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Journal of Interpersonal Violence
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Experiences of Sexual Coercion Among Adolescent Women

Qualitative Findings From Rakai District, Uganda

Jennifer Wagman

Johns Hopkins University

Joy Noel Baumgartner

Family Health International

Cindy Waszak Geary

Family Health International

Neema Nakyanjo

Rakai Health Sciences Program

William George Ddaaki

Rakai Health Sciences Program

David Serwadda

Makerere University

Ron Gray

Johns Hopkins University

Fred Kakaire Nalugoda

Rakai Health Sciences Program

Maria J. Wawer

Johns Hopkins University

Limited data from low-income countries are available on the continuum of coercive experiences, the contexts in which they occur, and how adolescent women perceive and respond to coercion. This article presents results from focus group discussions and in-depth interviews with pregnant and never pregnant sexually active female adolescents, aged 15 to 17, residing in Rakai District, Uganda, to examine sexual coercion, its context, and the links between coercion and adolescent reproductive health outcomes, including early sexual debut and pregnancy. Informants described multiple forms of sexual coercion, including coerced or forced intercourse, unwanted sexual touching, verbal harassment, and transactional sex. Sexual coercion was perceived to be a normal part of intimate relationships; in particular, informants felt that a woman’s lack of decision-making authority, including choices on sexual encounters, was implicit to marriage. This information may help violence prevention programs develop a range of strategies for addressing sexual coercion among adolescents.

Key Words: sexual coercion • adolescents • early sexual debut • adolescent pregnancy • Uganda

This version was published on December 1, 2009

Journal of Interpersonal Violence, Vol. 24, No. 12, 2073-2095 (2009)
DOI: 10.1177/0886260508327707
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