Rape and Sexual Violence: Questionable Inevitability and Moral Responsibility in Armed Conflict

Wartime sexual violence is a critical human rights issue that usurps the autonomy of its victims as well as their physical and psychological safety. It occurs in both ethnic and non-ethnic wars, across geographic regions, against both men and women, and regardless of the “official” position of commanders, states, and armed groups on the use of rape as tactic of war. This problem is current, pervasive, and global in spite of the status of wartime sexual violence perpetration as a crime against humanity and the capacity of the international criminal court to indict offenders. Though some scholars have argued that wartime rape is inevitable given a global patriarchal culture and the violent context of war, this argument upholds a problematic view of opportunistic sexual violence as an inevitable, anticipated side-effect of violent conflict. In order to counteract such harmful claims, this research examines two cases in which armed militant groups engaged in civil wars have limited the use of rape as a tactic of war. The examination of the cases of Sri Lanka and El Salvador may challenge the narrative of wartime rape inevitability and reinforce a framework through which perpetrators may be held accountable for sexual and gender-based war crimes. Further, this examination engages with the current body of sexual violence literature exploring not only the use of rape in armed conflict, but also the unique cases in which wartime rape is rare

Reproductive Rights in Latin America: A Case Study of Guatemala and Nicaragua

A lack of access to contraceptives and legal abortion for women throughout the nations of Nicaragua and Guatemala creates critical health care problems. Moreover, rural and underprivileged women in Guatemala and Nicaragua are facing greater limitations to birth control access, demonstrating a classist aspect in the global struggle for female reproductive rights. Although some efforts have been made over the past half-century to initiate a dialogue on the failure of medical care in these nations to adequately address issues of maternal mortality and reproductive rights, the women\u27s reproductive health movements of Nicaragua and Guatemala have struggled to reach an effective solution to this problem. As a result, women of Nicaragua and Guatemala are falling below the goals of organizations such as Planned Parenthood and UNFPA to ensure universal access to birth control and a subsequent reduction in each nation’s maternal mortality rate. This paper compares the varied successes of women\u27s rights movements in Guatemala and Nicaragua in expanding access to reproductive healthcare as well as overcoming afflictive social obstacles, such as cultural condemnation of contraceptive use and the influence of the Catholic church on society\u27s moral standards. Further, the research examines the inequality of care provided for women living in urban and rural areas and the incommensurate difficulties faced by women of different ethnicities and religions when attempting to access reproductive health care

A Qualitative Analysis of How Individuals Utilized the Twitter Hashtags #NotOkay and #MeToo to Comment on the Perpetration of Interpersonal Violence

The present study examined how individuals describe the nature of interpersonal violence perpetrated against them using the Twitter hashtags #NotOkay and #MeToo. Iterative qualitative coding of 437 tweets resulted in four major themes (i.e., the nature of violence and tactics utilized, the identity of the perpetrator, the location of the assault, and whether the perpetrator was held accountable). Subthemes nested beneath perpetrator identity included whether the perpetrator was known, as well as perpetrator gender identity. Subthemes nested beneath perpetrator tactic included the presence of multiple perpetrators, whether the assault was a crime of opportunity, engagement in physical aggression, utilization of psychological abuse, perpetration of sexual abuse, substance use at the time of the assault (victim and/or perpetrator), whether the abuse persisted, and whether the perpetrator used a weapon. Findings contradict stereotypes that frame interpersonal violence as a single occurrence committed by a stranger who planned an attack using a weapon

#DomesticViolence During the COVID-19 Global Pandemic: An Analysis of Public Commentary via Twitter

