Skip to main content

[]

Intended for healthcare professionals
Skip to main content
Restricted access
Research article
First published online October 29, 2020

Characteristics and Impacts of Sexual Violence Against Men and Boys in Conflict and Displacement: A Multicountry Exploratory Study

Abstract

Evidence of sexual violence against men and boys in many conflict-affected settings is increasingly recognized. Yet relatively little is currently known about the varied forms, sites, and impacts of this violence. Further, scant research on sexual violence against men and boys in displacement contexts has been undertaken to date. To begin to address these knowledge gaps, we undertook a multicountry, qualitative, exploratory study to gain insights into these issues. Study settings and populations were Rohingya refugees in Bangladesh; refugees and migrants who had traveled through Libya residing in Italy; and refugees from eastern Democratic Republic of the Congo (DRC), Somalia, and South Sudan residing in Nairobi and Mombasa, Kenya. Methods included 55 semi-structured focus group discussions with 310 refugees and semi-structured key informant interviews with 148 aid workers and human rights experts. Data were thematically analyzed using NVivo 12. Findings suggest that sexual violence against men and boys may not be rare in Myanmar (northern Rakhine state), Libya, eastern DRC, and South Sudan. Frequently reported forms of violence in these settings were genital violence, forced witnessing of sexual violence, and rape. Sites where violence was often reported included border crossings, along the roadside, and during imprisonment. In host countries, forms of sexual violence included sexual abuse of boys, sexual exploitation particularly of adolescents and persons with diverse sexual orientation and gender identity, and rape. Impacts on survivors involved short- and long-term physical, mental, economic, and familial dimensions. These findings aim to inform sexual violence-related prevention, mitigation, and response efforts in humanitarian settings. More research is warranted, including on sexual violence against men and boys in Somalia, sexual violence by family and community members in conflict and displacement settings, sexual exploitation of adolescent boys, and sexual violence including sexual exploitation of persons with diverse sexual orientation and gender identity.

Get full access to this article

View all access and purchase options for this article.

