Childhood maltreatment class and sexually violent behavior among university men in Vietnam

Background: Sexual violence against women remains a global public health problem, with Southeast Asia having among the highest rates of violence victimization globally. Exposure to violence in adolescence--a highly prevalent experience in Vietnam--is associated with later perpetration of violence ag...

Full description

Bibliographic Details
Main Authors: Katherine M. Anderson, Irina Bergenfeld, Yuk Fai Cheong, Tran Hung Minh, Kathryn M. Yount
Format: Article
Language:English
Published: Elsevier 2022-06-01
Series:SSM: Population Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352827322000829
_version_ 1818219086691172352
author Katherine M. Anderson
Irina Bergenfeld
Yuk Fai Cheong
Tran Hung Minh
Kathryn M. Yount
author_facet Katherine M. Anderson
Irina Bergenfeld
Yuk Fai Cheong
Tran Hung Minh
Kathryn M. Yount
author_sort Katherine M. Anderson
collection DOAJ
description Background: Sexual violence against women remains a global public health problem, with Southeast Asia having among the highest rates of violence victimization globally. Exposure to violence in adolescence--a highly prevalent experience in Vietnam--is associated with later perpetration of violence against others. However, childhood maltreatment as a latent construct is understudied, with most analyses focusing on theoretical categories, potentially missing key patterns of victimization, particularly poly-victimization. Poor understanding of these experience limits researchers’ ability to predict and intervene upon cyclical perpetration of violence. This study aims to identify latent classes of childhood maltreatment, and to test associations between class membership and sexually violent behavior during the first 12 months of university in a sample of Vietnamese men. Methods and findings: Heterosexual and bisexual men aged 18–24 matriculating into two universities in Hanoi were recruited for the randomized controlled trial of GlobalConsent, a six-module online sexual-violence prevention program. Participants (N = 793) completed a baseline survey, were randomized 1:1 to GlobalConsent or attention control, and were invited to complete post-test surveys at six-months post-baseline and 12-months post-baseline. Validated scales were employed to assess childhood maltreatment and past-six-month sexually violent behavior at each post-test. Latent class analysis identified four classes of childhood maltreatment: Limited-to-no, physical, physical and emotional, and poly-victimization. Associations between childhood maltreatment class and sexually violent behavior demonstrate a threshold effect, wherein poly-victimized men were significantly more likely than men in other classes to have engaged in sexually violent behavior during the 12-month follow-up period. Conclusions: There is a vital need for screening and intervention with men who have experienced childhood maltreatment in Vietnam to prevent future violence perpetration. Education is needed to break the cycle of violence intergenerationally and in romantic relationships by changing harmful norms around men's sexual privilege and the normalization of childhood maltreatment.
first_indexed 2024-12-12T07:34:04Z
format Article
id doaj.art-728cc79a8e56437ca0069159970a4198
institution Directory Open Access Journal
issn 2352-8273
language English
last_indexed 2024-12-12T07:34:04Z
publishDate 2022-06-01
publisher Elsevier
record_format Article
series SSM: Population Health
spelling doaj.art-728cc79a8e56437ca0069159970a41982022-12-22T00:32:57ZengElsevierSSM: Population Health2352-82732022-06-0118101103Childhood maltreatment class and sexually violent behavior among university men in VietnamKatherine M. Anderson0Irina Bergenfeld1Yuk Fai Cheong2Tran Hung Minh3Kathryn M. Yount4Department of Behavioral, Social, and Health Education Sciences, Emory University, 1518 Clifton Rd, Atlanta, GA, 30322, USA; University of California San Diego, 9500 Gilman Drive, La Jolla, CA, 92093, USAHubert Department of Global Health and Department of Sociology, Emory University, 1518 Clifton Rd, Atlanta, GA, 30322, USADepartment of Psychology, Emory University, 36 Eagle Row, Atlanta, GA, 30322, USACenter for Creative Initiatives in Health and Population, 48, 251/8 Nguyen Khang str, Cau Giay, Hanoi, 100000, Viet NamHubert Department of Global Health and Department of Sociology, Emory University, 1518 Clifton Rd, Atlanta, GA, 30322, USA; Corresponding author. Emory University Rollins School of Public Health Hubert Department of Global Health, Emory University Department of Sociology. 