Prevalence and Associated Factors of Sexual Victimization: Findings from a National Representative Sample of Belgian Adults Aged 16–69
Abstract
:1. Introduction
Sexual violence is any sexual act that is perpetrated against someone’s will. It can be committed by any person regardless of their relationship to the victim, in any setting. It includes, but is not limited to, rape, attempted rape and sexual slavery, as well as unwanted touching, threatened sexual violence and verbal sexual harassment.(p. 3)
2. Materials and Methods
2.1. Sampling Procedure and Participants
2.2. Measures
2.2.1. Assessment of Victimization
Lifetime Prevalence
12-Month Prevalence
2.3. Coercive Strategy
2.4. Assessment of Associated Factors
Substance Use and Mental Health
2.5. Analysis
3. Results
3.1. Prevalence of Sexual Victimization
3.1.1. Sex Differences
3.1.2. Age Differences
Hands-Off
Hands-On
3.2. Coercive Strategies
3.3. Associated Factors: Potential Risk Factors
3.3.1. Sex and Age
3.3.2. Sexuality and Relationships
3.3.3. Socio-Economic Factors
3.4. Associated Factors: Substance Use & Mental Health
3.5. Comparison with Other Prevalence Studies
4. Discussion
4.1. Prevalence of Sexual Victimization
4.2. Associated Factors
4.3. Coercive Strategy
4.4. Comparison with Other Prevalence Studies
4.5. Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Appendix A
- Hands-off sexual victimization (no physical contact)
- Staring: Someone stared at me in a sexual way or looked at my intimate body parts (e.g., breasts, vagina, penis, anus) when I didn’t want it to happen.
- Comments: Someone made teasing comments of a sexual nature about my body or appearance even though I didn’t want it to happen.
- Showing sexual images: Someone showed me sexual or obscene materials such as pictures, videos, (directly or over the internet (including email, social networks and chat platforms) even though I didn’t want to look at them. (This does not include mass mailings or spam.)
- Calls or texts: Someone made unwelcome sexual or obscene phone calls or texts to me.
- Voyeurism: I caught someone watching me, taking photos or filming me when I didn’t want it to happen while I was undressing, nude or having sex.
- Distribution of images: Someone distributed naked pictures or videos of me directly or over the internet (including email, social networks and chat platforms) when I didn’t want it to happen.
- Exhibitionism: Someone showed their intimate body parts (e.g., breasts, vagina, penis, anus) to me in a sexual way and/or masturbated in front of me when I didn’t want to see it.
- Forcing to show intimate body parts: Someone made me show my intimate body parts (e.g., breasts, vagina, penis, anus) (online or face-to-face) when I didn’t want to do it.
- Hands-on sexual victimizationSexual abuse (physical contact but no penetration)
- Kissing: Someone kissed me against my will.
- Touching in care: Someone touched my intimate body parts (e.g., breasts, vagina, penis, anus) during care against my will.
- Fondling/rubbing: Someone fondled or rubbed up against my intimate body parts (e.g., breasts, vagina, penis, anus) against my will.
- Undressing: Someone removed (some of) my clothes against my will.
Rape and attempted rape (physical contact with attempted or completed penetration)- Oral penetration: Someone had oral sex with me or made me give oral sex against my will.
- Attempt of oral penetration: Someone tried, but did not succeed, to have oral sex with me or tried to make me give oral sex against my will.
- Vaginal or anal penetration: Someone put their penis, finger(s) or object(s) into my vagina or anus against my will.
- Attempt of vaginal or anal penetration: Someone tried, but did not succeed to put their penis, finger(s) or object(s) into my vagina or anus against my will.
- Forcing to penetrate: Someone made me put my penis, finger(s) or object(s) into their (or someone’s) vagina or anus against my will.
References
- World Health Organization. Violence against Women: Intimate Partner and Sexual Violence against Women: Evidence Brief; WHO: Geneva, Switzerland, 2019. [Google Scholar]
- Krahé, B.; Berger, A. Men and women as perpetrators and victims of sexual aggression in heterosexual and same-sex encounters: A study of first-year college students in Germany. Aggress. Behav. 2013, 39, 391–404. [Google Scholar] [CrossRef] [PubMed]
- Wilson, L.C.; Miller, K.E. Meta-Analysis of the Prevalence of Unacknowledged Rape. Trauma Violence Abus. 2016, 17, 149–159. [Google Scholar] [CrossRef] [PubMed]
- Peterson, Z.D.; Voller, E.K.; Polusny, M.A.; Murdoch, M. Prevalence and consequences of adult sexual assault of men: Review of empirical findings and state of the literature. Clin. Psychol. Rev. 2011, 31, 1–24. [Google Scholar] [CrossRef]
- Basile, K.C.; Smith, S.G.; Breiding, M.; Black, M.C.; Mahendra, R.R. Sexual Violence Surveillance: Uniform Definitions and Recommended Data Elements. Version 2.0; National Center for Injury Prevention and Control, Centers for Disease Control and Prevention: Atlanta, GA, USA, 2014. [Google Scholar]
- Bajos, N.; Bozon, M. Les agressions sexuelles en France: Résignation, réprobation, révolte. In La sexualité en France. Pratiques, Genre et Santé; La Découverte: Paris, France, 2008; pp. 381–407. [Google Scholar]
- Basile, K.C.; Chen, J.; Black, M.C.; Saltzman, L.E. Prevalence and characteristics of sexual violence victimization among U.S. adults, 2001–2003. Violence Vict. 2007, 22, 437–448. [Google Scholar] [CrossRef]
