@article{fdi:010085354,
  title = {{B}urden of and risk factors for sexual violence among women with and without disabilities in two sub-{S}aharan {A}frican countries},
  author = {{B}eaudrap, {P}ierre de and {M}oute, {C}. and {P}asquier, {E}. and {T}choumkeu, {A}. and {T}emgoua, {C}. {D}. and {Z}erbo, {A}. and {M}ac-{S}eing, {M}. and {B}eninguisse, {G}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground {A}vailable data suggest that women with disabilities have an increased risk of sexual violence, but little is known about the situation of those women living in resource-limited settings. {O}bjectives {T}o assess the burden and examine the drivers of sexual violence among women with disabilities. {M}ethods {T}his is a pooled analysis of two population-based surveys conducted in {C}ameroon and {B}urundi. {A}dults with and without disabilities were randomly recruited from the general population. {S}tructured interviews were conducted at both sites to collect data on participants' functional limitations, life-course history of sexual violence, education, employment, and resources. {O}nly women with disabilities whose impairments started before the age of 10 years (n = 359) and women without disabilities (n = 720) are included in this analysis. {T}he age-adjusted prevalence of violence was computed, and risk factors were assessed using a discrete survival regression and mediation analysis. {R}esults {A}t both sites, the participants with disabilities had a lower education level and had an increased risk of food insecurity. {T}he pooled age-adjusted prevalence of lifetime sexual violence was 19.8% (95%{CI}:15.3-24.3) among women with disabilities and 11.7% (95%{CI}:9.3-14.1) among those without disabilities ({OR}ap: 2.0, 95%{CI}:1.4-2.8). {W}omen with cognitive limitations and those with visual impairments had the highest risk of sexual violence ({OR}ap: 3.5 (95%{CI}:2.0-6.3) and 2.7 (95%{CI}:1.4-5.0), respectively). {O}ver the life course, the risk of sexual violence was especially high among women with disabilities who had lived with an intimate partner before the age of 25 years (p < 0.001). {E}ducation level mediated approximately one-third of the total association between disability and sexual violence (p = 0.001). {T}here was no evidence of an indirect effect through food insecurity. {C}onclusion {T}his study provides evidence of the high burden of sexual violence among women with disabilities who live in urban {A}frican contexts. {T}he social environment and access to education may be key contributors to this vulnerability.},
  keywords = {{D}isability ; gender-based violence ; {C}ameroon ; {B}urundi ; social ; epidemiology ; {AFRIQUE} {SUBSAHARIENNE} ; {CAMEROUN} ; {BURUNDI} ; {YAOUNDE} ; {BUJUMBURA}},
  booktitle = {},
  journal = {{G}lobal {H}ealth {A}ction},
  volume = {15},
  numero = {1},
  pages = {2077904 [11 p.]},
  year = {2022},
  DOI = {10.1080/16549716.2022.2077904},
  URL = {https://www.documentation.ird.fr/hor/fdi:010085354},
}