References

Abrahams N., Devries K., Watts C., Pallitto C., Petzold M., Shamu S., & GarcÍa-Moreno C. (2014). Worldwide prevalence of non-partner sexual violence: A systematic review. The Lancet, 383(9929), 1648–1654. https://doi.org/10.1016/S0140-6736(13)62243-6
Alaggia R., Collin-Vézina D., & Lateef R. (2019). Facilitators and barriers to child sexual abuse (CSA) disclosures: A research update (2000–2016). Trauma, Violence, & Abuse, 20(2), 260–283. https://doi.org/10.1177/1524838017697312
Alleyne-Green B., Kulick A., Grocher K., & Betancourt T. S. (2018). Physical and sexual violence experienced by male war-affected youth: Implications for post-conflict functioning and intimate relationships. Journal of Interpersonal Violence. https://doi.org/10.1177/0886260518792963
Ba I., & Bhopal R. S. (2017). Physical, mental and social consequences in civilians who have experienced war-related sexual violence: A systematic review (1981–2014). Public Health, 142, 121–135. https://doi.org/10.1016/j.puhe.2016.07.019
Bassiouni C. (1994, May). Final report of the Commission of Experts Established Pursuant to Security Council Resolution 780. S/1994/674. https://www.icty.org/x/file/About/OTP/un_commission_of_experts_report1994_en.pdf
Carlson E. S. (2005). The hidden prevalence of male sexual assault during war: Observations on blunt trauma to the male genitals. British Journal of Criminology, 46(1), 16–25. https://doi.org/10.1093/bjc/azi041
Carpenter R. C. (2006). Recognizing gender-based violence against civilian men and boys in conflict situations. Security Dialogue, 37(1), 83–103. https://doi.org/10.1177/0967010606064139
Charman T. (2018). Sexual violence or torture? The framing of sexual violence against men in armed conflict in Amnesty International and Human Rights Watch reports. In Zalewski M., Drumond P., Prugl E., & Stern M. (Eds.), Sexual violence against men in global politics (pp. 198–210). Routledge.
Chynoweth S. K. (2017). “We keep it in our heart:” Sexual violence against men and boys in the Syria crisis. https://www.refworld.org/docid/5a128e814.html
Chynoweth S. K., Buscher D., Martin S., & Zwi A. B. (2020). A social ecological approach to understanding service utilization barriers among male survivors of sexual violence in three refugee settings: A qualitative exploratory study. Conflict and Health, 14(43). https://doi.org/10.1186/s13031-020-00288-8
Chynoweth S. K., Freccero J., & Touquet H. (2017). Sexual violence against men and boys in conflict and forced displacement: Implications for the health sector. Reproductive Health Matters, 26(51), 90–94. https://doi.org/10.1080/09688080.2017.1401895
de Jong K., Ford N., Kam van de. S., Lokuge K., Fromm S., Galen van. R., Reilley B., & Kleber R. (2008). Conflict in the Indian Kashmir Valley I: Exposure to violence. Conflict and Health, 2(1), 10. https://doi.org/10.1186/1752-1505-2-10
Dolan C. (2017). Hidden realities: Screening for experiences of violence amongst war-affected South Sudanese refugees in northern Uganda. Refugee Law Project. https://reliefweb.int/sites/reliefweb.int/files/resources/RLP.WP25.pdf
Draucker C. B., Martsolf D. S., & Poole C. (2009). Developing distress protocols for research on sensitive topics. Archives of Psychiatric Nursing, 23(5), 343–350. https://doi.org/10.1016/j.apnu.2008.10.008
Guest G., MacQueen K. M., & Namey E. E. (2011). Applied thematic analysis. Sage Publications.
HIAS. (2014). Triple jeopardy: Protecting at-risk refugee survivors of sexual and gender-based violence. https://www.hias.org/sites/default/files/hias_-_triple_jeopardy_-_full_report.pdf
Hossain M., Zimmerman C., Kiss L., Kone D., Bakayoko-Topolska M., Manan KA, D. Lehmann, H. Watts C. (2014). Men’s and women’s experiences of violence and traumatic events in rural Cote d’Ivoire before, during and after a period of armed conflict. BMJ Open, 4(2), e003644. https://doi.org/10.1136/bmjopen-2013-003644
Inter-Agency Standing Committee. (2015). Guidelines for integrating gender-based violence interventions in humanitarian action. https://gbvguidelines.org/en/
Inter-Agency Working Group on Sexual Exploitation of Children. (2016). Terminology guidelines for the protection of children from sexual exploitation and sexual abuse. https://www.unicef.org/protection/files/Terminology_guidelines_396922-E.pdf
Johnson K., Asher J., Rosborough S., Raja A., Panjabi R., Beadling C., & Lawry L. (2008). Association of combatant status and sexual violence with health and mental health outcomes in postconflict Liberia. JAMA, 300(6), 676–690. https://doi.org/10.1001/jama.300.6.676
Johnson K., Scott J., Rughita B., Kisielewski M., Asher J., Ong R., & Lawry L. (2010). Association of sexual violence and human rights violations with physical and mental health in territories of the eastern Democratic Republic of the Congo. JAMA, 304(5), 553–562. https://doi.org/10.1001/jama.2010.1086
Keygnaert I., Dialmy A., Manço A., Keygnaert J., Vettenburg N., Roelens K., & Temmerman M. (2014). Sexual violence and sub-Saharan migrants in Morocco: A community-based participatory assessment using respondent driven sampling. Globalization and Health, 10(1), 32. https://doi.org/10.1186/1744-8603-10-32
Keygnaert I., & Guieu A. (2015). What the eye does not see: A critical interpretive synthesis of European Union policies addressing sexual violence in vulnerable migrants. Reproductive Health Matters, 23(46), 45–55. https://doi.org/10.1016/j.rhm.2015.11.002