- Breiding, M.J. Prevalence and characteristics of sexual violence, stalking, and intimate partner violence victimization—National Intimate Partner and Sexual Violence Survey, United States, 2011. Am. J. Public Health 2015, 105, E11. [Google Scholar]
- Elliott, D.M.; Mok, D.S.; Briere, J. Adult sexual assault: Prevalence, symptomatology, and sex differences in the general population. J. Trauma. Stress Off. Publ. Int. Soc. Trauma. Stress Stud. 2004, 17, 203–211. [Google Scholar] [CrossRef]
- De Haas, S.; van Berlo, W.; Bakker, F.; Vanwesenbeeck, I. Prevalence and characteristics of sexual violence in the Netherlands, the risk of revictimization and pregnancy: Results from a national population survey. Violence Vict. 2012, 27, 592–608. [Google Scholar] [CrossRef]
- Pieters, J.; Italiano, P.; Offermans, A.-M.; Hellemans, S. Ervaringen van Vrouwen en Mannen met Psychologisch, Fysiek en Seksueel Geweld; Instituut Voor de Gelijkheid van Vrouwen en Mannen: Brussels, Belgium, 2010. [Google Scholar]
- Sundaram, V.; Laursen, B.; Helweg-Larsen, K. Is sexual victimization gender specific? The prevalence of forced sexual activity among men and women in Denmark, and self-reported well-being among survivors. J. Interpers. Violence 2008, 23, 1414–1440. [Google Scholar] [CrossRef] [PubMed]
- Vanwesenbeeck, I.; Bakker, F.; Gesell, S. Sexual health in the Netherlands: Main results of a population survey among Dutch adults. Int. J. Sex. Health 2010, 22, 55–71. [Google Scholar] [CrossRef]
- Depraetere, J.; Vandeviver, C.; Beken, T.V.; Keygnaert, I. Big Boys Don’t Cry: A Critical Interpretive Synthesis of Male Sexual Victimization. Trauma Violence Abus. 2020, 21, 991–1010. [Google Scholar] [CrossRef] [Green Version]
- Krahé, B.; Tomaszewska, P.; Kuyper, L.; Vanwesenbeeck, I. Prevalence of sexual aggression among young people in Europe: A review of the evidence from 27 EU countries. Aggress. Violent Behav. 2014, 19, 545–558. [Google Scholar] [CrossRef]
- United States Bureau Of Justice Statistics. National Crime Victimization Survey, [United States], 2019; Bureau Of Justice Statistics: Washington, DC, USA, 2020.
- Office for National Statistics. Crime Survey for England and Wales. 2020. Available online: https://www.ons.gov.uk/peoplepopulationandcommunity/crimeandjustice/bulletins/crimeinenglandandwales/yearendingjune2019 (accessed on 16 March 2021).
- World Health Organization. Strengthening the Medico-Legal Response to Sexual Violence; WHO: Geneva, Switzerland, 2015. [Google Scholar]
- Buysse, A.; Caen, M.; Dewaele, A.; Enzlin, P.; Lievens, J.; T’Sjoen, G.; van Houtte, M.; Vermeersch, H. Seksuele Gezondheid in Vlaanderen; Academia Press: Gent, Belgium, 2013; ISBN 9038220790. [Google Scholar]
- Krahé, B.; Berger, A.; Vanwesenbeeck, I.; Bianchi, G.; Chliaoutakis, J.; Fernández-Fuertes, A.A.; Fuertes, A.; de Matos, M.G.; Hadjigeorgiou, E.; Haller, B.; et al. Prevalence and correlates of young people’s sexual aggression perpetration and victimisation in 10 European countries: A multi-level analysis. Cult. Health Sex. 2015, 17, 682–699. [Google Scholar] [CrossRef] [PubMed]
- De Cort, G. #MeToo in Vlaamse Bedrijven: ‘Er is een Duidelijke Tendens naar Nultolerantie’. Available online: https://www.standaard.be/cnt/dmf20190816_04560872 (accessed on 17 August 2019).
- Ipsos. The #MeToo Movement: One Year Later, 2017–2018. 2018. Available online: https://www.ipsos.com/en-us/news-polls/MeToo-Movement (accessed on 11 January 2021).
- Breiding, M.J.; Black, M.C.; Ryan, G.W. Prevalence and risk factors of intimate partner violence in eighteen U.S. states/territories, 2005. Am. J. Prev. Med. 2008, 34, 112–118. [Google Scholar] [CrossRef]
- Auderset, D.; Akre, C.; Barrense-Dias, Y.; Berchtold, A.; Jacot-Descombes, C.; Leeners, B.; Morselli, D.; Surís, J.-C. Profile of Young Victims of Unwanted Sexual Experiences: A Gender Comparison Using a Swiss National Survey. Sex. Res. Soc. Policy 2020, 25, 69. [Google Scholar] [CrossRef]
- Canan, S.N.; Jozkowski, K.N.; Wiersma-Mosley, J.; Blunt-Vinti, H.; Bradley, M. Validation of the Sexual Experience Survey-Short Form Revised Using Lesbian, Bisexual, and Heterosexual Women’s Narratives of Sexual Violence. Arch. Sex. Behav. 2020, 49, 1067–1083. [Google Scholar] [CrossRef] [PubMed]
- Macdowall, W.; Gibson, L.J.; Tanton, C.; Mercer, C.H.; Lewis, R.; Clifton, S.; Field, N.; Datta, J.; Mitchell, K.R.; Sonnenberg, P.; et al. Lifetime prevalence, associated factors, and circumstances of non-volitional sex in women and men in Britain: Findings from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3). Lancet 2013, 382, 1845–1855. [Google Scholar] [CrossRef] [Green Version]
- Jina, R.; Thomas, L.S. Health consequences of sexual violence against women. Best Pract. Res. Clin. Obstet. Gynaecol. 2013, 27, 15–26. [Google Scholar] [CrossRef]
- Tharp, A.T.; DeGue, S.; Valle, L.A.; Brookmeyer, K.A.; Massetti, G.M.; Matjasko, J.L. A systematic qualitative review of risk and protective factors for sexual violence perpetration. Trauma Violence Abus. 2012, 14, 133–167. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Nobels, A.; Inescu, A.C.; Nisen, L.; Hahaut, B.; Beaulieu, M.; Lemmens, G.; Adam, S.; Schapansky, E.; Vandeviver, C.; Keygnaert, I. Sexual violence in older adults: A Belgian prevalence study. medRxiv 2021. preprint. [Google Scholar] [CrossRef]
- Statbel. Onderwijsniveau van de Belgische Bevolking van 15–64 Jaar. Available online: https://bestat.statbel.fgov.be/bestat/crosstable.xhtml?view=631b4535-7a63-4695-967f-fe42238ee9af (accessed on 13 July 2020).
