Technology-Facilitated Sexual Violence Among Chinese University Students: Victimization, Perpetration, and Association with Mental Health

Technology-facilitated sexual violence (TFSV) refers to a range of unwanted sexually related behaviors communicated and transmitted through digital technologies, including digital sexual harassment, image-based sexual abuse, sexual aggression and/or coercion, and gender and/or sexuality-based harassment. This study, based on a sample of 1246 undergraduate students (688 women, 558 men) aged 17-25 years in China, investigated the incidence of TFSV victimization and perpetration and their associations with mental health (i.e., depression, anxiety, and stress) and alcohol use. Participants completed the TFSV 21-item scale, Depression Anxiety Stress Scales, and Alcohol Use Scale. Results showed that the overall victimization incidence was 69.2% (69.6% for women and 68.6% for men) and the overall perpetration incidence was 31.7% (26.6% for women and 38.0% for men). The perpetration incidence was significantly higher for men than for women; for victimization, a sex difference was not observed. Furthermore, participants who self-reported as TFSV victims tended to have higher levels of depression, stress, anxiety, and more alcohol use compared to non-victims. Victims who were also perpetrators exhibited the highest levels of mental health issues and alcohol use compared to victim only, perpetrator only, and neither (non-victim and non-perpetration). These results contributed new data on the prevalence of TFSV victimization and perpetration as well as their relationship with mental health conditions. Moreover, the high prevalence of TFSV and its association with negative mental health condition indicate the need for interventions aimed at reducing both perpetration and victimization rates in China.

Technology-facilitated sexual harassment and mental health symptoms among young-adult female student sample in Bangladesh

PURPOSE

To assess the prevalence of technology-facilitated sexual harassment (TFSH) and its relationships to adverse mental health issues among young adult female students in Bangladesh.

METHODS

We collected data for this cross-sectional study from July to September 2022 from 455 female students at a large university in Bangladesh. The prevalence of TFSH, self-reported distress, stress, anxiety, depression, and suicidal thoughts was assessed. Multivariable logistic regressions were used to assess the identified relationships.

RESULTS

This study found that nearly half of the respondents (46.1%) reported having experienced TFSH. The prevalence of suicidal thoughts, moderate to severe distress, stress, anxiety, and depression was 34.9%, 47.7%, 78.2%, 36.9%, and 59.8%, respectively. Results also reported that, compared to the respondents who did not experience TFSH, those who experienced it were more likely to report adverse mental health issues with higher odds. For example, after controlling for sociodemographic variables, the odds of moderate to severe distress (Adjusted odds ratio [AOR]: 3.70; 95% confidence interval [CI]: 2.36-5.78), stress (AOR: 2.09; 95% CI: 1.25-3.49), anxiety (AOR: 3.80; 95% CI: 2.40-6.03), depression (AOR: 3.32; 95% CI: 2.12-5.18), and having suicidal thoughts (AOR: 4.86; 95% CI: 2.29-7.89) were higher among female students experiencing TFSH than those who did not experience it.

CONCLUSIONS

TFSH harassment among young adult female students is common and significantly associated with different adverse mental health issues. Attempts at primary intervention for improving mental health status are required to take TFSH into consideration.

Mixed-method longitudinal investigation of sexual and gender-based violence following COVID-19 in South Africa

Background

Throughout the COVID-19 pandemic, concerns were raised about unintended effects of measures taken to prevent its spread, on sexual and gender-based violence (SGBV). The United Nations called for understanding how national lockdowns put young people at risk of SGBV. This research is particularly needed in contexts such as South Africa, where pre-existing levels of SGBV are high and limited data has been released.

Methods

This mixed-method longitudinal study characterised trajectories of household-level and partner-level SGBV exposure over 6 months, approximately 1 year after the initial COVID-19 lockdown. Utilising group-based trajectory modelling, survey data from 535 male and female participants, ages 13-24 and qualitative insights from 20 in-depth interviews were analysed.

Results

Two trajectory groups emerged for both household-level and partner-level SGBV: (1) groups of participants with consistently low SGBV levels (household: 77.5%; partner: 89.4%) and (2) groups with high baseline levels of SGBV, followed by decreases to moderate levels (household: 22.5%; partner: 10.8%). Characteristics significantly associated with the latter groups included being female, not employed or in school, food insecurity and symptoms of probable common mental disorders. Qualitative data supported these findings and revealed the mitigating role of positive household communication skills, along with potentially unmeasured levels of technology-facilitated partner violence, occurring over phones and social media during lockdown.

