region. Methods We analyzed a cross-sectional random sample of 372 women attending a major university in Eswatini in 2017 to measure the prevalence of street harassment among female university students and assess the relationship between experiences of sexual assault, sexualized street harassment, and mental health outcomes in this population. Results We found that in the previous 12 months, women reported experiencing high levels of sexual assault (20%), street harassment (90%), and depression (38%). Lifetime sexual assault, past 12 months sexual assault, and street harassment were all significantly associated with symptoms of depression. We created a structural model to test hypothesized causal pathways between street harassment, previous experiences of sexual assault, and symptoms of depression, with social support as a potential mediator. We found that a history of sexual violence significantly mediated the association between street harassment and depression, and that social support mediated a large proportion of the association between both forms of gender-based violence and depression. Conclusion Sexualized street harassment is associated with increased depressive symptomology for nearly all women, however the effects are especially pronounced for women who have previous experiences of sexual violence. Sexualized street harassment functions as a tool to maintain gendered power hierarchies by reminding women of ongoing threat of sexual violence even in public spaces. Social support and solidarity among women is a potentially important source of resiliency against the physical and mental harms of all forms of gender based violence.

BACKGROUND: Sexual assault is prevalent on college campuses and most commonly is perpetrated by men. Problematically, there is a dearth of evidence-based prevention programs targeting men as perpetrators of sexual aggression. The Sexual Assault and Alcohol Feedback and Education (SAFE) program is an integrated alcohol and sexual assault prevention intervention for college men who engage in heavy drinking that aims to address sexual aggression proclivity and alcohol use outcomes by incorporating social norms theory, bystander intervention, and motivational interviewing. OBJECTIVE: This study aims to examine the initial feasibility-, acceptability-, and efficacy-related outcomes of a randomized pilot trial of an integrated alcohol and sexual assault prevention program for college men who engage in heavy drinking. METHODS: This study included 115 college men who engaged in heavy drinking, who were randomly assigned to the SAFE program or a mindfulness-based control condition (MBCC). The feasibility of implementation, adequacy of participant retention, fidelity and competency of program administration, and satisfaction and utility of the intervention were evaluated. The primary outcomes of alcohol use and sexual aggression were evaluated at 2 and 6 months after baseline. The secondary outcomes of perceived peer norms, risks for sexual aggression, and bystander intervention were also assessed. The extent to which the motivational interviewing session with personalized normative feedback facilitated changes in the proximal outcomes of drinking intentions, motivation to change, and self-efficacy was also examined. RESULTS: The study procedures resulted in high program completion and retention (>80%), high fidelity to the program manual (>80% of the content included), high competency in program administration, and high ratings of satisfaction and program utility in addressing sexual relationships and alcohol use. Both groups reported declines in the number of drinks per week and number of heavy drinking days. Compared with the MBCC participants, the SAFE participants reported higher motivation to change alcohol use after the program, as well as greater use of alcohol protective behavioral strategies at 6 months. Compared with the MBCC participants, the SAFE participants also reported lower perceived peer engagement in sexual coercion, perceived peer comfort with sexism, and peer drinking norms at 2 and 6 months. However, no group differences were observed in sexual aggression severity, rape myth acceptance, or the labeling of sexual consent. Results regarding bystander intervention intentions were mixed, with the MBCC group showing decreased intentions at 2 months and the SAFE group reporting increased intentions at both 2 and 6 months. CONCLUSIONS: The findings provide promising evidence for the feasibility, acceptability, utility, and preliminary efficacy of the SAFE program in reducing alcohol use and positively influencing perceived peer norms and intentions for bystander intervention among college men who drink. TRIAL REGISTRATION: ClinicalTrials.gov NCT05773027; https://clinicaltrials.gov/study/NCT05773027.

Abstract Background Many people experience forms of gender-based violence and harassment (GBVH) in the context of their work. This includes a wide range of experiences, from subtle expressions of hostility to physical assault, that can also be of a sexual nature (e.g., sexual harassment or assault). This systematic review aimed to summarize findings about the prospective associations of work-related GBVH with people’s health and occupational situation. Methods We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Scopus, Web of Science, MEDLINE and PsycINFO were searched for prospective studies in English from 1990 to May 24, 2023. Studies were included if they concerned a working population, exposure to any form of GBVH in the work context, and a health outcome or manifest occupational outcome. Quality was assessed with a modified version of the Cochrane ‘Tool to Assess Risk of Bias in Cohort Studies’, and studies assessed as low quality were excluded from the narrative synthesis. For the narrative synthesis, we grouped the results by similar exposures and outcomes and reported the strength and statistical significance of the associations. Results Of the 1 937 screened records, 29 studies were included in the narrative synthesis. Studies were mainly conducted in the USA and northern Europe and investigated exposure to sexual violence or harassment (SVH). Only two included studies investigated non-sexual kinds of GBVH. Consistently, studies showed associations of work-related SVH with poor mental health and there were indications of an association with hazardous substance use. There was no consistent evidence for an association of SVH with subsequent sickness absence, and there were too few studies concerning physical health and occupational outcomes to synthesize the results. Conclusions There is consistent evidence of work-related SVH as a risk factor for subsequent poor mental health. There is no indication that the health consequences of SVH differ between women and men, although women are more often affected. There is a need for conceptual consistency, the consideration of non-sexual behaviors and prospective studies that test clear hypotheses about the temporal sequence of events.

