a Gender, Violence and Health Centre, London School of Hygiene and Tropical Medicine , London , UK.
b Population, Family and Reproductive Health, Johns Hopkins School of Public Health and Johns Hopkins School of Nursing , Baltimore , MD , USA.
Cult Health Sex. 2019 Aug;21(8):867-882. doi: 10.1080/13691058.2018.1521991. Epub 2018 Dec 14.
Sexual coercion among married or cohabitating couples is a complex phenomenon with few effective strategies for prevention. This paper explores sexual coercion among couples from rural Rwanda who participated in , a 4-year intimate partner violence prevention programme that included a 5-month couples curriculum to promote equalitarian, non-violent relationships. Drawing on three rounds of longitudinal qualitative interviews with partners from 14 couples (28 individuals), this paper explores processes of change in experiences and conceptualisations of coerced sex over the course of the intervention and 1 year after. The data were analysed using thematic and dyadic analysis. Both partners of couples reported significant changes in their sexual relationship, including reduced experiences of coerced sex, greater communication about sex and increased acceptability for women to initiate sex. Men and women became more willing to disclose sexual coercion over the course of the interviews, both current and past experiences, and couples' accounts generally became more concordant. Findings yield insights to inform programming to prevent coerced sex among spouses. These include grounding discussion of sexual coercion in an analysis of gendered power and norms, reflecting on the consequences of broader forms of sexual coercion and employing a benefits-driven, skills-based approach.
已婚或同居伴侣之间的性强迫是一种复杂的现象，几乎没有有效的预防策略。本文探讨了来自卢旺达农村的夫妇之间的性强迫问题，这些夫妇参与了为期 4 年的亲密伴侣暴力预防计划，其中包括为期 5 个月的夫妇课程，以促进平等、非暴力的关系。本文通过对 14 对夫妇（28 人）的三轮纵向定性访谈，探讨了在干预过程中和干预结束后 1 年，对强迫性行为的经历和概念化的变化过程。使用主题和对偶分析对数据进行了分析。夫妇双方都报告说他们的性关系发生了重大变化，包括减少了强迫性行为的经历、更多地沟通性问题以及增加了女性主动发起性行为的可接受性。在访谈过程中，男性和女性都越来越愿意披露性强迫，包括当前和过去的经历，而且夫妇的叙述通常变得更加一致。研究结果为预防配偶之间的强迫性行为提供了信息，包括将性强迫的讨论建立在对性别权力和规范的分析基础上，反思更广泛形式的性强迫的后果，并采用基于利益的、基于技能的方法。
