Some evidence suggests that in sub-Saharan Africa, sexual violence is commonplace among married women, yet this problem is underresearched. Using qualitative methods and applying Heise's social-ecological model, this study examined the experiences of 15 Ghanaian women suffering sexual violence in their marriages. Results from the thematic analysis indicate several determinants of sexual violence. Whereas some participants identified macro-level and exosystem factors, including poverty, others pointed to micro-level and ontogenic factors, such as husbands' substance abuse. The results corroborate the core idea of Heise's framework, namely, that structural- and individual-level factors make women vulnerable to violence. The study concludes that Ghanaian legal and policy frameworks must be enforced and strengthened to address the etiology of sexual violence and abuse.
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Univ Calif San Francisco, San Francisco, CA 94105 USAUniv Calif San Francisco, San Francisco, CA 94105 USA
Chibber, Karuna S.
Krupp, Karl
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Publ Hlth Res Inst India, Mysore, Karnataka, IndiaUniv Calif San Francisco, San Francisco, CA 94105 USA
Krupp, Karl
Padian, Nancy
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Univ Calif Berkeley, Dept Epidemiol, Berkeley, CA 94720 USAUniv Calif San Francisco, San Francisco, CA 94105 USA
Padian, Nancy
Madhivanan, Purnima
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Publ Hlth Res Inst India, Mysore, Karnataka, India
Florida Int Univ, Robert Stempel Coll Publ Hlth & Social Work, Miami, FL 33199 USAUniv Calif San Francisco, San Francisco, CA 94105 USA
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Ohio State Univ, Inst Populat Res, Columbus, OH 43210 USAOhio State Univ, Inst Populat Res, Columbus, OH 43210 USA
Ibitoye, Mobolaji
Sommer, Marni
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Columbia Univ, Mailman Sch Publ Hlth, Sociomed Sci, New York, NY USAOhio State Univ, Inst Populat Res, Columbus, OH 43210 USA
Sommer, Marni
Davidson, Leslie L.
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Columbia Univ, Irving Med Ctr, Epidemiol & Pediatr, New York, NY USAOhio State Univ, Inst Populat Res, Columbus, OH 43210 USA
Davidson, Leslie L.
Sandfort, Theo G. M.
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New York State Psychiat Inst & Hosp, Div Gender, Clin Sociomed Sci Psychiat, New York, NY 10032 USA
Columbia Univ, New York, NY 10032 USAOhio State Univ, Inst Populat Res, Columbus, OH 43210 USA