Conclusions

Findings should inform the targeting of financial, food and mental health support to those at higher risk of ongoing violence during future times of crises. Further research on technology-facilitated violence should be conducted to better understand its prevalence.

Measuring technology-facilitated sexual violence and abuse: a scoping review protocol of existing measurements

INTRODUCTION

Technology-facilitated sexual violence and abuse (TFSVA) refers to a range of behaviours in which digital technologies are used to facilitate both virtual and face-to-face sexual harm. The proliferation of smartphone usage and increasing internet penetration rates across the world have made it easier for individuals to become perpetrators and victims of TFSVA. Since empirical studies of TFSVA remain limited in the academic arena, and there is an absence of evidence to support the development of a standardised TFSVA measurement, this review aims to explore what TFSVA measurements are currently available and their potential use in measuring TFSVA.

METHODS AND ANALYSIS

This scoping review will be structured according to the Joanna Briggs Institute recommended framework. Keywords related to 'technology', 'sexual violence' and 'measure' will be used. Any paper related to measurements of TFSVA will be included without limitation to any population or setting. A search will be conducted from database inception until May 2024 for published literature in English and Chinese electronic databases, which included PubMed, Embase, CINAHL, Scopus, ProQuest, Web of Science, Chinese National Knowledge Infrastructure, SinoMed, Index to Taiwan Periodical Literature and Ariti Library. Screening and study selection will be conducted by two independent reviewers. Data will be extracted and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews Checklist. The PAGER (Patterns, Advances, Gaps, Evidence for practice and Research recommendations) Framework will be used to report the findings.

ETHICS AND DISSEMINATION

Since the scoping review methodology consists of reviewing and collecting data from publicly available materials, this study does not require ethics approval. This scoping review has the potential to serve as the most appropriate way to explore existing evidence related to this emerging phenomenon. The results of this review are expected to highlight various types of TFSVA measurement developed in different settings. Further work is required to develop measurements adapted for specific populations and tested to ensure acceptability and cultural competence. The results will be disseminated through a peer-reviewed publication and conference presentations.

REVIEW REGISTRATION

The protocol of this review was registered within the Open Science Framework (https://doi.org/10.17605/OSF.IO/Q5ETW) on 13 March 2024.

Development and Validation of Technology-Facilitated Sexual Violence Perpetration and Victimization Scales Among Adults

Technology-facilitated sexual violence (TFSV) includes different forms of digital violence, such as online gender-based violence, online gender- and sexuality-based violence, digital sexual harassment, online sexual coercion, and nonconsensual pornography. The aim of this study was to design and validate a measure to assess the perpetration and victimization of each dimension of TFSV. The relationships between the different dimensions and differences by gender and sexual orientation were also analyzed. The participants were a sample of 2,486 adults (69% women) from Spain, aged between 16 and 79 (M = 25.95; DT = 9.809) years. The Technology-Facilitated Sexual Violence Scales were found to be valid and reliable instruments, supporting our recommendation for the use of these scales. Network analysis and solution-based exploratory factor analyses showed that the dimensions of online sexual coercion and nonconsensual pornography clustered together. All the perpetration variables were related to sexism. Finally, cis women and nonheterosexual people reported higher victimization scores overall compared to cis men and heterosexuals, respectively, while cis men reported higher perpetration scores overall than cis women.

Measuring Technology-Facilitated Sexual Violence and Abuse in the Chinese Context: Development Study and Content Validity Analysis

BACKGROUND

Technology-facilitated sexual violence and abuse (TFSVA) encompasses a range of behaviors where digital technologies are used to enable both virtual and in-person sexual violence. Given that TFSVA is an emerging and continually evolving form of sexual abuse, it has been challenging to establish a universally accepted definition or to develop standardized measures for its assessment.

OBJECTIVE

This study aimed to address the significant gap in research on TFSVA within the Chinese context. Specifically, it sought to develop a TFSVA measurement tool with robust content validity, tailored for use in subsequent epidemiological studies within the Chinese context.

METHODS

The first step in developing the measurement approach for TFSVA victimization and perpetration was to conduct a thorough literature review of existing empirical research on TFSVA and relevant measurement tools. After the initial generation of items, all the items were reviewed by an expert panel to assess the face validity. The measurement items were further reviewed by potential research participants, who were recruited through snowball sampling via online platforms. The assessment results were quantified by computing the content validity index (CVI). The participants were asked to rate each scale item in terms of its relevance, appropriateness, and clarity regarding the topic.