Background: Globally, women 15–24 years are at heightened risk of sexual violence victimization, a risk factor for adverse mental, physical, and behavioral health outcomes. Sexual violence is common at universities and most often perpetrated by men, yet few evidence-based prevention strategies targeting men have been tested in low- and middle-income countries. GlobalConsent is a six-module, web-based educational program adapted from an efficacious U.S.-based program. Nine months post-treatment in a randomized trial in Vietnam, GlobalConsent reduced men's sexually violent behavior (odds ratio [OR] = 0.71, 95%CI 0.50–1.00) and increased prosocial intervening behavior (OR = 1.51, 1.00–2.28) relative to an attention-control. Evidence regarding optimal implementation strategies for scale up is needed. Methods: We will randomize six medical universities in North, Central, and South Vietnam to deliver GlobalConsent using two different packages of implementation strategies that vary in intensity. Higher-intensity strategies will include greater (1) pre- and post-implementation engagement with university leaders and faculty and (2) greater pre-implementation outreach, follow-up, and incentives for students to promote engagement and completion of GlobalConsent. Higher intensity universities will receive additional training and support for their added activities. We will compare implementation drivers and outcomes, intervention effectiveness, and cost-effectiveness across the two implementation bundles. Our mixed-methods comparative interrupted time series design includes (1) qualitative interviews and quantitative surveys with university leaders and implementation teams to assess implementation barriers and facilitators; (2) repeated surveys with leaders and faculty, implementation teams, and male students to assess multilevel implementation drivers and outcomes; (3) repeated surveys with male students to assess behavioral outcomes (sexual violence and intervening behavior) and mediating variables (knowledge, attitudes, affect, and capacities); and (4) time diaries and cost tracking to assess cost-effectiveness of the two implementation-strategies bundles. Discussion: This project is the first to assess packages of implementation strategies to deliver an efficacious web-based sexual violence prevention program for undergraduate men across all regions of Vietnam and synergizes with a violence-prevention training initiative (D43TW012188). This approach will produce rigorous evidence about how to disseminate GlobalConsent nationally, which holds promise to reduce gender-based health inequities linked to sexual violence as GlobalConsent is brought to scale. Trial registration: NCT06443541. Retrospectively registered with ClinicalTrials.gov. Registered on June 05, 2024. [ABSTRACT FROM AUTHOR]

Violence, poor mental health, and harmful substance use are commonly experienced by female sex workers (FSWs) in sub-Saharan Africa, all of which are associated with increased HIV susceptibility. We aimed to investigate the associations between violence, poor mental health and harmful alcohol/substance use with hair cortisol concentration (HCC) levels as a potential biological pathway linking the experiences of these stressors and HIV vulnerability. We used the baseline data of the Maisha Fiti study of FSWs in Nairobi, Kenya. Participants reported recent violence, poor mental health, and harmful alcohol/substance use. Hair samples proximal to the scalp were collected to measure cortisol levels determined by ELISA. We analysed the data of 425 HIV-negative respondents who provided at least 2 cm of hair sample. The prevalence of recent violence was 89.3% (physical 54.6%; sexual 49.4%; emotional 77.0% and financial 66.5%), and 29.1% had been arrested due to sex work. 23.7% of participants reported moderate/severe depression, 11.6% moderate/severe anxiety, 13.5% PTSD and 10.8% recent suicidal thoughts and/or attempts. About half of the participants (48.8%) reported recent harmful alcohol and/or other substance use. In multivariable linear regression analyses, both physical and/or sexual violence (adjusted geometric mean ratio (aGMR) = 1.28; 95% CI 1.01–1.62) and harmful alcohol and/or other substance use (aGMR = 1.31; 95% CI 1.03–1.65) were positively and independently associated with increased HCC levels. Findings suggest a role of violence and substance use in elevated HCC levels, which could increase HIV risk due to cortisol-related T cell activation. However, longitudinal and mechanistic studies are needed to confirm this hypothesis. [ABSTRACT FROM AUTHOR]

