A Qualitative Exploration of Date Rape Survivors' Physical and Psycho-Social Experiences in a Nigerian University.

Date rape (DR) is a serious but under-recognized public health problem that affects female university undergraduates. The burden of the problem in Nigerian universities is, however, yet to be fully investigated. The study was designed to explore the physical and psycho-social experiences of DR female survivors at the University of Ibadan. The study was qualitative in nature and involved eight consenting DR survivors. A pre-tested In-Depth Interview (IDI) guide that included questions relating to survivors' personal profile, context of DR experienced, factors that promoted survivors' vulnerability, reported adverse health consequences, help-seeking behaviors, and effects of the rape episode on dating relationship was used to facilitate the conduct of the narrative interview. The interviews were conducted in accordance to the protocol approved by the Joint University of Ibadan and University College Hospital Ethics Review Committee, and were taped-recorded and subjected to content analysis. Participants' mean age was 17.3 ± 2.3 years. All the participants were teenagers when they were first raped. Coercive and deceptive means were used to perpetrate the act of rape. Participants' use of verbal appeals, crying, and physical resistance to prevent being raped proved abortive. The experienced adverse physical health consequences included vaginal bleeding and injury. Major psycho-social effects of the experienced DR included self-blame, depression, hatred for men, and suicidal feelings. DR experiences occurred mainly in isolated settings, and most participants could not seek for medical help and other forms of care due to fear of being stigmatized. Some of the DR survivors continued their dating relationships when apologies were tendered by the perpetrators. DR is a traumatic experience, which is characterized by physical and psycho-social adverse effects. DR survivors, however, rarely seek for help as a result of the fear of being stigmatized. Multiple behavioral change interventions are needed to address the phenomenon.