Rape, Child Sexual Abuse, and Mental Health in a Brazilian National Sample. Issue 1 (January 2022)

• Record Type: Journal Article
• Authors: Diehl, Alessandra; Molina de Souza, Roberto; Madruga, Clarice Sandi; Laranjeira, Ronaldo; Wagstaff, Christopher; Pillon, Sandra Cristina
• Is Part Of: Journal of interpersonal violence. Volume 37:Issue 1/2(2022)
• Page Start: NP944
• Page End: NP967
• Publication Date: 2022-01
• Subjects: rape -- child abuse -- sexual -- mental health -- violence -- gender; Violence -- Periodicals; Sex crimes -- Periodicals; Violence -- Périodiques; Crimes sexuels -- Périodiques; 364.15
• DOI: 10.1177/0886260520915546
• Languages: English
• ISSNs: 0886-2605

Abstract

The objective of this study is to evaluate the prevalence of self-reported rape and its associations with other forms of violence and mental health outcomes. The Brazilian National Alcohol and Drugs Survey is a probabilistic household survey that collected data from 4, 283 Brazilians aged 14 years and older in 2012. The prevalence of rape was 2.3% ( n = 107) and the majority ( n = 81) of rapes were reported by women. Female gender increased the chances of rape (adjusted odds ratio [AOR] = 2.7, 95% confidence interval [CI] = [1.7, 4.3]). Adults aged 35 to 46 years (AOR = 2.0, 95% CI = [1.2, 4.4]) and being without religion (AOR = 2.2, 95% CI = [1.3, 3.8]) were also associated with increased chances of rape. Participants with a history of childhood sexual abuse (CSA) were 16.5 times (95% CI = [10.1, 26.7]) more likely to report having been raped. Other outcomes related to been raped were history of child prostitution (AOR = 5.1, 95% CI = [2.1, 13.4]) and witnesses of violence during childhood (AOR = 2.4, 95% CI = [1.5, 3.8]). People without social support (AOR≅3, 95% CI = [1.8, 4.3]), victims of multiple recent negative events (AOR = 3.7, 95% CI = [2.4, 5.8]), people with depression (AOR = 2.6, 95% CI = [1.7, 3.9]), history of suicidal ideation (AOR = 3.8, 95% CI = [2.0, 7.1]), and history of suicide attempts (AOR = 2.2, 95% CI = [1.1, 4.3]) are other outcomes related to having been raped. In this sample, rape was related to gender and to other forms of violence and victimization. Self-reports of rape appear to underestimate the true prevalence as the figures obtained from the survey were low. Other methods should be used to investigate this issue.