International Neuropsychiatric Disease Journal

Aim: Despite the adverse mental health consequences of sexual violence, the majority of cases are unreported by victims. Non-disclosure prevents access to appropriate therapeutic and legal interventions. The design of interventions to facilitate reporting of sexual abuse is hinged on the recognition of the barriers to reporting. The current study assessed the prevalence of disclosure and barriers to disclosure among adolescent victims of sexual violence in Lagos, Nigeria. 

Study Design and Methodology: Using a cross-sectional study design, self-reported questionnaires designed to assess sexual violence, disclosure of victimization and barriers to disclosure were administered to 220 adolescents attending a public co-educational secondary school in Lagos, south-West Nigeria. The findings are discussed in the context of their mental health implications.

Results: The mean age of the participants was 15.8 (±1.2) years, and 58.2% were males. Only 9.2% of the victims of sexual violence ever reported to anyone. Frequently reported barriers to disclosure were stigma (78.9%), consideration of discussion about sex as taboo (73.7%), fear of parents/ authority figures (76.3%), mistrust of law enforcement agencies (71.1%) and fear of perpetrators (63.2%). Other reported barriers include ignorance that the act constituted sexual abuse (34.2%), self-blame/guilt (31.6%) and fear of not being believed (36.8%).

Conclusion: There is an unmet need for interventions to facilitate reporting of sexual violence by victimized adolescents. Such interventions must address stigma, debunk myth, promote sexual education and ensure appropriate response of legal and social institutions to victims in order to restore public confidence.