Prevalence and perceptions of gender-based violence, and factors associated with gender-based violence among adolescents in Addis Ababa, Ethiopia: A Cross-sectional study

Addisalem Kebede, Meskerem Setegne, Jenny Kniss, Danielle Garfinkel, Lara Veldman, Yohannes Adinew, Ana Aguilera, Renu Golwalkar, Jemal Kassaw, Kathryn A. O’Connell

Abstract

This study examined the prevalence and perception of Gender-Based Violence (GBV) and factors associated with GBV among inschool Ethiopian adolescents. This cross-sectional quantitative study was conducted in Addis Ababa with 1,014 male and female adolescents aged 15-19. We examined differences by sex using the two-sample test of proportions and used multiple regression models to identify factors associated with GBV. Male respondents reported higher acceptability of GBV, while the overall mean empowerment construct was higher among females. Older adolescents (AOR: 1.43, 95% CI: 1.21, 1.69) and females (AOR: 2.15, 95% CI: 1.46, 3.14) were significantly more likely to experience sexual violence, and males were more likely to experience physical violence (AOR: 3.71, 95% CI: 2.15, 6.39). The study emphasizes the need for urgent multisectoral engagement to prevent and respond to GBV among adolescents. Tailored, school-related interventions may be an important means to address, prevent, and refer survivors of GBV. (Afr J Reprod Health 2023; 27 [9]: 31-42).

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References

Beyene AS, Chojenta C, Roba HS, Melka AS and Loxton D.

Gender-based violence among female youths in

educational institutions of Sub-Saharan Africa: a

systematic review and meta-analysis. Syst Rev

;8:59.

Pankhurst A. Young lives Ethiopia: lessons from Longitudinal

Research with the Children of the Millennium. Oxford,

UK : Addis Ababa, Ethiopia: Young Lives ; Young Lives

Ethiopia, 2018;

Central Statistical Agency (CSA) [Ethiopia] and ICF. Ethiopia -

Demographic and Health Survey 2016. Addis Ababa,

Ethiopia, and Rockville, Maryland, USA: CSA and ICF,

;

Tantu T, Wolka S, Gunta M, Teshome M, Mohammed H and

Duko B. Prevalence and determinants of gender-based

violence among high school female students in Wolaita

Sodo, Ethiopia: an institutionally based cross-sectional

study. BMC Public Health 2020;20(1):540.

CARE Ethiopia. A study on the impact of COVID-19 on women

and girls in Ethiopia - Ethiopia | ReliefWeb [Homepage

on the Internet]. 2021 [cited 2022 Dec 15];Available

from: https://reliefweb.int/report/ethiopia/study-impactcovid-19-women-and-girls-ethiopia

CEDAW/C/ETH/CO/6-7, 2016. Concluding observations of the

Committee on the Elimination of Discrimination against

Women Ethiopia.

Glass N, Perrin N, Clough A, Desgroppes A, Kaburu FN, Melton

J, Rink A, Read-Hamilton S and Marsh M. Evaluating

the communities care program: best practice for rigorous

research to evaluate gender based violence prevention

and response programs in humanitarian settings. Confl

Health 2018;12:5.

Read-Hamilton S and Marsh M. The Communities Care

programme: changing social norms to end violence

against women and girls in conflict-affected

communities. Gender & Development 2016;24(2):261–

Presler-Marshall E, Oakley E, Abu Hamad S, Diab R, Jones N,

Abu Hammad B, Alheiwidi S, Yadete W, Seager J and

Baird S. Adolescent girls’ and boys’ experiences of

violence: evidence from Gender and Adolescence:

Global Evidence (GAGE). 2022;24.

Stark L, Seff I, Hoover A, Gordon R, Ligiero D and Massetti G.

Sex and age effects in past-year experiences of violence

amongst adolescents in five countries. PLOS ONE

;14(7):e0219073.

Ramaiya A, Zimmerman L, Mafuta E, Lulebo A, Chipeta E,

Stones W and Moreau C. Assessing the relationshipbetween agency and peer violence among adolescents

aged 10 to 14 years in Kinshasa, Democratic Republic of

Congo and Blantyre, Malawi: A cross-sectional study.

PLOS Medicine 2021;18(12):e1003552.

Cashmore J and Shackel R. Gender Differences in the Context

and Consequences of Child Sexual Abuse. Current

Issues in Criminal Justice [homepage on the Internet]

[cited 2022 Dec 13];26. Available from:

https://www.tandfonline.com/doi/abs/10.1080/1034532

2014.12036008

Romito P and Grassi M. Does violence affect one gender more

than the other? The mental health impact of violence

among male and female university students. Soc Sci Med

;65(6):1222–1234.

Pulerwitz J, Hughes L, Mehta M, Kidanu A, Verani F and

Tewolde S. Changing Gender Norms and Reducing

Intimate Partner Violence: Results From a QuasiExperimental Intervention Study With Young Men in

Ethiopia. Am J Public Health 2015;105(1):132–137.

Revollo PE and Portela MJO. Self-efficacy, Agency and

Empowerment During Adolescence and Young

Adulthood in Ethiopia, India, Peru and Vietnam.

;31.

