Magnitude of female child sexual abuse in Ethiopia: A systematic review and meta-analysis
Background: Child sexual abuse is a grave issue with significant consequences for the well-being and development of children worldwide. Understanding the scope of this problem is essential, particularly in Ethiopia, where protecting the nation's youth is crucial. Although child sexual abuse is...
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Elsevier
2025-01-01
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author | Gemeda Wakgari Kitil Dagne Deresa Dinagde Fikadu Wake Butta Melese Adugna Tola Gizu Tola Feyisa Shambel Negesse Marami Wakuma Wakene Jifar Geleta Nenko Dube Adamu Ambachew Shibabaw Chernet Desalegn Gebeyehu Alex Ayenew Chereka |
author_facet | Gemeda Wakgari Kitil Dagne Deresa Dinagde Fikadu Wake Butta Melese Adugna Tola Gizu Tola Feyisa Shambel Negesse Marami Wakuma Wakene Jifar Geleta Nenko Dube Adamu Ambachew Shibabaw Chernet Desalegn Gebeyehu Alex Ayenew Chereka |
author_sort | Gemeda Wakgari Kitil |
collection | DOAJ |
description | Background: Child sexual abuse is a grave issue with significant consequences for the well-being and development of children worldwide. Understanding the scope of this problem is essential, particularly in Ethiopia, where protecting the nation's youth is crucial. Although child sexual abuse is a critical issue, there is a lack of comprehensive assessment of its prevalence and associated factors in Ethiopia. This study aims to fill this gap by conducting a meta-analysis and systematic review to explore the current prevalence and contributing factors of female child sexual abuse in Ethiopia. Methods: This study followed the PRISMA checklist, focusing on Ethiopian studies. Nine relevant studies were identified from databases such as PubMed, Google Scholar, Scopus, Medline, and the Cochrane Library for the final meta-analysis and systematic review. The analysis was performed with STATA version 11, utilizing a structured checklist for data extraction. To assess heterogeneity, the Cochrane Q test statistic and I2 tests were employed. To check for publication bias, Egger's weighted regression, Begg's test, and a funnel plot were utilized. Results: A total of 1230 research articles were initially identified for this systematic review and meta-analysis. After screening, nine studies met the eligibility criteria, with a combined sample size of 3930 children across all studies. The pooled prevalence of child sexual abuse among female students was 36.83 % [95 % CI: 24.35–49.32]. This meta-analysis identified several factors significantly associated with child sexual abuse: children living alone (OR = 4.45, 95 % CI: 2.65–7.46), living with friends (OR = 3.49, 95 % CI: 2.35–5.18), alcohol consumption (OR = 2.72, 95 % CI: 1.70–4.35), cigarette smoking (OR = 3.83, 95 % CI: 1.66–8.83), parental conflicts (OR = 2.50, 95 % CI: 1.43–4.36), lack of open discussion about reproductive health (OR = 3.44, 95 % CI: 1.84–6.42), and family control practices (OR = 1.92, 95 % CI: 1.16–3.17). Conclusion: The pooled prevalence of child sexual abuse among female students (36.83 %) highlights a critical need for focused preventive efforts. Key risk factors identified include living alone or with friends, alcohol consumption, cigarette smoking, parental conflicts, limited reproductive health discussions, and controlling family practices. Addressing these through community education, family support, and open communication on reproductive health could help reduce abuse risk among vulnerable groups. |
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spelling | doaj-art-ca32041d9174456db5ee4b89d32d73632025-01-17T04:50:24ZengElsevierHeliyon2405-84402025-01-01111e41175Magnitude of female child sexual abuse in Ethiopia: A systematic review and meta-analysisGemeda Wakgari Kitil0Dagne Deresa Dinagde1Fikadu Wake Butta2Melese Adugna Tola3Gizu Tola Feyisa4Shambel Negesse Marami5Wakuma Wakene Jifar6Geleta Nenko Dube7Adamu Ambachew Shibabaw8Chernet Desalegn Gebeyehu9Alex Ayenew Chereka10Departments of Midwifery, College of Health Sciences, Mattu University, Mattu, Ethiopia; Corresponding author.Departments of Midwifery, College of Health Sciences, Mattu University, Mattu, EthiopiaDepartments of Health Informatics, College of Health Sciences, Mattu University, Mattu, EthiopiaDepartments of Midwifery, College of Health Sciences, Mattu University, Mattu, EthiopiaDepartments of Midwifery, College of Health Sciences, Mattu