RESULTS

The questionnaire was reviewed by 24 lay experts, with a mean age of 27.96 years. They represented different genders and sexual orientations. The final questionnaire contained a total of 89 items. Three key domains were identified to construct the questionnaire, which included image-based sexual abuse, nonimage-based TFSVA, and online-initiated physical sexual violence. The overall scale CVI values of relevance, appropriateness, and clarity for the scale were 0.90, 0.96, and 0.97, respectively, which indicated high content validity for all the instrument items. To ensure the measurement accurately reflects the experiences of diverse demographic groups, the content validity was further analyzed by gender and sexual orientation. This analysis revealed variations in item validity among participants from different genders and sexual orientations. For instance, heterosexual male respondents showed a particularly low CVI for relevance of 0.20 in the items related to nudity, including "male's chest/nipples are visible" and "the person is sexually suggestive." This underscored the importance of an inclusive approach when developing a measurement for TFSVA.

CONCLUSIONS

This study greatly advances the assessment of TFSVA by examining the content validity of our newly developed measurement. The findings revealed that our measurement tool demonstrated adequate content validity, thereby providing a strong foundation for assessing TFSVA within the Chinese context. Implementing this tool is anticipated to enhance our understanding of TFSVA and aid in the development of effective interventions to combat this form of abuse.

Technology-facilitated sexual violence among Italian youths: validation of the technology-facilitated sexual violence victimization scale

Introduction

Technology-facilitated sexual violence (TFSV), i.e. the use of digital communication technologies for facilitating sexual violence and harassment, represents a concern due to its exponential growth, particularly among youths. Few studies investigated TFSV, mainly due to the lack of a validated assessment tool, such as the TFSV-Victimization scale (TFSV-VS). Our study aimed to investigate the TFSV phenomenon in a sample of Italian young adults (aged 18-24), through the validation of the Italian translated version of TFSV-VS.

Methods

The study consisted of two phases: 1) validation of the Italian version of TFSV-VS; b) evaluation of TFSV lifetime and during the last 12 months among Italian youths.

Results

In our sample, 78.6% and 56.1% of subjects reported a lifetime and 12-months TFSV victimization, respectively. Digital sexual (70.4% and 46.6%), gender and/or sexuality-based harassment (43% and 29.6%) are those most represented. A gendered and sexuality-based pattern in lifetime TFSV was observed, mainly observed among females (p=0.005) and sexual/gender minority (SGM)(p=0.001). Being female (p<0.001) and perceiving low social support (p = 0.030) were associated with higher subjective distress related to traumatic TFSV experiences. Being female (p<0.001), younger (p=0.006) and perceiving low social support (p=0.030) were associated with the highest psychological distress due to TFSV.

Conclusions

Italian TFSV-VS shows good psychometric properties. Our findings observed a gendered trend of TFSV, by suggesting TFSV as a phenomenon influenced by SGM belonging.

International Prevalence of Technology-Facilitated Sexual Violence Against Women: A Systematic Review and Meta-Analysis of Observational Studies

The aim of the present review was to systematically identify and examine current knowledge regarding the frequency of any form of technology-facilitated sexual violence (TFSV) perpetrated against women aged 16 years and older. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist was applied when performing the present review. Observational studies reporting prevalence data for any form of TFSV against women aged 16 years and above were considered for inclusion. Four meta-analyses were conducted. One examined data pertaining to overall TFSV, while the other three each addressed a key dimension based on the type of victimization under study. Random-effects models were used to compute pooled estimate prevalences (95% CI). Included studies reported prevalence in 32 different countries at different time points, with 28,220 women being interviewed (16-97 years). A total of 1,437 potential articles were gathered from 8 databases and 17 studies were selected for analysis. Included studies exhibited a low risk of bias (12 strong methodological quality-5 medium). Rates of TFSV ranged from 2.2% to 84%. Global estimated prevalence was 30.60% (95% CI [24.08, 37.12]). The most frequently reported behaviors pertained to "digital sexual harassment" (28.54%) followed by "technology-facilitated aggression and coercion" (16.93%) and "image-based sexual abuse" (6.48%). Present findings shed light on a significant gap in understanding the experiences of adult women. The wide range of reported frequencies underscores the importance of unifying terms and standardizing measurement instruments, emphasizing the need for a cohesive approach to better comprehend and address the multifaceted nature of TFSV.