- Coffman, K.B.; Coffman, L.C.; Ericson, K.M.M. The Size of the LGBT Population and the Magnitude of Antigay Sentiment Are Substantially Underestimated. Manag. Sci. 2017, 63, 3168–3186. [Google Scholar] [CrossRef] [Green Version]
- Herbenick, D.; Reece, M.; Schick, V.; Sanders, S.A.; Dodge, B.; Fortenberry, J.D. Sexual behavior in the United States: Results from a national probability sample of men and women ages 14–94. J. Sex. Med. 2010, 7, 255–265. [Google Scholar] [CrossRef] [PubMed]
- Regulation 2016/679 of the European Parliament and of the Council; Council of the European Union: Brussels, Belgium, 2016.
- Koss, M.P.; Abbey, A.; Campbell, R.; Cook, S.; Norris, J.; Testa, M.; Ullman, S.; West, C.; White, J. The Sexual Experiences Survey—Long Form Perpetration (SES-LFP); University of Arizona: Tucson, AZ, USA, 2006. [Google Scholar]
- Koss, M.P.; Abbey, A.; Campbell, R.; Cook, S.; Norris, J.; Testa, M.; Ullman, S.; West, C.; White, J. Revising the SES: A collaborative process to improve assessment of sexual aggression and victimization. Psychol. Women Q. 2007, 31, 357–370. [Google Scholar] [CrossRef]
- Smith, S.G.; Basile, K.C.; Gilbert, L.K.; Merrick, M.T.; Patel, N.; Walling, M.; Jain, A. National Intimate Partner and Sexual Violence Survey (NISVS): 2010–2012; State Report; Centers for Disease Control and Prevention: Atlanta, GA, USA, 2017. [Google Scholar]
- Keygnaert, I.; Vettenburg, N.; Temmerman, M. Hidden violence is silent rape: Sexual and gender-based violence in refugees, asylum seekers and undocumented migrants in Belgium and the Netherlands. Cult. Health Sex. 2012, 14, 505–520. [Google Scholar] [CrossRef] [PubMed]
- Keygnaert, I.; Dialmy, A.; Manço, A.; Keygnaert, J.; Vettenburg, N.; Roelens, K.; Temmerman, M. Sexual violence and sub-Saharan migrants in Morocco: A community-based participatory assessment using respondent driven sampling. Glob. Health 2014, 10, 32. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Kroenke, K.; Spitzer, R.L.; Williams, J.B.W. The PHQ-9: Validity of a brief depression severity measure. J. Gen. Intern. Med. 2001, 16, 606–613. [Google Scholar] [CrossRef]
- Spitzer, R.L.; Kroenke, K.; Williams, J.B.W.; Löwe, B. A brief measure for assessing generalized anxiety disorder: The GAD-7. Arch. Intern. Med. 2006, 166, 1092–1097. [Google Scholar] [CrossRef] [Green Version]
- Prins, A.; Bovin, M.J.; Kimerling, R.; Kaloupek, D.G.; Marx, B.P.; Pless Kaiser, A.; Schnurr, P.P. The primary care PTSD screen for DSM-5 (PC-PTSD-5): Development and evaluation within a veteran primary care sample. J. Gen. Intern. Med. 2016, 31, 1206–1211. [Google Scholar] [CrossRef] [PubMed]
- Babor, T.F.; de La Fuente, J.R.; Saunders, J.; Grant, M. AUDIT: The Alcohol Use Disorders Identification Test: Guidelines for Use in Primary Health Care; World Health Organization: Geneva, Switzerland, 1992. [Google Scholar]
- Korn, E.L.; Graubard, B.I. Epidemiologic studies utilizing surveys: Accounting for the sampling design. Am. J. Public Health 1991, 81, 1166–1173. [Google Scholar] [CrossRef] [Green Version]
- Real Statistics. Effect Size for Chi-Square Test. Available online: https://www.real-statistics.com/chi-square-and-f-distributions/effect-size-chi-square/ (accessed on 8 January 2021).
- Box, G.E.P.; Tidwell, P.W. Transformation of the Independent Variables. Technometrics 1962, 4, 531–550. [Google Scholar] [CrossRef]
- Powell, A.; Henry, N. Technology-facilitated sexual violence victimization: Results from an online survey of Australian adults. J. Interpers. Violence 2019, 34, 3637–3665. [Google Scholar] [CrossRef]
- Graf, A.S.; Johnson, V. Describing the “Gray” Area of Consent: A Comparison of Sexual Consent Understanding across the Adult Lifespan. J. Sex Res. 2020, 58, 1–14. [Google Scholar] [CrossRef] [PubMed]
- Gisle, L.; Drieskens, S.; Demarest, S.; Van der Heyden, J. Geestelijke Gezondheid: Gezondheidsenquête 2018. [Mental Health: Health Survey 2018] D/2020/14.440/4, Brussels, Belgium. Available online: www.gezondheidsenquete.be (accessed on 10 May 2021).
