Determinants of Reported Ability to Refuse Unwanted Sex among Female Youth in Côte d'Ivoire

Megan L. Klein, University of Maryland

Studies suggest female youth engage in substantial levels of unwanted sexual activity, thus increasing their risk for ill-timed pregnancies, STIs, and HIV. This study uses logistic regressions to explore predictors of youth’s perceived ability to refuse sex with various individuals. Data stem from a 2001 reproductive health survey among youth aged 15-24 in Abidjan, Bouaké and Korhogo. Female youth are not confident in refusing unwanted sex with certain individuals. In fact, only a quarter were confident they could refuse sex in all circumstances. Predictors of ability to refuse sex vary by females relationships with individuals. Younger females and those who question gender beliefs were more likely to report confidence refusing sex with someone known for months— those who experienced forced sex or exchanged money for sex were less confident. Questioning gender beliefs is associated with confidence refusing sex with someone who gave gifts— having a child is associated with uncertainty.