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Prospective Study of Rape Perpetration by Young South African Men: Incidence & Risk Factors

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  • Rachel Jewkes
  • Mzikazi Nduna
  • Nwabisa Jama Shai
  • Kristin Dunkle

Abstract

Background: There has been very little prospective research on rape perpetration among men. This paper describes the incidence and risk factors for new rape and attempted rape events among young South African men in an HIV prevention trial. Methods: We followed 1,147 men aged 15–26 years who enrolled into a cluster randomised controlled trial to evaluate the HIV prevention behavioural intervention Stepping Stones. Incidence rate ratios for factors associated with incident rape were derived from Poisson models. Results: The young men reported 217 incident rapes (completed or attempted) of a girl or woman over 1,914 person years of follow up, yielding a rape incidence of 11.2 per 100 person years. Overall 24.9% of men had previously raped at baseline, and 18.9% did so during the follow up. Among the latter, 61.3% raped for the first time, and 38.7% re-offended. Multivariable Poisson modelling showed a higher incidence of rape perpetration among men who had ever used drugs (IRR 1.86 95%CI 1.39, 2.49), had eight or more lifetime partners (IRR 1.48 95% CI 1.09, 2.01), had been physically violent toward a female partner (IRR 1.50 95%CI 1.11, 2.03) and had disclosed rape perpetration at baseline (IRR 1.45 95%CI 1.07, 1.97). A lower incidence was found among those with greater resistance to peer pressure (IRR 0.85 95%CI 0.74, 0.97). Conclusions: The findings highlight the importance of male gender socialisation and addressing delinquent youth sub-cultures in rape prevention. Prevention requires change in hegemonic masculinity, with its emphasis on gender hierarchy, exaggerated performance of heterosexuality and control of women. Interventions are needed to address male socialisation with delinquent peers, by reducing exposure to childhood trauma and strengthening opportunities for gainful employment (in work or recreation).

Suggested Citation

  • Rachel Jewkes & Mzikazi Nduna & Nwabisa Jama Shai & Kristin Dunkle, 2012. "Prospective Study of Rape Perpetration by Young South African Men: Incidence & Risk Factors," PLOS ONE, Public Library of Science, vol. 7(5), pages 1-7, May.
    • Handle: RePEc:plo:pone00:0038210
    DOI: 10.1371/journal.pone.0038210
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    References listed on IDEAS

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    1. Dunkle, Kristin L. & Jewkes, Rachel K. & Brown, Heather C. & Gray, Glenda E. & McIntryre, James A. & Harlow, Siobán D., 2004. "Transactional sex among women in Soweto, South Africa: prevalence, risk factors and association with HIV infection," Social Science & Medicine, Elsevier, vol. 59(8), pages 1581-1592, October.
    2. Jewkes, Rachel & Abrahams, Naeema, 2002. "The epidemiology of rape and sexual coercion in South Africa: an overview," Social Science & Medicine, Elsevier, vol. 55(7), pages 1231-1244, October.
    3. Jewkes, Rachel & Dunkle, Kristin & Koss, Mary P. & Levin, Jonathan B. & Nduna, Mzikazi & Jama, Nwabisa & Sikweyiya, Yandisa, 2006. "Rape perpetration by young, rural South African men: Prevalence, patterns and risk factors," Social Science & Medicine, Elsevier, vol. 63(11), pages 2949-2961, December.
    4. Dunkle, Kristin L. & Jewkes, Rachel & Nduna, Mzikazi & Jama, Nwabisa & Levin, Jonathan & Sikweyiya, Yandisa & Koss, Mary P., 2007. "Transactional sex with casual and main partners among young South African men in the rural Eastern Cape: Prevalence, predictors, and associations with gender-based violence," Social Science & Medicine, Elsevier, vol. 65(6), pages 1235-1248, September.
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