- Depraetere, J.; Inescu, A.C.; de Schrijver, L.; Nobels, A.; Keygnaert, I.; Vandeviver, C. Measuring Sexual Victimization and Perpetration in Today’s Society: Modifications to the Sexual Experiences Survey. 2020. Available online: https://osf.io/preprints/socarxiv/cgevu (accessed on 10 June 2021).
- Van Selm, M.; Jankowski, N.W. Conducting online surveys. Qual. Quant. 2006, 40, 435–456. [Google Scholar] [CrossRef]
- Cook, C.; Heath, F.; Thompson, R.L. A meta-analysis of response rates in web-or internet-based surveys. Educ. Psychol. Meas. 2000, 60, 821–836. [Google Scholar] [CrossRef]
- Arya, R.; Antonisamy, B.; Kumar, S. Sample Size Estimation in Prevalence Studies. Indian J. Pediatr. 2012, 79, 1482–1488. [Google Scholar] [CrossRef] [PubMed]
Variable | n (Valid %) | |
---|---|---|
Sex 1 | Female | 1164 (55.0) |
Male | 951 (45.0) | |
Age in years (M (SD), range) | 35.84 (16.75), 16–69 | |
Educational level | Primary education or none | 155 (7.3) |
Secondary education | 974 (46.1) | |
Higher education | 986 (46.6) | |
Occupational status | Active 2 | 996 (47.1) |
Student | 693 (32.8) | |
Inactive or other 3 | 426 (20.1) | |
Sexual orientation (N = 1997) | Heterosexual | 1871 (89.2) |
Bisexual | 95 (4.5) | |
Homosexual | 53 (2.5) | |
Pan-, omnisexual | 43 (2.0) | |
Asexual | 11 (0.5) | |
Other | 24 (1.2) |
Age Group | Sex | Population N | Population Proportion | Sample n | Sample Proportion | Population/Sample = Weights |
---|---|---|---|---|---|---|
Youngest: 16–24 | Female | 576,098 | 0.07 | 520 | 0.25 | 0.30 |
Male | 601,426 | 0.08 | 340 | 0.16 | 0.48 | |
Middle: 25–49 | Female | 1,864,081 | 0.24 | 362 | 0.17 | 1.39 |
Male | 1,883,527 | 0.24 | 303 | 0.14 | 1.67 | |
Oldest: 50–69 | Female | 1,475,820 | 0.19 | 282 | 0.13 | 1.41 |
Male | 1,458,421 | 0.19 | 308 | 0.15 | 1.27 | |
Total | 7,859,373 | 1.00 | 2115 | 1.00 | 1.09 |
Men | Women | |||||||
---|---|---|---|---|---|---|---|---|
Item | 16–24 % (95% CI) | 25–49 % (95% CI) | 50–69 % (95% CI) | Total % (95% CI) | 16–24 % (95% CI) | 25–49 % (95% CI) | 50–69 % (95% CI) | Total % (95% CI) |
Staring | 19.7 (14.1–26.8) | 24.4 (20.8–28.5) | 13.0 (9.9–16.8) | 19.5 (17.2–22.0) | 67.7 (59.7–74.8) | 65.7 (61.4–69.8) | 47.2 (42.2–52.2) | 59.0 (56.0–62.0) |
Comments | 24.7 (18.4–32.2) | 22.8 (19.2–26.7) | 11.4 (8.5–15.0) | 18.9 (16.6–21.4) | 52.3 (44.2–60.3) | 56.1 (51.6–60.5) | 42.9 (38.0–47.9) | 50.6 (47.5–53.6) |
Showing images | 24.4 (18.2–31.8) | 16.2 (13.1–19.7) | 7.8 (5.4–11.0) | 14.4 (12.3–16.6) | 31.3 (24.3–39.3) | 23.2 (19.6–27.2) | 8.9 (6.3–12.2) | 19.0 (16.7–21.5) |
Calls or texts | 12.9 (8.4–19.3) | 5.3 (3.6–7.7) | 3.6 (2.0–6.1) | 5.8 (4.5–7.5) | 26.0 (19.4–33.7) | 16.6 (13.5–20.2) | 9.9 (7.3–13.4) | 15.5 (13.4–17.8) |
Voyeurism | 3.2 (1.2–7.6) | 4.0 (2.5–6.1) | 0.3 (0.03–1.8) | 2.5 (1.7–3.7) | 2.7 (0.9–7.0) | 3.3 (2.0–5.4) | 3.2 (1.8–5.6) | 3.2 (2.2–4.5) |
Distributing images | 2.3 (0.7–6.4) | 1.0 (0.4–2.4) | 0.6 (0.1–2.2) | 1.1 (0.6–2.0) | 3.5 (1.3–8.1) | 1.4 (0.6–2.9) | 0.0 (0.0–1.2) | 1.2 (0.6–2.1) |
Exhibitionism | 8.8 (5.1–14.5) | 5.9 (4.1–8.5) | 3.2 (1.8–5.7) | 5.4 (4.1–7.0) | 20.2 (14.4–27.5) | 19.3 (16.0–23.1) | 26.2 (22.0–30.9) | 22.1 (19.6–24.7) |
Forcing to show body parts | 4.4 (2.0–9.1) | 3.6 (2.2–5.8) | 2.9 (1.6–5.3) | 3.5 (2.5–4.8) | 14.2 (9.3–20.9) | 6.9 (4.9–9.6) | 2.5 (1.3–4.7) | 6.3 (5.0–8.0) |