Technology-facilitated Sexual Violence in South Korea: A Content Analysis of a Website for Victims

Technology-facilitated sexual violence (TFSV) is an emerging form of gender-based violence. An understanding regarding the circumstance of TFSV and related health outcomes is limited. This qualitative study analyzed postings from an anonymous Korean website on which women suffering from TFSV freely posted messages asking for help and voicing concerns. Victims made efforts to solve problems that remained unresolved, thereby creating difficulties in their daily lives, and compelling them to quit jobs or break social relationships. They reported mental health concerns including suicide ideation, anxiety, frustration, sleep disorders, and depression. Results infer the imperative nature of research, intervention, and political action.

Sexual Violence in Virtual Reality: A Scoping Review

BACKGROUND

One in four Americans report experiencing harassment online via social media and interactive gaming, which includes physical threats, stalking, sexual harassment, and sustained harassment.

OBJECTIVE

The aim of this study was to gain understanding of the state of the science surrounding young adults and sexual violence/harassment harms in virtual reality (VR) as well as possible uses of VR to heal and intervene.

METHODS

A scoping review was conducted in early 2023 using the Ovid Synthesis Clinical Evidence Manager and the MEDLINE database. Forty-seven articles met inclusion criteria.

RESULTS

Our review found a growing body of evidence exploring incidents, effects, possible predictors, and initial strategies to prevent sexual violence in VR and to use the modality to positively intervene. Limited research addresses the effects of harms incurred in VR on (re)traumatization of survivors as well as the development and testing of VR tools used to educate, deliver bystander interventions, transform biases and perceptions via embodiment, and promote healing among survivors.

CONCLUSION

Research addressing sexual violence in VR is needed and should build on the existing peripheral science on gaming and social media environments. Forensic nursing is well positioned to advance strategies of health and safety in VR, just as in the physical world. Incorporating forensic nursing avatars in VR and deploying diverse resources targeted for college-age young adults to prevent harms in VR should be explored safely and ethically. Forensic nurses are also positioned to assess for VR-related harms among patients and to work with private and government sectors to influence regulations and policies.

Short-Term and Long-Term Impacts of Financial Sextortion on Victim's Mental Well-Being

Sextortion occurs when an individual threatens to distribute a victim's intimate images, videos, or information unless they comply with the perpetrator's demands. In financially motivated sextortion, these demands include payment of a ransom. Despite global increases in financially motivated sextortion victimization, there is limited research on the psychological impacts of this type of victimization. Leveraging 332 threads (3,276 posts) from a popular sextortion support forum, the purpose of this research was to use inductive qualitative methods to understand how financially motivated sextortion impacts victims' mental well-being, their online engagement, and how they process and deal with these impacts. The results illustrate four main concepts: short-term impacts, long-term impacts, coping strategies, and getting better over time. Short-term impacts included worry, stress, anxiety, self-blame, and somatic symptoms of stress. Long-term impacts included enduring episodes of anxiety. Some sources of coping reported by forum users were to confide in a trusted friend, stay offline, or seek professional mental health care. Despite these impacts, many forum members expressed a sense that their anxiety and distress "get better overtime," a concept that was assisted through active coping strategies.

Examining the Gendered Impacts of Technology-Facilitated Sexual Violence: A Mixed Methods Approach

Technology-facilitated sexual violence (TFSV) is defined broadly as unwanted or unwelcome sexual behavior involving the use of technology, including online sexual harassment, online gender or sexuality-based harassment, online image-based abuse (colloquially known as "revenge porn"), and online sexual aggression/coercion (colloquially known as "sextortion"). The purpose of this study was to explore the victim impact of TFSV and to critically examine the positioning of TFSV as a gender-based harm; that is, a harm directed primarily towards women. This study employed a mixed methods approach, integrating quantitative online survey data (N = 333; M_age = 33.91 years; 63% women) with qualitative interview data (N = 10; Age_range = 24-46; 50% women) to gain a more comprehensive understanding of TFSV. We found that victims of TFSV experienced anxiety, stress, depression, loss of control, mistrust, multiple victimizations, poor academic/occupation functioning, problematic alcohol consumption, embarrassment, and online behavior changes (e.g., limiting personal information online) due to TFSV victimization. Individuals who experienced online image-based abuse reported greater distress on items of depression, anxiety, and occupational/academic functioning than did victims of other types of TFSV. The current study provides partial support for the gender similarities hypothesis that TFSV is not exclusively a gender-based harm; our findings suggest that women and men's TFSV experiences are similar for most TFSV types. Overall, the present study demonstrates the negative impact TFSV has for both women and men and highlights the need for greater awareness and increased support for all victims of this form of sexual violence.