1518 Clifton Rd, Atlanta, GA 30322, USA.Background: Sexual violence against women remains a global public health problem, with Southeast Asia having among the highest rates of violence victimization globally. Exposure to violence in adolescence--a highly prevalent experience in Vietnam--is associated with later perpetration of violence against others. However, childhood maltreatment as a latent construct is understudied, with most analyses focusing on theoretical categories, potentially missing key patterns of victimization, particularly poly-victimization. Poor understanding of these experience limits researchers’ ability to predict and intervene upon cyclical perpetration of violence. This study aims to identify latent classes of childhood maltreatment, and to test associations between class membership and sexually violent behavior during the first 12 months of university in a sample of Vietnamese men. Methods and findings: Heterosexual and bisexual men aged 18–24 matriculating into two universities in Hanoi were recruited for the randomized controlled trial of GlobalConsent, a six-module online sexual-violence prevention program. Participants (N = 793) completed a baseline survey, were randomized 1:1 to GlobalConsent or attention control, and were invited to complete post-test surveys at six-months post-baseline and 12-months post-baseline. Validated scales were employed to assess childhood maltreatment and past-six-month sexually violent behavior at each post-test. Latent class analysis identified four classes of childhood maltreatment: Limited-to-no, physical, physical and emotional, and poly-victimization. Associations between childhood maltreatment class and sexually violent behavior demonstrate a threshold effect, wherein poly-victimized men were significantly more likely than men in other classes to have engaged in sexually violent behavior during the 12-month follow-up period. Conclusions: There is a vital need for screening and intervention with men who have experienced childhood maltreatment in Vietnam to prevent future violence perpetration. Education is needed to break the cycle of violence intergenerationally and in romantic relationships by changing harmful norms around men's sexual privilege and the normalization of childhood maltreatment.http://www.sciencedirect.com/science/article/pii/S2352827322000829Childhood maltreatmentSexual violenceLatent class analysisGender based violence
spellingShingle Katherine M. Anderson
Irina Bergenfeld
Yuk Fai Cheong
Tran Hung Minh
Kathryn M. Yount
Childhood maltreatment class and sexually violent behavior among university men in Vietnam
SSM: Population Health
Childhood maltreatment
Sexual violence
Latent class analysis
Gender based violence
title Childhood maltreatment class and sexually violent behavior among university men in Vietnam
title_full Childhood maltreatment class and sexually violent behavior among university men in Vietnam
title_fullStr Childhood maltreatment class and sexually violent behavior among university men in Vietnam
title_full_unstemmed Childhood maltreatment class and sexually violent behavior among university men in Vietnam
title_short Childhood maltreatment class and sexually violent behavior among university men in Vietnam
title_sort childhood maltreatment class and sexually violent behavior among university men in vietnam
topic Childhood maltreatment
Sexual violence
Latent class analysis
Gender based violence
url http://www.sciencedirect.com/science/article/pii/S2352827322000829
work_keys_str_mv AT katherinemanderson childhoodmaltreatmentclassandsexuallyviolentbehavioramonguniversitymeninvietnam
AT irinabergenfeld childhoodmaltreatmentclassandsexuallyviolentbehavioramonguniversitymeninvietnam
AT yukfaicheong childhoodmaltreatmentclassandsexuallyviolentbehavioramonguniversitymeninvietnam
AT tranhungminh childhoodmaltreatmentclassandsexuallyviolentbehavioramonguniversitymeninvietnam
AT kathrynmyount childhoodmaltreatmentclassandsexuallyviolentbehavioramonguniversitymeninvietnam