Any Hands–Off | 51.8 (43.9–59.6) | 45.9 (41.5–50.3) | 30.5 (26.0–35.4) | 41.1 (38.1–44.2) | 84.2 (77.3–89.4) | 82.6 (78.9–85.7) | 68.8 (63.9–73.3) | 77.6 (75.0–80.1) |
Kissing | 12.4 (7.9–18.7) | 13.9 (11.0–17.2) | 8.1 (5.7–11.4) | 11.5 (9.7–13.6) | 20.0 (14.2–27.3) | 20.2 (16.8–24.0) | 24.1 (20.1–28.7) | 21.6 (19.2–24.3) |
Touching in care | 5.3 (2.5–10.2) | 4.3 (2.8–6.5) | 3.9 (2.3–6.4) | 4.3 (3.2–5.7) | 10.6 (6.4–16.8) | 9.1 (6.8–12.1) | 11.3 (8.5–15.0) | 10.2 (8.4–12.2) |
Fondling/rubbing | 9.1 (5.4–14.9) | 7.9 (5.8–10.7) | 6.5 (4.3–9.5) | 7.6 (6.1–9.4) | 26.5 (19.9–34.3) | 23.2 (19.6–27.2) | 22.7 (18.7–27.2) | 23.5 (21.0–26.2) |
Undressing | 3.8 (1.6–8.3) | 2.3 (1.2–4.1) | 1.3 (0.5–3.2) | 2.2 (1.4–3.3) | 6.2 (3.1–11.5) | 5.5 (3.8–8.0) | 4.3 (2.6–6.9) | 5.1 (3.9–6.7) |
Any Sexual Abuse | 22.7 (16.6–30.0) | 19.5 (16.2–23.2) | 14.3 (11.1–18.2) | 18.0 (15.8–20.5) | 41.2 (33.4–49.3) | 37.3 (33.1–41.7) | 38.0 (33.2–42.9) | 38.1 (35.2–41.1) |
Oral penetration | 1.8 (0.4–5.6) | 2.3 (1.3–4.1) | 2.6 (1.3–4.9) | 2.3 (1.5–3.5) | 8.1 (4.5–13.8) | 4.1 (2.6–6.4) | 8.5 (6.0–11.8) | 6.4 (5.0–8.1) |
Attempt of oral penetration | 4.4 (2.0–9.1) | 1.3 (0.6–2.9) | 0.6 (0.1–2.2) | 1.5 (0.9–2.5) | 8.3 (4.6–14.0) | 5.5 (3.8–8.0) | 4.3 (2.6–6.9) | 5.5 (4.2–7.0) |
Vaginal or anal penetration | 0.9 (0.1–4.3) | 1.3 (0.6–2.9) | 0.0 (0.0–1.2) | 0.8 (0.4–1.6) | 8.7 (4.9–14.5) | 6.1 (4.2–8.6) | 8.9 (6.3–12.2) | 7.5 (6.0–9.3) |
Attempt of vaginal or anal penetration | 1.5 (0.3–5.2) | 1.0 (0.4–2.4) | 0.6 (0.1–2.2) | 0.9 (0.5–1.8) | 5.6 (2.7–10.8) | 5.2 (3.5–7.7) | 6.0 (4.0–9.0) | 5.6 (4.3–7.2) |
Forcing to penetrate | 1.8 (0.4–5.6) | 1.0 (0.4–2.4) | 0.6 (0.1–2.2) | 1.0 (0.5–1.8) | 0.4 (0.0–3.6) | 2.5 (1.4–4.4) | 0.7 (0.2–2.3) | 1.5 (0.9–2.5) |
Any Rape | 5.9 (3.0–11.0) | 5.3 (3.6–7.7) | 4.2 (2.5–6.8) | 5.0 (3.8–6.5) | 19.6 (13.9–26.9) | 13.5 (10.7–16.9) | 17.0 (13.5–21.2) | 15.7 (13.6–18.1) |
Any Hands–On | 24.4 (18.2–31.8) | 20.1 (16.8–24.0) | 15.6 (12.2–19.7) | 19.1 (16.8–21.6) | 45.2 (37.3–53.3) | 40.0 (35.8–44.5) | 42.6 (37.7–47.6) | 41.7 (38.8–44.8) |
Any Sexual Victimization | 58.5 (50.5–66.1) | 51.5 (47.0–55.9) | 37.7 (32.9–42.7) | 47.5 (44.4–50.5) | 85.2 (78.4–90.2) | 85.4 (81.9–88.3) | 73.4 (68.7–77.6) | 80.8 (78.3–83.1) |
Men | Women | |||||||
---|---|---|---|---|---|---|---|---|
Item | 16–24 % (95% CI) | 25–49 % (95% CI) | 50–69 % (95% CI) | Total % (95% CI) | 16–24 % (95% CI) | 25–49 % (95% CI) | 50–69 % (95% CI) | Total % (95% CI) |
Staring | 18.3 (12.8–25.2) | 15.5 (12.5–19.0) | 8.8 (6.2–12.1) | 13.4 (11.5–15.7) | 63.7 (55.5–71.1) | 50.0 (45.6–54.4) | 25.9 (21.7–30.5) | 42.9 (39.9–46.0) |
Comments | 22.4 (16.4–29.7) | 16.5 (13.4–20.1) | 7.8 (5.4–11.0) | 14.2 (12.2–16.5) | 46.2 (38.2–54.3) | 42.0 (37.7–46.4) | 24.8 (20.7–29.4) | 36.1 (33.3–39.1) |
Showing images | 21.2 (15.4–28.4) | 13.9 (11.0–17.2) | 6.2 (4.1–9.1) | 12.1 (10.3–14.3) | 24.8 (18.4–32.5) | 14.9 (12.0–18.4) | 4.3 (2.6–6.9) | 12.4 (10.5–14.5) |
Calls or texts | 11.8 (7.4–18.0) | 4.6 (3.0–6.9) | 3.2 (1.8–5.7) | 5.2 (4.0–6.8) | 19.2 (13.5–26.5) | 9.1 (6.8–12.1) | 3.2 (1.8–5.6) | 8.4 (6.8–10.3) |
Voyeurism | 3.2 (1.2–7.6) | 1.6 (0.8–3.3) | 0.0 (0.0–1.2) | 1.3 (0.7–2.2) | 1.9 (0.5–6.0) | 1.4 (0.6–2.9) | 1.1 (0.4–2.8) | 1.3 (0.8–2.3) |
