Social disorganization and history of child sexual abuse against girls in sub-Saharan Africa : a multilevel analysis

Background: Child sexual abuse (CSA) is a considerable public health problem. Less focus has been paid to the role of community level factors associated with CSA. The aim of this study was to examine the association between neighbourhood-level measures of social disorganization and CSA. Methods: We applied multiple multilevel logistic regression analysis on Demographic and Health Survey data for 6,351 adolescents from six countries in sub-Saharan Africa between 2006 and 2008. Results: The percentage of adolescents that had experienced CSA ranged from 1.04% to 5.84%. There was a significant variation in the odds of reporting CSA across the communities, suggesting 18% of the variation in CSA could be attributed to community level factors. Respondents currently employed were more likely to have reported CSA than those who were unemployed (odds ratio [OR] = 2.05, 95% confidence interval [CI] 1.48 to 2.83). Respondents from communities with a high family disruption rate were 57% more likely to have reported CSA (OR=1.57, 95% CI 1.14 to 2.16). Conclusion: We found that exposure to CSA was associated with high community level of family disruption, thus suggesting that neighbourhoods may indeed have significant important effects on exposure to CSA. Further studies are needed to explore pathways that connect the individual and neighbourhood levels, that is, means through which deleterious neighbourhood effects are transmitted to individuals

The Intersectionality of Intimate Partner Violence in the Black Community

To adequately address intimate partner violence in the black community in the USA, it is imperative to discuss historical oppression and examine how intersecting realities influence intimate partner/gender-based violence and individual, community, and systemic responses. Institutionalized and internalized oppression through racism, sexism, classism, homophobia, xenophobia, religious subjugation, etc., perpetuates unrecognized, unaddressed, and denied traumatic experiences for black survivors. One of the leading causes of death for black women aged 15–35 is intimate partner violence. Black women are almost three times more likely than white women to be killed by an intimate partner. This chapter will explore why culturally specific, trauma-informed practices are essential for holistic responses. For a black survivor, oppression, implicit/explicit bias, and racial loyalty/collectivism directly impact how female survivors perceive, react to, and report intimate partner violence. Racism and stereotypes continue to contribute to the failure of the legal systems, crisis services, and other programs to provide adequate resources and assistance to black survivors. Survivors who are foreign-born Africans, Afro Caribbeans, and Afro Latinas experience limited access to services in their first languages and/or limited interpreters who speak the native language, fear of interacting with systems and deportation, and little cultural understanding and empathy from service providers. We will provide promising practices, guiding principles, and culturally specific resources to illuminate the opportunities that exist to support the resiliency, autonomy, and self-determination of black survivors