Lawyers and Doctors for Human Rights. (2019). “The soul has died:” Typology, patterns, prevalence and the devastating impact of sexual violence against men and boys in Syrian detention. http://ldhrights.org/en/wp-content/uploads/2019/03/The-Soul-Has-Died-Male-Sexual-Violence-Report-English-for-release-copy.pdf
Loncar M., Henigsberg N., & Hrabac P. (2010). Mental health consequences in men exposed to sexual abuse during the war in Croatia and Bosnia. Journal of Interpersonal Violence, 25(2), 191–203. https://doi.org/10.1177/0886260509334288
Médecins Sans Frontières. (2017). Forced to flee Central America’s Northern Triangle: A neglected humanitarian crisis. https://doctorswithoutborders.org/sites/default/files/2018-08/msf_forced-to-flee-central-americas-northern-triangle_E.pdf
Meger S. (2015). “No man is allowed to be vulnerable:” Fitting the rape of men in armed conflict into the wartime sexual violence paradigm. In Flood M., & Howson R. (Eds.), Engaging men in building gender equality (pp. 144–155). Cambridge Scholars Publishing.
Murphy M., Bingenheimer J. B., Ovince J., Ellsberg M., & Contreras-Urbina M. (2019). The effects of conflict and displacement on violence against adolescent girls in South Sudan: The case of adolescent girls in the Protection of Civilian sites in Juba. Sexual and Reproductive Health Matters, 27(1), 181–191. https://doi.org/10.1080/26410397.2019.1601965
Murphy M., Hess T., Casey J., & Minchew H. (2019). What works to prevent violence against women and girls in conflict and humanitarian crisis: Synthesis brief. https://globalwomensinstitute.gwu.edu/sites/g/files/zaxdzs1356/f/downloads/P868%20IRC%20Synthesis%20brief%20report_LR.PDF
Nagai M., Karunakara U., Rowley E., & Burnham G. (2008). Violence against refugees, non-refugees and host populations in southern Sudan and northern Uganda. Global Public Health, 3(3), 249–270. https://doi.org/10.1080/17441690701768904
Office of the High Commissioner for Human Rights. (2019, August). Sexual and gender-based violence in Myanmar and the gendered impact of its ethnic conflicts. A/HRC/42/CRP.4. www.ohchr.org/Documents/HRBodies/HRCouncil/FFM-Myanmar/sexualviolence/A_HRC_CRP_4.pdf
Oosterhoff P., Zwanikken P., & Ketting E. (2004). Sexual torture of men in Croatia and other conflict situations: An open secret. Reproductive Health Matters, 12(23), 68–77.
Reques L., Aranda-Fernandez E., Rolland C., Grippon A., Fallet N., Reboul C., Godard N., & Luhmann N. 2020. Episodes of violence suffered by migrants transiting through Libya: A cross-sectional study in “Médecins du Monde’s” reception and healthcare centre in Seine-Saint-Denis, France. Conflict and Health, 14(1), 1–6. https://doi.org/10.1186/s13031-020-0256-3
Rosenberg J. (2016). Mean streets: Identifying and responding to urban refugee’ risks of gender-based violence. Women’s Refugee Commission. https://www.womensrefugeecommission.org/gbv/resources/1272-mean-streets
Schulz P. (2020). Male survivors of wartime sexual violence: Gendered harms, agency and justice in Northern Uganda. University of California Press.
Stark L., Asghar K., Yu G., Bora C., Baysa A. A., & Falb K. L. (2017). Prevalence and associated risk factors of violence against conflict-affected female adolescents: A multi-country, cross-sectional study. Journal of Global Health, 7(1), 010416. https://doi.org/10.7189/jogh.07.010416
Stark L., Sommer M., Davis K., Asghar K., Baysa A. A., Abdela G., Tanner S., & Falb K. (2017). Disclosure bias for group versus individual reporting of violence amongst conflict-affected adolescent girls in DRC and Ethiopia. PLoS ONE, 12(4), e0174741. https://doi.org/10.1371/journal.pone.0174741
Stebbins R. A. (2001). Exploratory research in the social sciences (Vol. 48); Sage University Papers Series on Qualitative Research Methods. Sage Publications.
United Nations High Commissioner for Refugees. (2020). Global trends: Forced displacement in 2019. https://www.unhcr.org/be/wp-content/uploads/sites/46/2020/07/Global-Trends-Report-2019.pdf
United Nations Human Rights Council. (2019). Sexual and gender-based violence in Myanmar and the gendered impact of its ethnic conflicts. A/HRC/42/CRP.4. https://www.ohchr.org/Documents/HRBodies/HRCouncil/FFM-Myanmar/sexualviolence/A_HRC_CRP_4.pdf
Vu A., Adam A., Wirtz A., Pham K., Rubenstein L., Glass N., Beyrer C., & Singh S. (2014). The prevalence of sexual violence among female refugees in complex humanitarian emergencies: A systematic review and meta-analysis. PLoS Currents, 6. https://doi.org/10.1371/currents.dis.835f10778fd80ae031aac12d3b533ca7
Wirtz A. L., Perrin N. A., Desgroppes A., Phipps V., Abdi A. A., Ross B., Kaburu F., Kajue I., Kutto E., Taniguchi E., & Glass N. (2018). Lifetime prevalence, correlates and health consequences of gender-based violence victimisation and perpetration among men and women in Somalia. BMJ Global Health, 3(4), e000773. https://doi.org/10.1136/bmjgh-2018-000773
World Health Organization [WHO]. (2003). Guidelines for medico-legal care for victims of sexual violence. https://apps.who.int/iris/bitstream/handle/10665/42788/924154628X.pd?sequence=1
WHO. (2007). WHO ethical and safety recommendations for researching, documenting and monitoring sexual violence in emergencies. https://ww.who.int/gender/documents/OMS_Ethics&Safety10Aug07.pdf