Distributing images | 0.9 (0.1–4.3) | 0.3 (0.0–1.5) | 0.6 (0.1–2.2) | 0.5 (0.2–1.2) | 1.2 (0.2–4.8) | 0.0 (0.0–0.9) | 0.0 (0.0–1.2) | 0.2 (0.0–0.7) |
Exhibitionism | 6.7 (3.6–12.0) | 3.0 (1.7–5.0) | 0.6 (0.1–2.2) | 2.7 (1.8–3.9) | 12.7 (8.1–19.2) | 5.2 (3.5–7.7) | 1.4 (0.6–3.3) | 4.9 (3.7–6.4) |
Forcing to show body parts | 3.2 (1.2–7.6) | 1.6 (0.8–3.3) | 0.3 (0.0–1.8) | 1.4 (0.8–2.4) | 7.1 (3.8–12.7) | 0.8 (0.3–2.2) | 0.4 (0.0–1.8) | 1.6 (0.9–2.6) |
Any Hands–Off | 46.2 (38.4–54.2) | 33.0 (29.0–37.3) | 20.8 (16.9–25.2) | 30.5 (27.8–33.4) | 78.1 (70.6–84.1) | 62.2 (57.7–66.4) | 38.0 (33.2–42.9) | 55.4 (52.3–58.4) |
Kissing | 6.5 (3.4–11.7) | 2.6 (1.5–4.6) | 1.9 (0.9–4.0) | 3.0 (2.1–4.2) | 8.7 (4.9–14.5) | 3.3 (2.0–5.4) | 2.1 (1.0–4.2) | 3.7 (2.6–5.0) |
Touching in care | 3.8 (1.6–8.3) | 1.0 (0.4–2.4) | 1.0 (0.3–2.7) | 1.4 (0.8–2.4) | 6.0 (3.0–11.2) | 1.4 (0.6–2.9) | 0.4 (0.0–1.8) | 1.7 (1.0–2.7) |
Fondling/rubbing | 6.7 (3.6–12.0) | 2.6 (1.5–4.6) | 0.6 (0.1–2.2) | 2.5 (1.7–3.7) | 14.4 (9.5–21.2) | 4.7 (3.1–7.0) | 2.5 (1.3–4.7) | 5.3 (4.1–6.9) |
Undressing | 2.9 (1.1–7.2) | 0.3 (0.0–1.5) | 0.3 (0.0–1.8) | 0.7 (0.3–1.5) | 1.7 (0.4–5.7) | 0.3 (0.0–1.4) | 0.0 (0.0–1.2) | 0.4 (0.1–1.0) |
Any Sexual Abuse | 14.4 (9.6–20.9) | 5.6 (3.8–8.1) | 2.9 (1.6–5.3) | 6.0 (4.7–7.6) | 22.3 (16.2–29.8) | 8.3 (6.1–11.1) | 4.3 (2.6–6.9) | 8.8 (7.2–10.8) |
Oral penetration | 1.5 (0.3–5.2) | 1.3 (0.6–2.9) | 0.0 (0.0–1.2) | 0.9 (0.4–1.7) | 2.3 (0.7–6.5) | 0.6 (0.1–1.8) | 0.4 (0.0–1.8) | 0.7 (0.3–1.5) |
Attempt of oral penetration | 2.9 (1.1–7.2) | 0.7 (0.2–2.0) | 0.0 (0.0–1.2) | 0.8 (0.4–1.6) | 3.3 (1.2–7.8) | 1.4 (0.6–2.9) | 0.0 (0.0–1.2) | 1.1 (0.6–2.0) |
Vaginal or anal penetration | 0.6 (0.0–3.9) | 0.0 (0.0–0.9) | 0.0 (0.0–1.2) | 0.1 (0.0–0.6) | 2.7 (0.9–7.0) | 0.3 (0.0–1.4) | 0.4 (0.0–1.8) | 0.7 (0.3–1.4) |
Attempt of vaginal or anal penetration | 0.9 (0.1–4.3) | 0.3 (0.0–1.5) | 0.0 (0.0–1.2) | 0.3 (0.1–0.9) | 2.5 (0.8–6.8) | 0.3 (0.0–1.4) | 0.4 (0.0–1.8) | 0.6 (0.3–1.4) |
Forcing to penetrate | 0.6 (0.0–3.9) | 0.7 (0.2–2.0) | 0.0 (0.0–1.2) | 0.4 (0.1–1.1) | 0.0 (0.0–3.0) | 0.3 (0.0–1.4) | 0.0 (0.0–1.2) | 0.1 (0.0–0.7) |
Any Rape | 3.8 (1.6–8.3) | 2.3 (1.2–4.1) | 0.0 (0.0–1.2) | 1.7 (1.0–2.7) | 7.5 (4.1–13.1) | 1.6 (0.8–3.3) | 0.7 (0.2–2.3) | 2.2 (1.4–3.3) |
Any Hands–On | 15.6 (10.5–22.3) | 5.9 (4.1–8.5) | 2.9 (1.6–5.3) | 6.3 (5.0–8.0) | 25.6 (19.1–33.3) | 9.1 (6.8–12.1) | 4.6 (2.8–7.3) | 9.9 (8.2–11.8) |
Any Sexual Victimization | 49.7 (41.8–57.6) | 33.7 (29.6–38.0) | 22.7 (18.7–27.3) | 32.1 (29.3–35.0) | 79.0 (71.6–85.0) | 62.7 (58.3–66.9) | 39.0 (34.2–44.0) | 56.2 (53.1–59.2) |
Men (n = 1060) | Women (n = 1057) | |||||||
---|---|---|---|---|---|---|---|---|
Items with Significant Age Differences | Effect Size ϕ | 16–24 vs. 25–49 | 16–24 vs. 50–69 | 25–49 vs. 50–69 | Effect Size ϕ | 16–24 vs. 25–49 | 16–24 vs. 50–69 | 25–49 vs. 50–69 |
Lifetime | ||||||||
Staring | 0.13 | n.s. | n.s. | <0.001 | 0.19 | n.s. | <0.001 | <0.001 |
Comments | 0.15 | n.s. | <0.001 | <0.001 | 0.12 | n.s. | n.s. | <0.001 |
Showing images | 0.16 | 0.024 | <0.001 | <0.001 | 0.21 | n.s. | <0.001 | <0.001 |
Calls or texts | 0.13 | 0.002 | <0.001 | n.s. | 0.15 | 0.012 | <0.001 | 0.005 |
