{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T05:29:44Z","timestamp":1792646984695,"version":"4.5.0"},"reference-count":37,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"\n Objective<\/jats:title>\n This study aims to estimate the prevalence of sexual violence among university students (identification of sexual violence behaviors, self-recognition as victims and perpetrators) and its relationship with alcohol consumption and other associated factors.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Descriptive cross-sectional multicenter study of students from six public universities in Catalonia, north-eastern Spain. Sexual violence has been categorized into three levels of severity, ranging from least to most severe.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n 2,803 students participated (72.5% women). Regarding sexual violence victimization, 79% of respondents had experienced level 1, 59.8% level 2, and 7.5% level 3. Concerning perpetration, 15.6% had perpetrated level 1, 2.5% level 2 and 0.3% level 3. Sexual violence identification was high, with females identifying more situations than males (\n p<\/jats:italic>\n \u202f&lt;\u202f0.001). 39.6% of students had felt pressured to drink alcohol and 65% had experienced alcohol-related blackouts in the previous year. Men consumed more alcohol than women (\n p<\/jats:italic>\n \u202f&lt;\u202f0.001). Sexual violence perpetration was associated with males, students in 4th to 6th grade, pressure to consume alcohol, alcohol-related blackouts and alcohol consumption. Sexual violence victimization was associated with females, pressure to consume alcohol, alcohol-related blackouts and alcohol consumption.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n This study identifies a high prevalence of sexual violence among university students, consistent with international findings and signaling a concerning trend. The results also show a strong link between sexual violence and alcohol consumption in university leisure contexts. Existing evidence indicates that alcohol facilitates rather than causes sexual violence, creating circumstances in which sexual victimization becomes more likely. The study highlights the need for prevention strategies and educational programs addressing sexual violence and reducing its associated risk factors among university students.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1647953","type":"journal-article","created":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T06:54:16Z","timestamp":1772088856000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Multicenter cross-sectional study on sexual violence among university students: victims, perpetrators, and alcohol use"],"prefix":"10.3389","volume":"14","author":[{"given":"Alba","family":"Berenguer-Simon","sequence":"first","affiliation":[{"name":"Health, Gender and Aging Research Group, Department of Nursing, University of Girona","place":["Girona, Spain"]},{"name":"Health Assistance Institute","place":["Girona, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Ballester-Ferrando","sequence":"additional","affiliation":[{"name":"Health, Gender and Aging Research Group, Department of Nursing, University of Girona","place":["Girona, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zaira","family":"Reyes-Amargant","sequence":"additional","affiliation":[{"name":"Health, Gender and Aging Research Group, Department of Nursing, University of Girona","place":["Girona, Spain"]},{"name":"Catalan Health Institute","place":["Girona, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paola","family":"Galbany-Estragu\u00e9s","sequence":"additional","affiliation":[{"name":"Department of Fundamental and Clinical Nursing, Faculty of Nursing, University of Barcelona","place":["Barcelona, Spain"]},{"name":"AFIN Research Group and Outreach Centre, Autonomous University of Barcelona","place":["Barcelona, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Maestre-Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Department of Fundamental and Clinical Nursing, Faculty of Nursing, University of Barcelona","place":["Barcelona, Spain"]},{"name":"GENI Research Group in Gender, Identity and Diversity, University of Barcelona","place":["Barcelona, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva Mar\u00eda","family":"Garrido-Aguilar","sequence":"additional","affiliation":[{"name":"Department of Public Health, Mental Health and Maternal and Child Health Nursing, Faculty of Nursing, University of Barcelona","place":["Barcelona, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Dolors","family":"Burjal\u00e9s-Marti","sequence":"additional","affiliation":[{"name":"Department of Nursing, Advanced Nursing Research Group, Rovira I Virgili University","place":["Tarragona, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebeca","family":"Gomez-Iba\u00f1ez","sequence":"additional","affiliation":[{"name":"Nursing Department, Faculty of Medicine, University Autonomous Barcelona","place":["Barcelona, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Serrat-Graboleda","sequence":"additional","affiliation":[{"name":"Health, Gender and Aging Research Group, Department of Nursing, University of Girona","place":["Girona, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dolors","family":"Rodr\u00edguez-Mart\u00edn","sequence":"additional","affiliation":[{"name":"Department of Fundamental and Clinical Nursing, Faculty of Nursing, University of Barcelona","place":["Barcelona, Spain"]},{"name":"GENI Research Group in Gender, Identity and Diversity, University of Barcelona","place":["Barcelona, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Concepci\u00f3","family":"Fuentes-Pumarola","sequence":"additional","affiliation":[{"name":"Health, Gender and Aging Research Group, Department of Nursing, University of Girona","place":["Girona, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,2,26]]},"reference":[{"key":"ref1","volume-title":"Global status report on alcohol and health 2018","year":"2018"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1201","DOI":"10.1177\/00332941221137232","article-title":"Yes, it\u2019s that common and yes, it\u2019s that bad: an estimation of the prevalence and psychological correlates of rape and sexual assault in college women","volume":"127","author":"Trierweiler","year":"2024","journal-title":"Psychol Rep"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1885","DOI":"10.1177\/15248380231196119","article-title":"The prevalence of 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J. Public Health, Pharmacy and Pharmacol."},{"key":"ref17","first-page":"381","article-title":"Violence against young women attending primary care services in Spain: prevalence and health consequences","author":"Mart\u00edn-Baena","year":"2015"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"561","DOI":"10.1111\/jnu.12239","article-title":"Interpersonal violence and health in female university students in Spain","volume":"48","author":"Mart\u00edn-Baena","year":"2016","journal-title":"J Nurs Scholarsh"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"1717","DOI":"10.1016\/j.socscimed.2004.08.026","article-title":"The impact of current and past interpersonal violence on women\u2019s mental health","volume":"60","author":"Romito","year":"2005","journal-title":"Soc Sci Med"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s11930-019-00186-y","article-title":"Sexual violence identification and women\u2019s sexual well-being","volume":"11","author":"Kilimnik","year":"2019","journal-title":"Curr Sex Health Rep"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1186\/s12889-024-19430-9","article-title":"Characterizing myths of sexual aggression in the young population in Spain","volume":"24","author":"Sanz Barbero","year":"2024","journal-title":"BMC Public Health"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"1419","DOI":"10.1177\/1077801216661037","article-title":"When women do not want it: young female bargoers\u2019 experiences with and responses to sexual harassment in social drinking contexts","volume":"23","author":"Graham","year":"2017","journal-title":"Violence Against Women"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"e026993","DOI":"10.1136\/bmjopen-2018-026993","article-title":"Sexual harassmend and assault among university students in Norway: a cross-sectional prevalence 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