{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:45:39Z","timestamp":1787028339830,"version":"build-2736575974"},"reference-count":44,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2022,2,9]],"date-time":"2022-02-09T00:00:00Z","timestamp":1644364800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000027","name":"National Institute on Alcohol Abuse and Alcoholism","doi-asserted-by":"publisher","award":["R21AA22065"],"award-info":[{"award-number":["R21AA22065"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The purposes of this study were to determine whether youth who have experienced sexual victimization (SV) have lower self-efficacy to refuse sex and to identify intervention strategies for rape survivors to mitigate further health-risks and harm. Cross-sectional data from the 2014 Kampala Youth Survey (n = 1134) of youth aged 12 to 18 years recruited from Uganda Youth Development Link drop-in centers were used to conduct the analyses. Multivariable statistics were computed to determine the correlates (i.e., sex, education, homelessness, problem drinking, and SV) for (1) self-efficacy to refuse sex, (2) self-efficacy to refuse sex while drinking, and (3) regretting sex due to alcohol use. Among participants, 16.9% reported SV (79% were female and 21% were male). In the final adjusted model, self-efficacy to refuse sex while drinking was only associated with homelessness (OR: 0.52; 95% CI: 0.36, 0.74). Previous SV was not associated with lower self-reports of self-efficacy to refuse sex compared to those who had not experienced SV. Additionally, SV was not associated with increased reports of regrets for sex attributed to alcohol use. Alcohol prevention strategies for the most at-risk youth, including homeless youth, are warranted to improve self-efficacy to refuse sex among youth living in the slums of Kampala.<\/jats:p>","DOI":"10.3390\/ijerph19041915","type":"journal-article","created":{"date-parts":[[2022,2,9]],"date-time":"2022-02-09T21:22:15Z","timestamp":1644441735000},"page":"1915","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Sexual Victimization, Self-Efficacy to Refuse Sex While Drinking, and Regretting Alcohol-Involved Sex among Underserved Youth in Kampala, Uganda"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6663-3885","authenticated-orcid":false,"given":"Monica H.","family":"Swahn","sequence":"first","affiliation":[{"name":"Department of Health Promotion and Physical Education, Wellstar College of Health and Human Services, Kennesaw State University, Kennesaw, GA 30144, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel E.","family":"Culbreth","sequence":"additional","affiliation":[{"name":"Department of Respiratory Therapy, Byrdine F. Lewis College of Nursing and Health Professions, Georgia State University, Atlanta, GA 30303, USA"},{"name":"Center for Research on Interpersonal Violence, Georgia State University, Atlanta, GA 30303, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5376-9206","authenticated-orcid":false,"given":"Amanda K.","family":"Gilmore","sequence":"additional","affiliation":[{"name":"Center for Research on Interpersonal Violence, Georgia State University, Atlanta, GA 30303, USA"},{"name":"Department of Health Policy and Behavioral Sciences, School of Public Health, Georgia State University, Atlanta, GA 30303, USA"},{"name":"National Center for Sexual Violence Prevention, School of Public Health, Georgia State University, Atlanta, GA 30303, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4893-123X","authenticated-orcid":false,"given":"Dominic J.","family":"Parrott","sequence":"additional","affiliation":[{"name":"Center for Research on Interpersonal Violence, Georgia State University, Atlanta, GA 30303, USA"},{"name":"Department of Psychology, College of Arts and Sciences, Georgia State University, Atlanta, GA 30303, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4879-1441","authenticated-orcid":false,"given":"Leah E.","family":"Daigle","sequence":"additional","affiliation":[{"name":"Center for Research on Interpersonal Violence, Georgia State University, Atlanta, GA 30303, USA"},{"name":"Department of Psychology, College of Arts and Sciences, Georgia State University, Atlanta, GA 30303, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rogers","family":"Kasirye","sequence":"additional","affiliation":[{"name":"Uganda Youth Development Link, Kampala P.O. Box 12659, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Bukuluki","sequence":"additional","affiliation":[{"name":"College of Humanities and Social Sciences, Makerere University, Kampala P.O. Box 10218, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,2,9]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1080\/09540121.2016.1258450","article-title":"Male condom use, multiple sexual partners and HIV: A prospective case-control study in Kinshasa (DRC)","volume":"29","author":"Carlos","year":"2016","journal-title":"AIDS Care"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1186\/s12978-018-0614-4","article-title":"Risky behaviours and their correlates among adolescents living with HIV in sub-Saharan Africa: A systematic review","volume":"15","author":"Zgambo","year":"2018","journal-title":"Reprod. 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