Forcing to show body parts | 0.16 | 0.007 | <0.001 | 0.012 | ||||
Any Hands–Off | 0.17 | n.s. | <0.001 | <0.001 | 0.17 | n.s. | <0.001 | <0.001 |
Any Sexual Victimization | 0.16 | n.s. | <0.001 | <0.001 | 0.15 | n.s. | 0.004 | <0.001 |
Past 12 months | ||||||||
Staring | 0.28 | 0.004 | <0.001 | <0.001 | ||||
Comments | 0.15 | n.s. | <0.001 | <0.001 | 0.19 | n.s. | <0.001 | <0.001 |
Showing images | 0.16 | 0.034 | <0.001 | <0.001 | 0.22 | 0.006 | <0.001 | <0.001 |
Calls or texts | 0.13 | 0.002 | <0.001 | n.s. | 0.19 | <0.001 | <0.001 | <0.001 |
Exhibitionism | 0.13 | 0.052 | <0.001 | 0.025 | 0.17 | 0.003 | <0.001 | 0.004 |
Forcing to show body parts | 0.19 | <0.001 | <0.001 | n.s. | ||||
Any Hands–Off | 0.19 | 0.003 | <0.001 | <0.001 | 0.29 | <0.001 | <0.001 | <0.001 |
Touching in care | 0.14 | 0.003 | <0.001 | n.s. | ||||
Fondling/rubbing | 0.13 | 0.028 | <0.001 | 0.047 | 0.18 | <0.001 | <0.001 | n.s. |
Any Hands–On | 0.17 | <0.001 | <0.001 | 0.048 | 0.23 | <0.001 | <0.001 | 0.013 |
Any Sexual Victimization | 0.19 | <0.001 | <0.001 | <0.001 | 0.29 | <0.001 | <0.001 | <0.001 |
Type of Victimization | Verbal | Force | Exploit | Authority | Other a | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Kissing (n = 354) | Men (n = 109) | 2.8 | 7.1 | 3.7 | 19.2 | 26.6 | 23.7 | 6.4 | 9.9 | 62.4 | 50.0 |
Women (n = 245) | 9.0 | 26.1 | 22.4 | 11.4 | 44.5 | ||||||
Touching in care (n = 163) | Men (n = 43) | - | 7.4 | 9.3 | 14.7 | 16.3 | 17.8 | 11.6 | 21.5 | 62.8 | 51.5 |
Women (n = 120) | 10.0 | 16.7 | 18.3 | 25.0 | 47.5 | ||||||
Fondling (n = 361) | Men (n = 75) | - | 7.2 | 4.0 | 13.9 | 13.3 | 18.0 | 13.3 | 15.0 | 72.0 | 57.1 |
Women (n = 286) | 9.1 | 16.4 | 19.2 | 15.4 | 53.1 | ||||||
Undressing (n = 88) | Men (n = 24) | - | 14.8 | 33.3 | 33.0 | 8.3 | 20.5 | 20.8 | 26.1 | 41.7 | 29.5 |
Women (n = 64) | 20.3 | 32.8 | 25.0 | 28.1 | 25.0 | ||||||
Any Sexual Abuse (n = 636) | Men (n = 180) | 1.7 | 8.2 | 7.8 | 18.4 | 22.8 | 22.6 | 10.0 | 15.9 | 66.7 | 59.3 |
Women (n = 456) | 10.7 | 22.6 | 22.6 | 18.2 | 56.4 | ||||||
Oral penetration (n = 102) | Men (n = 21) | 9.5 | 27.5 | 9.5 | 32.4 | 28.6 | 23.5 | 38.1 | 26.5 | 28.6 | 22.5 |
Women (n = 81) | 32.1 | 38.3 | 22.2 | 23.5 | 21.0 | ||||||
Attempt of oral penetration (n = 96) | Men (n = 21) | 19.0 | 27.1 | 28.6 | 27.1 | 28.6 | 18.8 | 19.0 | 22.9 | 33.3 | 28.1 |
Women (n = 75) | 29.3 | 26.7 | 16.0 | 24.0 | 26.7 | ||||||
Vaginal or anal penetration (n = 99) | Men (n = 7) | 14.3 | 26.3 | 57.1 | 30.3 | 42.9 | 27.3 | 28.6 | 25.3 | - | 24.2 |
Women (n = 92) | 27.2 | 28.3 | 26.1 | 25.0 | 26.1 | ||||||
Attempt of vaginal or anal penetration (n = 75) | Men (n = 10) | - | 12.0 | 20.0 | 20.0 | 10.0 | 22.7 | - | 16.0 | 70.0 | 45.3 |
Women (n = 65) | 13.8 | 20.0 | 24.6 | 18.5 | 41.5 | ||||||
Forcing to penetrate (n = 24) | Men (n = 11) | 45.5 | 45.8 | - | 16.7 | 45.5 | 29.2 | 9.1 | 25.0 | 9.1 | 16.7 |
Women (n = 13) | 46.2 | 30.8 | 15.4 | 38.5 | 23.1 | ||||||
Any Rape (n = 248) | Men (n = 49) | 18.4 | 25.8 | 20.4 | 26.2 | 26.5 | 24.6 | 24.5 | 23.0 | 40.8 | 33.5 |
Women (n = 199) | 27.6 | 27.6 | 24.1 | 22.6 | 31.7 | ||||||
Any Hands-On (n = 692) | Men (n = 192) | 6.2 | 12.9 | 9.4 | 21.1 | 24.5 | 25.0 | 12.0 | 17.9 | 66.1 | 60.0 |
Women (n = 500) | 15.4 | 25.6 | 25.2 | 20.2 | 57.6 |
Predictors | Lifetime aOR (95% CI) | Past 12 Months aOR (95% CI) |