Author Biographies

Sarah Chynoweth, PhD, the principal investigator for this study, is the Founder and Director of the Sexual Violence Project at the Women’s Refugee Commission and is an Adjunct Lecturer in Health, Rights, and Development at the University of New South Wales. She has worked at the interface of research, policy, and practice in humanitarian response for 20 years, primarily focused on sexual and reproductive health, sexual violence, and accountability.
Dale Buscher, MSW, is vice president for Programs at the Women’s Refugee Commission where he oversees the organization’s research and advocacy work on gender, protection, social inclusion, and livelihoods. He has been working on humanitarian issues for over 30 years in Asia, the Balkans, the Middle East, and Africa. He is also an Adjunct Associate Professor at the School of International and Public Affairs at Columbia University.
Sarah Martin, BA, is lead associate at Gender Associations. She has worked as a humanitarian aid worker and gender-based violence prevention and response specialist for over 20 years including as Senior Gender Advisor to UNHCR in Jordan and as the Regional Emergency Gender-based Violence Advisor for the Gender-based Violence Area of Responsibility for the Asia Pacific region. She also worked as a Humanitarian Affairs Specialist for Médecins Sans Frontières. She is a Member of the Global Advisory Committee for the Women’s Refugee Commission's Sexual Violence Project and was involved in data collection in Italy and Kenya.
Anthony Zwi, MB BCh, PhD, is a professor of Global Health and Development at the University of New South Wales, Sydney, Australia. He has longstanding commitment to researching violence—interpersonal, gender-based, and/or collective. He teaches and researches around global public health, global development, and global policy issues with a strong emphasis on how people and systems respond to experiences of trauma, “disasters” and violent conflict.

Cite article

Cite article

Cite article

OR

Download to reference manager

If you have citation software installed, you can download article citation data to the citation manager of your choice

Share options

Share

Share this article

Share with email
Email Article Link
Share on social media

Share access to this article

Sharing links are not relevant where the article is open access and not available if you do not have a subscription.

For more information view the Sage Journals article sharing page.

Information, rights and permissions

Information

Published In

Article first published online: October 29, 2020
Issue published: May 2022

Keywords

  1. sexual assault
  2. GLBT
  3. male victims
  4. war
  5. anything related to sexual assault
  6. sexual abuse
  7. child abuse

Rights and permissions

© 2020 SAGE Publications.
Request permissions for this article.
PubMed: 33118459

Authors

Affiliations

Sarah K. Chynoweth
Women’s Refugee Commission, New York, NY, USA
The University of New South Wales, Sydney, NSW, Australia
Dale Buscher
Women’s Refugee Commission, New York, NY, USA
Sarah Martin
Gender Associations International Consulting, Berlin, Germany
Anthony B. Zwi
The University of New South Wales, Sydney, NSW, Australia

Notes

Sarah Chynoweth, Women’s Refugee Commission, New York, NY 10018, USA. Email: [email protected]

Metrics and citations

Metrics

Journals metrics

This article was published in Journal of Interpersonal Violence.

View All Journal Metrics

Article usage*

Total views and downloads: 2650

*Article usage tracking started in December 2016


Altmetric

See the impact this article is making through the number of times it’s been read, and the Altmetric Score.
Learn more about the Altmetric Scores



Articles citing this one

Receive email alerts when this article is cited

Web of Science: 19 view articles Opens in new tab

Crossref: 16

  1. Muslim Women's Lived Experiences and Intersectional Identities
    Go to citationCrossrefGoogle Scholar
  2. Conflict-related and sexual trauma in treatment-seeking Arabic-speaking men: a cross-sectional study
    Go to citationCrossrefGoogle Scholar
  3. Adult refugees’ perspectives on the impact of trauma and post-migration hardships on learning
    Go to citationCrossrefGoogle Scholar
  4. Assessing the health status of migrants upon arrival in Europe: a systematic review of the adverse impact of migration journeys
    Go to citationCrossrefGoogle Scholar
  5. Male Survivors’ Disclosure of Conflict‐Related Sexual Violence in Mental Health Care Settings: Results from a Phenomenological Study with Clinical Experts in Germany
    Go to citationCrossrefGoogle Scholar
  6. Study on cases from national courts and international tribunals related to gender-based violence in armed conflict
    Go to citationCrossrefGoogle Scholar
  7. Addressing the needs of cisgender, heterosexual men and LGBTIQ+ survivors of sexual violence: a scoping review of service delivery and funding priorities among humanitarian organisations
    Go to citationCrossrefGoogle Scholar
  8. No evidence, no problem? A critical interpretive synthesis of the vulnerabilities to and experiences of sexual violence among young migrants in Europe
    Go to citationCrossrefGoogle Scholar
  9. Assessing the Health Status of Migrants Upon Arrival in Europe: A Systematic Review of the Adverse Impact of Migration Journeys
    Go to citationCrossrefGoogle Scholar
  10. Long-term physical and psychological symptoms in Syrian men subjected to detention, conflict-related sexual violence and torture: cohort study of self-reported symptom evolution
    Go to citationCrossrefGoogle Scholar
  11. View More

Figures and tables

Figures & Media

Tables

View Options

Access options

If you have access to journal content via a personal subscription, university, library, employer or society, select from the options below:


Alternatively, view purchase options below:

Purchase 24 hour online access to view and download content.

Access journal content via a DeepDyve subscription or find out more about this option.

View options

PDF/EPUB

View PDF/EPUB

Full Text

View Full Text