Introduction: Alcohol-involved sexual assault (AISA) survivors who were drinking at the time of the assault may be at risk of internalizing victim-blaming myths and stigma. Cognitive-behavioral models posit the link between AISA and negative emotional outcomes may be explained through maladaptive appraisals and coping - i.e., characterological and behavioral self-blame, shame, low self-compassion (i.e., high self-coldness, low self-caring), and fear of selfcompassion. Methods: Using a cross-sectional design and community sample of younger adults (N = 409 Canadians, M = 28.2 years old, 51.3% women), we examined these mechanisms' unique effects in mediating the associations between AISA and posttraumatic stress, general anxiety, and depressive symptoms, respectively. Results: In terms of gender differences, AISA was more common, self-coldness higher, and general anxiety symptoms more frequent in women, and fear of self-compassion was higher in men. Using structural equation modeling that controlled for gender and the overlap between outcomes, shame emerged as the strongest mediator linking AISA with all emotional outcomes. Fear of selfcompassion also partially mediated the AISA-posttraumatic stress symptom association, self-coldness partially mediated the AISA-general anxiety symptom association, and characterological self-blame fully mediated the AISA-depressive symptom association. Conclusion: Avoidance-based processes, ruminative/worry-based cognitions, and negative self-evaluative cognitions may be distinctly relevant for AISArelated posttraumatic stress, general anxiety, and depressive symptoms, respectively, after accounting for the overarching mediation through shame. These internalized stigma-related mechanisms may be useful to prioritize in treatment to potentially reduce AISA-related negative emotional outcomes, particularly for AISA survivors with posttraumatic stress, general anxiety, and/or depressive symptoms. [ABSTRACT FROM AUTHOR]

Background: Domestic, family and sexual violence is a prevalent health and social issue. Nurses may be exposed to higher rates of this violence in their personal lives compared to the community, but little is known about their polyvictimisation experiences or health and well-being impacts. Methods: An online descriptive, cross-sectional survey of women nurses, midwives and carer members of the Australian Nursing and Midwifery Federation (ANMF) (Victorian Branch) (response rate: 15.2% of nurses sent an invitation email/28.4% opened the email). Violence survey measures included: intimate partner violence (Composite Abuse Scale); child abuse and sexual violence (Australian Bureau of Statistics Personal Safety Survey items). Health measures included: Short Form-12; Fast Alcohol Screening Test; Patient Health Questionnaire-4; Short Screening for DSM-IV Posttraumatic Stress Disorder; well-being measures included: Connor-Davidson Resilience Scale, social support, and financial stress. Proportions were used to describe the prevalence of violence by sociodemographic characteristics and health and well-being issues; logistic regression predicted the odds of experiencing overlapping types of violence and of experiencing health and well-being outcomes. Results: 5,982 participants (from a parent study of 10,674 nurses, midwives and carers) had experienced at least one type of lifetime violence; half (50.1%) had experienced two or three types (polyvictimisation). Survivors of child abuse were three times more likely to experience both intimate partner violence and non-partner adult sexual assault. Any violence was associated with poorer health and well-being, and the proportion of affected participants increased as the types of violence they had experienced increased. Violence in the last 12-months was associated with the poorest health and well-being. Conclusions: Findings suggest a cumulative, temporal and injurious life course effect of domestic, family and sexual violence. The polyvictimisation experiences and health and well-being associations reported by survivor nurses, midwives and carers underscores the need for more accessible and effective workplace interventions to prevent and mitigate psychosocial ill health, especially in the recent aftermath of violence. [ABSTRACT FROM AUTHOR]

After a decade of deliberation, the draft sexual violence eradication bill was finally passed by the Indonesian parliament on 12 April 2022, enacted as the Sexual Violence Crime Law (Undang-Undang Tindak Pidana Kekerasan Seksual). The draft, which was first initiated by the National Commission on Violence Against Women (Komnas Perempuan) and later adopted as a parliamentary initiative, sparked controversy both inside and outside parliament. This article aims to describe the law-making process and identify the critical actors and acts as well as institutional responses that led to the passing of the law. It considers whether the experience can be interpreted as a reflection of a gender-sensitive parliament. Using a qualitative research approach, we identified critical actors and various responses from the parliament as an institution in responding to the dynamics of resistance and encouragement for the draft law to be passed. Our research material consists of interviews, news articles, and official document data. We found that critical actors and actions are key in the law-making process along with strong political will and collaboration between lawmakers, government representatives, civil society organizations, and the media, but the passage of this legislation alone does not fulfill the full requirement of a gender-sensitive parliament. [ABSTRACT FROM AUTHOR]