Individual Level Factors Influencing Self-Reported Gender Based Violence among Medical Training College Students in Kenya
DOI:
https://doi.org/10.51867/AQSSR.3.3.107Keywords:
Gender-Based Violence, Individual Determinants, KMTC Students, Mental Health, Prior Victimisation, Student WelfareAbstract
Gender-based violence and lack of institutional protection contribute to the potential for abuse in higher education, which is a global public-health problem and highly underreported. This study was guided by the Ecological Model of Violence and the theory of revictimization and examined individual determinants of self-reported gender-based violence among students at the Kenya Medical Training College where the clinical hierarchy and professional pressures amplify students' vulnerabilities. An analytical cross sectional research design with a predictive modelling component was used for the study with the target population being pre-service health-training students age 18 years old and above. A multistage sampling technique was adopted in which campus was selected purposively, years of study and programme type were stratified, and systematic random sampling of the respondents was done, and data was collected from 478 respondents. The main data collection tool was an anonymous, structured online questionnaire that included demographic, behaviourally specific violence experiences, past victimisation experiences, and mental-health indicators. The quantitative data were analysed by descriptive statistics, chi-square tests and multivariate logistic regression. The findings showed that 15.1% of the students surveyed suffered gender-based violence in the form of any of the behaviourally specific types during enrolment and 10.0% of them suffered gender-based violence in the past 12 months. Descriptive analysis revealed that the most common types of abuse experienced by recent victims were unwanted sexual comments (56.3%), emotional/verbal abuse (54.2%) and non-consensual sexual touching or stalking (47.9%). Academic progression (Y3 vs Y1: aOR=5.31, p<0.001), childhood sexual abuse (aOR=5.65, p<0.001) and severe mental-health symptoms (aOR=5.50, p=0.004) were significant independent predictors of violence occurrence. Measurement analysis indicated that 0.0% of the students endorsed a general violence question while 15.1% endorsed behaviourally specific items, indicating a significant conceptual gap and lack of practical recognition of abuse. The study finds that vulnerabilities to gender-based violence in these settings are cumulative and structurally embedded, and are related to past trauma experiences, seniority in school and psychosocial distress. It shows that there is a need for trauma-informed, institution-specific strategies to support the welfare of students, and that a combination of behaviourally specific literacy and confidential mental-health screening and peer-mentorship referral pathways are needed for sustainable student resilience.
References
Abubeker, F., Dessie, Y., Assefa, N., Geleto, A., Adorjan, K., & Abdeta, T. (2021). Prevalence and associated factors of gender-based violence among female students attending private colleges in Harar Town, Eastern Ethiopia. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 58, 1-9. https://doi.org/10.1177/00469580211047197
Anderson, R. E., Nickell, A. E., Piggott, D. M., Boros, A. P., & Delahanty, D. L. (2023). A comparison of two strategies to assess sexual violence: General vs. specialised trauma screening strategies in two high-risk substance use health disparity samples. European Journal of Psychotraumatology, 14(2), 2287331. https://doi.org/10.1080/20008066.2023.2287331
Bally, C. A., Adema, P., Situma, K., Musau, S., Osangale, R., & Kibet, G. (2022). Enormity and patterns of gender-based violence at Kenya Medical Training College campuses. International Journal of Health Sciences, 5(1), 33-51. https://doi.org/10.47941/ijhs.933
Beyene, A. S., Chojenta, C. L., & Loxton, D. J. (2021). Consequences of gender-based violence on female high school students in Eastern Ethiopia. African Journal of Reproductive Health, 25(4), 22-33. https://doi.org/10.29063/ajrh2021/v25i4.3
Cantor, D., Fisher, B., Chibnall, S., Harps, S., Townsend, R., Thomas, G., Lee, H., Kranz, V., Herbison, R., & Madden, K. (2020). Report on the AAU campus climate survey on sexual assault and misconduct. Westat for the Association of American Universities.
