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Using qualitative methods and applying Heise\u2019s 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\u2019 substance abuse. The results corroborate the core idea of Heise\u2019s 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.<\/jats:p>","DOI":"10.1177\/1079063220910728","type":"journal-article","created":{"date-parts":[[2020,3,2]],"date-time":"2020-03-02T02:18:14Z","timestamp":1583115494000},"page":"434-454","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Determinants of Sexual Violence Against Married Women: Qualitative Evidence From Ghana"],"prefix":"10.1177","volume":"33","author":[{"given":"Gervin A.","family":"Apatinga","sequence":"first","affiliation":[{"name":"Memorial University of Newfoundland, St. John\u2019s, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6127-3799","authenticated-orcid":false,"given":"Eric Y","family":"Tenkorang","sequence":"additional","affiliation":[{"name":"Memorial University of Newfoundland, St. John\u2019s, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,3,1]]},"reference":[{"key":"bibr1-1079063220910728","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwn049"},{"key":"bibr2-1079063220910728","doi-asserted-by":"publisher","DOI":"10.1177\/0306624X10371800"},{"key":"bibr3-1079063220910728","doi-asserted-by":"publisher","DOI":"10.1007\/s10896-015-9781-z"},{"key":"bibr4-1079063220910728","first-page":"75","volume":"27","author":"Adu-Gyamfi E.","year":"2014","journal-title":"Journal of Law, Policy and Globalization"},{"key":"bibr5-1079063220910728","doi-asserted-by":"publisher","DOI":"10.3386\/w21901"},{"key":"bibr6-1079063220910728","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2004.04.001"},{"key":"bibr7-1079063220910728","doi-asserted-by":"publisher","DOI":"10.2307\/3583335"},{"key":"bibr8-1079063220910728","volume-title":"The role of women in Ghana\u2019s economy","author":"Amu N.","year":"2005"},{"key":"bibr9-1079063220910728","unstructured":"Archampong E., Baidoo J. 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