142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

309088
Gender Differences in Sexual Abuse and Violence among University Students: Results from the First Online Sexuality Survey in Lebanon and the Arab Region

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 3:15 PM - 3:30 PM

Lilian Ghandour, PhD, MPH , Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
Noura El Salibi, MPH , Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
Rola Yasmine, RN, MS , Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
Faysal El Kak, MD, MS , Health Promotion and Community Health Department, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
Youth in the Arab region are prone to violations of their bodily autonomy as manifested by reports of gender-based sexual discrimination and violence. In 2012, an anonymous online survey examined nonconsensual sexual practices and sexual abuse among university students (aged 18-30) attending the 4th largest private university in Beirut. Of 1857 respondents, 264 (14%) admitted to ever being sexually abused ( someone did something sexual they did not want them to do, or touched them in a way that they did not want to be touched). Sexual abuse was 3 times higher in females (p-value<0.001); latter were also 10 times more likely to feel very worried about experiencing sexual violence such as rape, sexual assault, and sexual harassment (p-value<0.001). Females were at higher odds of engaging in sexual activities they did not really want to do [OR=1.75; 95% CI: 1.38-2.21] and reporting ‘unwillingness’ to engage in first sexual intercourse [OR=1.66; 95% CI: 1.11-2.47]. Sexually abused students were 3 times more likely to experience an unplanned/unwanted pregnancy (p-value=0.001), terminated in 93% of the cases. The majority of students (61%) could not talk about sex with their mother/female guardian and 80% felt similarly about their father/male guardian. Although not representative of the youth population in Lebanon, these findings alone are sufficient to call for immediate gender sensitive interventions addressing sexual abuse and violence, while promoting open parental communication, bodily autonomy and self-determination.

Learning Areas:

Advocacy for health and health education
Assessment of individual and community needs for health education
Epidemiology
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe nonconsensual sexual practices among youth and differentiate how these practices differ between men and women Discuss restrictive socio-cultural norms’ implications on sexual health, sexuality, and bodily autonomy Discuss sexual abuse within the context of gender inequality.

Keyword(s): Sexual Assault, Gender

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an Obstetrician- Gynecologist, public health practitioner and a reproductive sexual health professional involved in clinical and academic work. I work with national, regional and various international agencies and organizations as a consultant and advisor including UNFPA and WHO. I am the co-principal investigator of the study from which the data for this abstract emanated
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.