Edwards, K. M., Waterman, E. A., Kagunda, J., & Bikeri, C. (2021). Popular opinion leaders' perspectives on preventing gender-based violence and problem drinking among Kenyan college students: A brief report. Journal of Interpersonal Violence, 36(19-20), 9838-9849. https://doi.org/10.1177/0886260519861654
Hassen, S. M., & Mohammed, B. H. (2021). Sexual violence and associated factors among female students at Debre Berhan University, Ethiopia. Cureus, 13(7), e16602. https://doi.org/10.7759/cureus.16602
Kettrey, H. H., Thompson, M. P., Marx, R. A., & Davis, A. J. (2023). Effects of campus sexual assault prevention programs on attitudes and behaviors among American college students: A systematic review and meta-analysis. Journal of Adolescent Health, 72(6), 831-844. https://doi.org/10.1016/j.jadohealth.2023.02.022
Keynejad, R. C., Hanlon, C., & Howard, L. M. (2020). Psychological interventions for common mental disorders in women experiencing intimate partner violence in low-income and middle-income countries: A systematic review and meta-analysis. The Lancet Psychiatry, 7(2), 173-190. https://doi.org/10.1016/S2215-0366(19)30510-3
Krause-Utz, A., Dierick, T., Josef, T., Chatzaki, E., Willem, A., Hoogenboom, J., & Elzinga, B. (2021). Linking experiences of child sexual abuse to adult sexual intimate partner violence: The role of borderline personality features, maladaptive cognitive emotion regulation, and dissociation. Borderline Personality Disorder and Emotion Dysregulation, 8(1), 10. https://doi.org/10.1186/s40479-021-00153-1
Lathan, E. C., Koon-Magnin, S., Selwyn, C. N., Isaak, H., & Langhinrichsen-Rohling, J. (2023). Rape myth acceptance and other barriers to formally reporting sexual assault among college students with and without sexual assault histories. Journal of Interpersonal Violence, 38(9-10), 6773-6797. https://doi.org/10.1177/08862605221130898
Laz-Figueroa, K., Guevara-Viejó, F., Valenzuela-Cobos, J. D., Hernández-Sánchez, B. R., & Sánchez-García, J. C. (2026). Gender-based violence in higher education institutions in Ecuador: A systematic literature review. Frontiers in Education, 10, 1702277. https://doi.org/10.3389/feduc.2025.1702277
Mihretie, G. N., Kassa, B. G., Ayele, A. D., Liyeh, T. M., Belay, H. G., Miskr, A. D., Minuye, B., Azanaw, M. M., & Worke, M. D. (2023). Transactional sex among women in Sub-Saharan Africa: A systematic review and meta-analysis. PLOS ONE, 18(6), e0286850. https://doi.org/10.1371/journal.pone.0286850
Owusu-Antwi, R., Fedina, L., Baeza Robba, M. J., Khatibi, K., Bosomtwe, D., Nsereko, E., Shadare, O., Compton, S., Akinyemi, A., Randa, M. B., Afolabi, A. A., & Munro-Kramer, M. L. (2024). Prevalence of gender-based violence and factors associated with help-seeking among university students in sub-Saharan Africa. Women's Health, 20, 17455057241307519. https://doi.org/10.1177/17455057241307519
Senn, C. Y., Eliasziw, M., Hobden, K. L., Newby-Clark, I. R., Barata, P. C., Radtke, H. L., & Thurston, W. E. (2017). Secondary and 2-year outcomes of a sexual assault resistance program for university women. Psychology of Women Quarterly, 41(2), 147-162. https://doi.org/10.1177/0361684317690119
Sewalem, J., & Molla, A. (2022). Mental distress and associated factors among women who experienced gender-based violence and attending court in South Ethiopia: A cross-sectional study. BMC Women's Health, 22, 187. https://doi.org/10.1186/s12905-022-01770-6
Steele, B., Martin, M., Sciarra, A., Melendez-Torres, G. J., Degli Esposti, M., & Humphreys, D. K. (2024). The prevalence of sexual assault among higher education students: A systematic review with meta-analyses. Trauma, Violence, & Abuse, 25(3), 1885-1898. https://doi.org/10.1177/15248380231196119
Tadesse, G., Tinsae, T., Nakie, G., Rtbey, G., Andualem, F., Kelebie, M., Kibralew, G., Abate, A. T., Shumet, S., Melkam, M., & Fentahun, S. (2024). Magnitude and determinants of gender-based violence among female students in Ethiopian higher educational institutions: A systematic review and meta-analysis. Frontiers in Psychiatry, 15, 1387032. https://doi.org/10.3389/fpsyt.2024.1387032
Tarzia, L. (2021). Toward an ecological understanding of intimate partner sexual violence. Journal of Interpersonal Violence, 36(23-24), 11704-11727. https://doi.org/10.1177/0886260519900298
Tavolacci, M.-P., Karmaly, A., El Gharbi-Hamza, N., Veber, B., & Ladner, J. (2023). Gender-based violence among healthcare students: Prevalence, description and associated factors. PLOS ONE, 18(11), e0288855. https://doi.org/10.1371/journal.pone.0288855
United Nations Population Fund, Collaborative Centre for Gender and Development, & University of Nairobi Women Economic Empowerment Hub. (2024). Rapid study on technology-facilitated gender-based violence (TF-GBV) in Kenya's higher learning institutions. UNFPA Kenya.
Workye, H., Mekonnen, Z., Wedaje, W., & Sitot, A. (2023). Prevalence and predictors of gender-based violence among Wolkite University female students, southwest Ethiopia, 2021: Cross-sectional study. Frontiers in Reproductive Health, 5, 978808. https://doi.org/10.3389/frph.2023.978808
World Health Organization. (2021). Violence against women prevalence estimates, 2018: Global, regional and national prevalence estimates for intimate partner violence against women and global and regional prevalence estimates for non-partner sexual violence against women. World Health Organization. https://www.who.int/publications/i/item/9789240022256
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Copyright (c) 2026 Kennedy Kinyua Njeru , David Nandebe Wafula, Kamau Maina, Caleb Mutua, Amos Kipsumbai, Catherine Kaleli, Eglah Kiplagat, Marion Chelimo, Meshack Kishasha, Rosemary Wanjiku, Grace Mwangi, Moses Lagat, Alice Naisola, Ben Olela, Eddah Jepkorir, Nelson Rono, Kennedy Rateng, Jecinta Kaiga, Carren Odumbe, Samantha Ariri, Charles Mwai (Author)
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