University, Mattu, EthiopiaDepartments of Midwifery, College of Health Sciences, Mattu University, Mattu, EthiopiaTraditional& Modern Medicine Research &Development Directorate, Armauer Hansen Research Institute (AHRI), Addis Ababa, EthiopiaDepartments of Health Informatics, College of Health Sciences, Mattu University, Mattu, EthiopiaDepartments of Health Informatics, College of Health Sciences, Mattu University, Mattu, EthiopiaDepartments of Biomedical Science, College of Health Sciences, Mattu University, Mattu, EthiopiaDepartments of Health Informatics, College of Health Sciences, Mattu University, Mattu, EthiopiaBackground: Child sexual abuse is a grave issue with significant consequences for the well-being and development of children worldwide. Understanding the scope of this problem is essential, particularly in Ethiopia, where protecting the nation's youth is crucial. Although child sexual abuse is a critical issue, there is a lack of comprehensive assessment of its prevalence and associated factors in Ethiopia. This study aims to fill this gap by conducting a meta-analysis and systematic review to explore the current prevalence and contributing factors of female child sexual abuse in Ethiopia. Methods: This study followed the PRISMA checklist, focusing on Ethiopian studies. Nine relevant studies were identified from databases such as PubMed, Google Scholar, Scopus, Medline, and the Cochrane Library for the final meta-analysis and systematic review. The analysis was performed with STATA version 11, utilizing a structured checklist for data extraction. To assess heterogeneity, the Cochrane Q test statistic and I2 tests were employed. To check for publication bias, Egger's weighted regression, Begg's test, and a funnel plot were utilized. Results: A total of 1230 research articles were initially identified for this systematic review and meta-analysis. After screening, nine studies met the eligibility criteria, with a combined sample size of 3930 children across all studies. The pooled prevalence of child sexual abuse among female students was 36.83 % [95 % CI: 24.35–49.32]. This meta-analysis identified several factors significantly associated with child sexual abuse: children living alone (OR = 4.45, 95 % CI: 2.65–7.46), living with friends (OR = 3.49, 95 % CI: 2.35–5.18), alcohol consumption (OR = 2.72, 95 % CI: 1.70–4.35), cigarette smoking (OR = 3.83, 95 % CI: 1.66–8.83), parental conflicts (OR = 2.50, 95 % CI: 1.43–4.36), lack of open discussion about reproductive health (OR = 3.44, 95 % CI: 1.84–6.42), and family control practices (OR = 1.92, 95 % CI: 1.16–3.17). Conclusion: The pooled prevalence of child sexual abuse among female students (36.83 %) highlights a critical need for focused preventive efforts. Key risk factors identified include living alone or with friends, alcohol consumption, cigarette smoking, parental conflicts, limited reproductive health discussions, and controlling family practices. Addressing these through community education, family support, and open communication on reproductive health could help reduce abuse risk among vulnerable groups.http://www.sciencedirect.com/science/article/pii/S2405844024172064Child sexual abuseFemaleMeta-analysisSystematic reviewEthiopia |
spellingShingle | Gemeda Wakgari Kitil Dagne Deresa Dinagde Fikadu Wake Butta Melese Adugna Tola Gizu Tola Feyisa Shambel Negesse Marami Wakuma Wakene Jifar Geleta Nenko Dube Adamu Ambachew Shibabaw Chernet Desalegn Gebeyehu Alex Ayenew Chereka Magnitude of female child sexual abuse in Ethiopia: A systematic review and meta-analysis Heliyon Child sexual abuse Female Meta-analysis Systematic review Ethiopia |
title | Magnitude of female child sexual abuse in Ethiopia: A systematic review and meta-analysis |
title_full | Magnitude of female child sexual abuse in Ethiopia: A systematic review and meta-analysis |
title_fullStr | Magnitude of female child sexual abuse in Ethiopia: A systematic review and meta-analysis |
title_full_unstemmed | Magnitude of female child sexual abuse in Ethiopia: A systematic review and meta-analysis |
title_short | Magnitude of female child sexual abuse in Ethiopia: A systematic review and meta-analysis |
title_sort | magnitude of female child sexual abuse in ethiopia a systematic review and meta analysis |
topic | Child sexual abuse Female Meta-analysis Systematic review Ethiopia |
url | http://www.sciencedirect.com/science/article/pii/S2405844024172064 |
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