Sexual Violence against Women in Moshi, Tanzania: Risk Factors and Consequences

Corrine Williams, Harvard University
Ulla M. Larsen, University of Maryland
Laura McCloskey, Harvard University

The objectives of this study were to establish the prevalence of sexual violence at first intercourse, to identify associated risk factors, and to explore the life-trajectory influences of this sexual violence using a life course framework. A representative household survey in Moshi, Tanzania with face-to-face interviews of 1,835 women was analyzed using multivariate logistic regression. Women were asked about sociodemographics, sexual violence at first intercourse, and marriage history. Women were also tested for the presence of sexually transmitted infections (STIs). Approximately 10.9% reported forced first intercourse and 15.3% reported unwanted first intercourse. analyzes indicate that forced sexual initiation is associated with presence of an STI, as well as with being married more times, polygamous unions, having first births before marriage, and more sexual partners. Some implications are to conduct research on resiliency factors and to improve follow-up with girls experiencing sexual violence to diminish its impact on their future health.