The current study sought to characterize commentary regarding intimate partner violence during the COVID-19 (SARS-CoV-2) pandemic via the Twitter hashtags #DomesticAbuse and #DomesticViolence. A sample of 481 original, English-language tweets containing the hashtag #DomesticAbuse or #DomesticViolence posted across five consecutive weekdays from March 22 to March 27, 2020—during which many places were enacting lockdown mandates—was examined using thematic content analyses. Overall, Twitter users commented on potential increased rates of IPV, while adding details about abuse tactics that could be employed by perpetrators during the pandemic. Additionally, Twitter users disclosed personal experiences of IPV victimization. Four themes were identified, including (1) type of domestic violence (i.e. whether the violence was COVID-specific or general domestic violence), (2) commentary about IPV (i.e. general reflections, decentralizing and centralizing survivorhood), (3) perpetrator tactic (i.e. abuse tactic used by the perpetrator), and (4) institutions responsible (i.e. institutions responsible for providing services to survivors). Overall, the commentary on Twitter reflected an effort to raise awareness and share informational aid for potential victims/survivors of IPV. Data highlight the potential of social media networks in conveniently facilitating the sharing and spreading of useful resources to other users. Future research should examine whether resources shared via Twitter reach individuals who need them and empower individuals to garner support

Observation of public sentiment toward human papillomavirus vaccination on Twitter

Background: Although human papillomavirus (HPV) is a vaccine-preventable illness, many individuals continue to resist vaccination for themselves and their children. We aimed to systematically analyze Twitter messages to obtain a unique view into public sentiment around HPV vaccination. Methods: We developed a Python-based tool to collect one week of live tweets from February 7–13, 2015 using Twitter’s automated programming interface. We retrieved data related to the HPV vaccine via 22 purposefully-selected key search terms. We developed a codebook using a hybrid approach that involved both a grounded theory approach and the addition of several key important codes based on prior work. Two trained coders independently coded tweets, and interrater reliability was compared using Gwet’s AC1. Results: We collected 20,408 usable tweets. To maintain feasibility, we used a computerized random generator to obtain a sub-sample of 2,000 of these tweets for in-depth qualitative coding. The four categories that accounted for the largest proportion of tweets included news and media coverage of current events related to the HPV vaccine, discussion of possible associations between receiving the vaccine and sexual behavior, safety of the vaccine, and effectiveness of the vaccine. Multiple inaccurate myths surrounding the vaccine, such as the misconception that it is only appropriate for females, were noted. Conclusions: Examination of Twitter chatter around HPV vaccination offers valuable insights, particularly into barriers around vaccination. It would be valuable to develop interventions aimed at countering misinformation promoted on this medium and augmenting valuable information found on it

Pharmacokinetics of Dapivirine Transfer into Blood Plasma, Breast Milk, and Cervicovaginal Fluid of Lactating Women Using the Dapivirine Vaginal Ring.

Breastfeeding (BF) women are an important population for biomedical HIV prevention strategies, but they are rarely included in trials. The 25-mg dapivirine vaginal ring (VR) reduced women's risk of sexually transmitted HIV infection in two phase 3 trials conducted in Africa. We conducted a phase 1, open-label study (MTN-029/IPM 039) of dapivirine VR use among lactating women in Pittsburgh, PA, and Birmingham, AL, USA. MTN-029/IPM 039 enrolled 16 healthy adult women who had already weaned their infants but were still able to express breast milk. Women were instructed to use the VR continuously for 14 days and provided milk, plasma, and cervicovaginal fluid (CVF) samples for pharmacological analysis. No infants were exposed to the drug, but infant dosage was estimated according to FDA guidance. Adverse events (AEs) were collected at all contacts. The study was completed with 100% participant retention. Median dapivirine concentrations were 676 pg/ml in breast milk, 327 pg/ml in plasma (milk/plasma ratio ∼2.0), and 36.25 ng/mg in CVF. Six participants experienced 10 total AEs, none of which required VR discontinuation. The estimated mean daily infant dosage was 74.3 ng/kg/day. In this first study of dapivirine exposure during lactation, dapivirine VR use was associated with lower concentrations of detectable dapivirine in milk and plasma than in CVF samples and a favorable safety profile. Estimated daily levels of infant dapivirine exposure were also low. Additional studies are needed to evaluate longer periods of dapivirine VR use among BF mother-infant pairs living in regions with higher incidence of sexually transmitted HIV infection. (This study has been registered at ClinicalTrials.gov under registration no. NCT02808949.)