The aftermath of sexual violence among young adult females in Southern Nigeria: disclosure, care-seeking, consequences and effects on sexual behaviour
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Abstract
Background: In spite of the high worldwide prevalence of sexual violence which disproportionately affects women and girls, care and support services for the victims are often deficient for various reasons including non-disclosure due to stigma, shame and inability to access help.
Aim: This study examined the aftermath of sexual violence among female undergraduates of the Niger Delta University, Bayelsa State who reported having experienced sexual violence.
Methodology: Data of the 83 (19.2%) victims identified through a cross-sectional study of 429 female undergraduates selected by systematic random sampling was extracted to determine the pattern of disclosure, care-seeking, consequences and effects on sexual behaviour. Data analysis employed SPSS version 29 and Chi-square test was used to determine sociodemographic factors significantly associated with disclosure with the level of significance set at p<0.05.
Results: The victims were aged 15-29 (mean 21.9 ± 2.8) years and 35(42.2%) disclosed their experiences to a third party with commonest reasons for non-disclosure being shame and self-blame [33(68.8%)]. There was no significant association between disclosure and sociodemographic factors (p>0.05). Over half [57(68.7%)] did not seek medical care, mostly due to fear of disclosure. Vaginal pain [33(39.8%)] and depression [81(97.6%] were the commonest physical and psychological consequences reported. The main effects on sexual behaviour included risky sexual behaviour [25(64.1%)] aversion to sex [15(38.5%)] and engagement in same-sex relationships [6(15.4%)].
Conclusion: The study confirms previously documented poor disclosure and care-seeking behaviors with many physical and psychological consequences and negative effects on sexual behaviour for the victims of sexual violence.
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References
1. World Health Organization. Violence against women prevalence estimates, 2018: global, regional and national prevalence estimates for intimate partner violence against women and global and regional prevalence estimates for non-partner sexual violence against women. Executive summary. Geneva: World Health Organization, 2021.
2. Li L, Shen X, Zeng G, Huang H, Chen Z, Yang J, et al. Sexual violence against women remains problematic and highly prevalent around the world. BMC Womens Health 2023 ;23(1):196.
3. Duru CO, Ikeanyi EM, Mariere UI, Ani MC, Pughikumo DT, Nte AR. Prevalence, pattern and determinants of sexual violence among female undergraduates at the Niger Delta University, Bayelsa State, Nigeria. Nigerian Health Journal 2025; 25(2): 748–756.
4. UN Women (Asia-Pacific). Facts and figures: ending violence against women. November 19, 2024. Available from: https://asiapacific.unwomen.org/en/stories/news/2024/11/facts-and-figures-ending-violence-against-women. Accessed August 13, 2025.
5. Obi AI, Pop-Yornwin G, Taiwo ET, Adayonfo E, Obi JN. Prevalence and predictors of sexual abuse among University Undergraduates in Benin City, Edo State, Nigeria. J Med Biomed Res 2023; 22(2): 17–25.
6. Handebo S, Kassie A, Nigusie A. Help-seeking behaviour and associated factors among women who experienced physical and sexual violence in Ethiopia: evidence from the 2016 Ethiopia Demographic and Health Survey. BMC Womens Health 2021;21(1):427.
7. Ajayi AI, Alex-Ojei CA, Ahinkorah BO. Sexual violence among young women in Nigeria: a cross-sectional study of prevalence, reporting and care-seeking behaviors. Afr Health Sci 2023 ;23(1):286-300.
8. Zacchaeus EA, Iruo LA. The mental health impact of sexual violence: attending to the unmet needs of rape survivors in Bayelsa State. Int J Res Innov Soc Sci 2020;4(11):361-371.
9. Adesoji JO, Adijat JA, Patrick OO, Aliu BA, David FO, Emmanuel A, et al. Sex for grades: untold stories of sexual harassment in institutions of higher learning in Nigeria. Pap Educ Dev 2023;41(2):23-38.
10. Ogunfowokan AA, Samson-Akpan PE, Arije O, Olatubi MI, Salau OR, Garba SN, et al. Characteristics of higher education students who reported sexual violence: a Nigerian national study. BMC Public Health 2024; 24(1): 2525.