United Nations High Commissioner for Refugees. Gender-based

Violence [Homepage on the Internet]. UNHCR. [cited

Jan 12];Available from:

https://www.unhcr.org/gender-based-violence.html

Cleland J, Ingham R and Stone N. Asking young people about

sexual and reproductive behaviours: Illustrative Core

Instraments. 2001;

Zimmerman LA, Li M, Moreau C, Wilopo S and Blum R.

Measuring agency as a dimension of empowerment

among young adolescents globally; findings from the

Global Early Adolescent Study. SSM Popul Health

;8:100454.

Eerdewijk A van, Wong F, Vaast C, Newton J and Tyszler M.

White Paper: a Conceptual Model on Women and Girls’

Empowerment. 2017;

Perrin N, Marsh M, Clough A, Desgroppes A, Yope Phanuel C,

Abdi A, Kaburu F, Heitmann S, Yamashina M, Ross B

and Read-Hamilton S. Social norms and beliefs about

gender based violence scale: a measure for u

se with gender based violence prevention programs in low-resource

and humanitarian settings. Conflict and Health

;13(1):6.

Blum RW, Li M and Naranjo-Rivera G. Measuring Adverse

Child Experiences Among Young Adolescents Globally:

Relationships With Depressive Symptoms and Violence

Perpetration. Journal of Adolescent Health

;65(1):86–93.

O’Connell KA and Skevington SM. An International Quality of

Life Instrument to Assess Wellbeing in Adults Who are

HIV-Positive: A Short Form of the WHOQOL-HIV (31

items). AIDS Behav 2012;16(2):452–460.

Streiner DL and Norman GR. Health Measurement Scales: A

Practical Guide to Their Development and Use. 2nd

Edition. Oxford University Press, 1995;

Broban A, Van den Bergh R, Russell W, Benedetti G,

Caluwaerts S, Owiti P, Reid A and De Plecker E. Assault

and care characteristics of victims of sexual violence in

eleven Médecins Sans Frontières programs in Africa.

What about men and boys? PLOS ONE

;15(8):e0237060.

Fan AZ, Kress H, Gupta S, Wadonda-Kabondo N, Shawa M and

Mercy J. Do self-reported data reflect the real burden of

lifetime exposure to sexual violence among females aged

–24 years in Malawi? Child Abuse & Neglect

;58:72–79.

Grose RG, Roof KA, Semenza DC, Leroux X and Yount

KM. Mental health, empowerment, and violence against

young women in lower-income countries: A review of

reviews. Aggression and Violent Behavior 2019;46:25–

Baiocchi M, Omondi B, Langat N, Boothroyd DB, Sinclair J,

Pavia L, Mulinge M, Githua O, Golden NH and

Sarnquist C. A Behavior-Based Intervention That

Prevents Sexual Assault: the Results of a Matched-Pairs,

Cluster-Randomized Study in Nairobi, Kenya. Prev Sci

;18(7):818–827.

Baiocchi M, Friedberg R, Rosenman E, Amuyunzu-Nyamongo

M, Oguda G, Otieno D and Sarnquist C. Prevalence and

risk factors for sexual assault among class 6 female

students in unplanned settlements of Nairobi, Kenya:

Baseline analysis from the IMPower & Sources of

Strength cluster randomized controlled trial. PLOS ONE

;14(6):e0213359.

Al-Fayez GA, Ohaeri JU and Gado OM. Prevalence of physical,

psychological, and sexual abuse among a nationwide

sample of Arab high school students: association with

family characteristics, anxiety, depression, self-esteem,

and quality of life. Soc Psychiatry Psychiatr Epidemiol

;47(1):53–66.

Benight CC and Bandura A. Social cognitive theory of

posttraumatic recovery: the role of perceived selfefficacy. Behav Res Ther 2004;42(10):1129–1148.

Santhya KG, Ram U, Acharya R, Jejeebhoy SJ, Ram F and Singh

A. Associations between early marriage and young

women’s marital and reproductive health outcomes:

evidence from India. Int Perspect Sex Reprod Health

;36(3):132–139.

Grose RG and Grabe S. The Explanatory Role of Relationship

Power and Control in Domestic Violence Against

Women in Nicaragua: A Feminist Psychology Analysis.

Violence Against Women 2014;20(8):972–993.

Gashaw BT, Magnus JH, Scheib B and Solbraekken KN.

Community Stakeholders’ Perspectives on Intimate

Partner Violence during Pregnancy-A Qualitative Study

from Ethiopia. Int J Environ Res Public Health

;16(23):4694.

Muche AA, Adekunle AO and Arowojolu AO. Gender-Based

Violence among Married Women in Debre Tabor Town,

Northwest Ethiopia: A Qualitative Study. African

Journal of Reproductive Health [homepage on the

Internet] 2017 [cited 2022 Dec 13];21(4). Available

from: https://ajrh.info/index.php/ajrh/article/view/1288

Nyoni T, Steiner JJ, Okumu M, Orwenyo E, Tonui BC, Lipsey

K and Mengo C. The Use and Effectiveness of the Whole

School Approach in School-Based Interventions

Addressing Gender-Based Violence in Sub-Saharan

Africa: A Systematic Review. Trauma, Violence, &

Abuse 2022;15248380221134296..

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