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Learn more. DOI: Mary C Smith Fawzi. W Lambert. Youssef S Tanagho. Show more authors. The goals of the current study were to: 1 estimate the prevalence of forced sex among women accessing services at a women's health clinic in rural Haiti; and 2 examine factors associated with forced sex in this population. Based on data from a case-control study of risk factors for sexually transmitted diseases STDs , a cross-sectional analysis to examine factors associated with forced sex was performed.
The strongest factors associated with forced sex in multivariate analyses were: age, length of time in a relationship, occupation of the woman's partner, STD-related symptoms, and factors demonstrating economic vulnerability. The findings suggest that prevention efforts must go beyond provision of information and education to the pursuit of broader initiatives at both local and national levels.
At the community level, policy-makers should consider advancing economic opportunities for women who are vulnerable to forced sex. Improving access to community-based income-generating activities may begin to address this problem.