---|---|---|
Sex (female) | 4.96 (4.02–6.14) *** | 3.43 (2.82–4.18) *** |
Age | ||
16–24 | 2.13 (1.36–3.35) *** | 3.52 (2.33–5.35) *** |
25–49 | 1.56 (1.18–2.05) ** | 1.79 (1.37–2.34) *** |
50–69 | Ref | Ref |
Sexual orientation (non-heterosexual) | 1.83 (1.25–2.72) ** | 1.71 (1.23–2.39) ** |
Sexual initiation (early) | 1.33 (0.96–1.85) | 1.51 (1.13–2.03) ** |
Number of sexual partners (>2) | 1.80 (1.42–2.30) *** | 1.91 (1.52–2.42) *** |
Relationship status | ||
No partner | Ref | Ref |
Not living with partner | 1.02 (0.74–1.40) | 0.97 (0.73–1.30) |
Living with partner | 1.00 (0.73–1.35) | 0.66 (0.50–0.88) ** |
Education level | ||
Primary or none | 0.79 (0.51–1.23) | 0.80 (0.53–1.22) |
Secondary | 1.15 (0.91–1.45) | 1.19 (0.95–1.48) |
Higher | Ref | Ref |
Occupational status | ||
Inactive or other | 0.72 (0.54–0.96) * | 0.74 (0.55–0.98) * |
Student | 1.08 (0.70–1.65) | 1.05 (0.71–1.56) |
Active | Ref | Ref |
Financial situation (difficult) | 1.34 (1.06–1.71) * | 1.30 (1.04–1.62) * |
Author | Country | Sample | Prevalence Rates (%) | Items | ||
---|---|---|---|---|---|---|
Age | n | Men | Women | |||
Buysse et al. [19] | BE (Flanders) | 14–80 | 1825 | <18y: 6.3% >18y: 2.3% | <18y: 10.6% >18y: 17.4% | Hands-off and hands-on, non-BSQ |
Current study | BE | 16–69 | 2117.2 | 47.5 | 80.8 | Hands-off and hands-on, BSQ, entire lifespan |
(95% CI: 44.4–50.5) | (95% CI: 78.3–83.1) | |||||
de Haas et al. [10] | NL | 15–70 | 6428 | 20.5 | 55.9 | Hands-off (limited) and hands-on, partially BSQ |
Current study | BE | 16–69 | 2117.2 | 47.5 (95% CI: 44.4–50.5) | 80.8 (95% CI: 78.3–83.1) | Hands-off and hands-on, BSQ |
Krahé and Berger [2] | GER | 19–31 | 2149 | 19.4 | 35.9 | Only hands-on, BSQ, based on SES, only experiences after age 14 |
Current study | BE | 19–31 | 508.6 | 19.9 (95% CI: 15.1–25.6) | 41.1 (95% CI: 35.2–47.2) | Only hands-on (without ‘touching in care’), BSQ, entire lifespan |
Krahé et al. [20] Belgian subsample | BE | 18–27 | 393 | 10.1 | 20.4 | Only hands-on, BSQ, based on SES, only experiences after age 16 |
Current study | BE | 18–27 | 368.8 | 20.5 (95% CI: 14.9–27.4) | 41.6 (95% CI: 34.6–48.9) | Only hands-on (without ‘touching in care’), BSQ, entire lifespan |
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Schapansky, E.; Depraetere, J.; Keygnaert, I.; Vandeviver, C. Prevalence and Associated Factors of Sexual Victimization: Findings from a National Representative Sample of Belgian Adults Aged 16–69. Int. J. Environ. Res. Public Health 2021, 18, 7360. https://doi.org/10.3390/ijerph18147360
Schapansky E, Depraetere J, Keygnaert I, Vandeviver C. Prevalence and Associated Factors of Sexual Victimization: Findings from a National Representative Sample of Belgian Adults Aged 16–69. International Journal of Environmental Research and Public Health. 2021; 18(14):7360. https://doi.org/10.3390/ijerph18147360
Chicago/Turabian StyleSchapansky, Evelyn, Joke Depraetere, Ines Keygnaert, and Christophe Vandeviver. 2021. "Prevalence and Associated Factors of Sexual Victimization: Findings from a National Representative Sample of Belgian Adults Aged 16–69" International Journal of Environmental Research and Public Health 18, no. 14: 7360. https://doi.org/10.3390/ijerph18147360