11. Ministry of Health and Social Services (Republic of Namibia). Clinical handbook on the health care of survivors subjected to intimate partner violence and/or sexual violence, Namibia. Geneva: World Health Organization, 2021.
12. Endangered Scholars Worldwide. Sexual harassment a significant obstacle to academic freedom in Nigerian higher education. December 10, 2024. Available from: https://www.endangeredscholarsworldwide.net/post/sexual-harassment-a-significant-obstacle-to-academic-freedom-in-nigerian-higher-education. Accessed August 13, 2025.
13. O'Shea B, Feicht R, Brown M, Numer M. Rethinking sexual violence labels: exploring the impact of ‘victim’ and ‘survivor’ discourse. Eur J Psychotraumatol 2024;15(1): 2296329.
14. Volkmann ER. Silent survivors. Ann Fam Med 2017 ;15(1):77-79.
15. Mezie-Okoye MM, Alamina FF. Sexual violence among female undergraduates in a tertiary institution in Port Harcourt: prevalence, pattern, determinants and health consequences. Afr J Reprod Health 2014;18(4):79-85.
16. Pereira A, Peterman A, Neijhoft AN, Buluma R, Daban RA, Islam A, et al. Disclosure, reporting and help seeking among child survivors of violence: a cross-country analysis. BMC Public Health 2020;20(1):1051.
17. Abdul Latiff M, Fang L, Goh DA, Tan LJ. A systematic review of factors associated with disclosure of child sexual abuse. Child Abuse Negl 2024;147:106564.
18. Edwards KM, Ullman SE. Preliminary data on an intervention to reduce negative social reactions to victims’ disclosures. J Coll Stud Dev 2018;59(1):105-110.
19. World Health Organization (WHO). RESPECT women: preventing violence against women. Geneva: World Health Organization, 2019. Report No.: WHO/RHR/18.19.
20. Adewole N, Musa C, Bilal S, Isah DA, Adebayo FO. Trends and pattern of sexual assault in North Central Nigeria. Afr J Reprod Health 2021;25(5):79-83.
21. Laima CH, Bako B, El-Nafaty UA, Abubakar JD, Mohammed A, Laima NH, et al. Prevalence, perception, and pattern of sexual violence and rape among female students of tertiary institutions in Gombe, North-east, Nigeria. Jewel J Med Sci 2021;2(1):40-48.
22. Shahali S, Mohammadi E, Lamyian M, Kashanian M, Eslami M, Montazeri A. Barriers to healthcare provision for victims of sexual assault: a grounded theory study. Iran Red Crescent Med J 2016;18(3):e21938.
23. Aborisade RA. On the ‘darkness of dark figure’ of sexual crimes: survivors’ rape reporting experiences with the Nigerian police. International Journal of Law, Crime and Justice 2023;73:100576.
24. Umoren EJ. The need for the entrenchment of marital rape in Nigeria’s criminal jurisprudence. Global Journal of Politics and Law Research 2023;11(6):1-8.
25. Bhuptani PH, Fleming CE, Orchowski LM. Timing of sexual assault disclosure: a study of college women. Violence Against Women 2023;29(12-13):2372-92.
26. Stubbs-Richardson M, Gilbreath S, Paul M, Reid A. It’s a global #MeToo: a cross-national comparison of social change associated with the movement. Feminist Media Studies 2024;24(6):1330-1349.
27. Dworkin ER, DeCou CR, Fitzpatrick S. Associations between sexual assault and suicidal thoughts and behavior: a meta-analysis. Psychol Trauma 2022;14(7):1208-1211.
28. Skjælaaen K, Nesvold H, Brekke M, Sare M, Landaas ET, Mdala I, et al. Sexually transmitted infections among patients attending a sexual assault centre: a cohort study from Oslo, Norway. BMJ Open 2022 ;12(12):e064934.
29. Ogunbode OO, Bello FA, Ogunbode AM. Sexual Violence Against Female Undergraduates in a Nigerian Tertiary Institution. Trop J Obstet Gynaecol 2014; 31(1): 99–109.
30. Cowan A, Ashai A, Gentile JP. Psychotherapy with survivors of sexual abuse and assault. Innov Clin Neurosci 2020;17(1–3):22–26.