Sexual Victimization, Self-Efficacy to Refuse Sex While Drinking, and Regretting Alcohol-Involved Sex among Underserved Youth in Kampala, Uganda

Monica H. Swahn, Rachel E. Culbreth, Amanda K. Gilmore, Dominic J. Parrott, Leah E. Daigle, Rogers Kasirye and Paul Bukuluki
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Monica H. Swahn: Department of Health Promotion and Physical Education, Wellstar College of Health and Human Services, Kennesaw State University, Kennesaw, GA 30144, USA
Rachel E. Culbreth: Department of Respiratory Therapy, Byrdine F. Lewis College of Nursing and Health Professions, Georgia State University, Atlanta, GA 30303, USA
Amanda K. Gilmore: Center for Research on Interpersonal Violence, Georgia State University, Atlanta, GA 30303, USA
Dominic J. Parrott: Center for Research on Interpersonal Violence, Georgia State University, Atlanta, GA 30303, USA
Leah E. Daigle: Center for Research on Interpersonal Violence, Georgia State University, Atlanta, GA 30303, USA
Rogers Kasirye: Uganda Youth Development Link, Kampala P.O. Box 12659, Uganda
Paul Bukuluki: College of Humanities and Social Sciences, Makerere University, Kampala P.O. Box 10218, Uganda

IJERPH, 2022, vol. 19, issue 4, 1-13

Abstract: The purposes of this study were to determine whether youth who have experienced sexual victimization (SV) have lower self-efficacy to refuse sex and to identify intervention strategies for rape survivors to mitigate further health-risks and harm. Cross-sectional data from the 2014 Kampala Youth Survey ( n = 1134) of youth aged 12 to 18 years recruited from Uganda Youth Development Link drop-in centers were used to conduct the analyses. Multivariable statistics were computed to determine the correlates (i.e., sex, education, homelessness, problem drinking, and SV) for (1) self-efficacy to refuse sex, (2) self-efficacy to refuse sex while drinking, and (3) regretting sex due to alcohol use. Among participants, 16.9% reported SV (79% were female and 21% were male). In the final adjusted model, self-efficacy to refuse sex while drinking was only associated with homelessness (OR: 0.52; 95% CI: 0.36, 0.74). Previous SV was not associated with lower self-reports of self-efficacy to refuse sex compared to those who had not experienced SV. Additionally, SV was not associated with increased reports of regrets for sex attributed to alcohol use. Alcohol prevention strategies for the most at-risk youth, including homeless youth, are warranted to improve self-efficacy to refuse sex among youth living in the slums of Kampala.

Keywords: sexual assault; rape; alcohol use; problem drinking; youth; Africa (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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