Risk and protective factors for sexually violent behavior among male medical undergraduates across Vietnam: Prospective cohort study.
4 affiliations
- 1Hubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Room RRR614, Atlanta, GA, 30322, USA.
- 2Department of Sociology, Emory College of Arts and Sciences, Emory University, 1555 Dickey Dr, Atlanta, GA 30322, USA.
- 3Center for Creative Initiatives in Health and Population, No 48, Alley 251/8 Nguyen Khang str. Hanoi, Viet Nam.
- 4School of Public Health, Georgia State University, PO Box 3995, Atlanta, GA 30302-3995, USA.
Abstract
Objective
In Asia/Pacific, 24% of men 18-49 years report perpetrating rape. Longitudinal research on sexually violent behavior (SVB) is limited. We assessed risk/protective factors for SVB in a cohort of young men across Vietnam.Methods
2444 male students attending six Vietnamese universities in 2024 participated in two pre-intervention waves of SCALE, an implementation trial of the GlobalConsent sexual-violence-prevention program. Marginal models with a logit link assessed wave-one risk/protective factors for six-month wave-two SVB. Predicted probabilities were derived for significant factors.Results
Six-month SVB prevalence was 15.5% (wave one) and 15.2% (wave two). Factors associated with wave-two SVB were: depressive symptoms moderate or higher (adjusted odds ratio aOR = 1.70), sexual consent knowledge (aOR = 0.44), prior-to-18 sexually explicit material (SEM) use (aORs = 1.92 non-physically-violent SEM, 6.29 physically-violent SEM once, 7.51 violent SEM more than once), 3-4 childhood-family-dysfunction types (aOR = 4.87), 4-6 child-maltreatment types (aOR = 1.90), and wave-one SVB (aORs = 2.23 non-contact, 4.57 contact). The predicted probability of wave-two SVB was 92.33% (95% confidence interval [CI] 87.58%, 97.07%) for higher-risk/lower-protection students and 0.69% (95%CI 0.07%, 1.32%) for lower-risk/higher-protection students on significant wave-one factors.Conclusions
Efficacious universal sexual-violence prevention programming and risk-reducing psychosocial support in higher-risk/less-protected men may promote healthy sexual behavior among male undergraduates across Vietnam.
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BibTeX
@article{yount2026risk,
title = {{Risk and protective factors for sexually violent behavior among male medical undergraduates across Vietnam: Prospective cohort study.}},
author = {Kathryn M Yount and Katherine M Anderson and Meghan K Macaulay and Jack Cagney and Trang Thu Quach and Xiangming Fang and Daniel J Whitaker and Minh Hung Tran},
journal = {Preventive medicine reports},
year = {2026},
month = oct,
doi = {10.1016/j.pmedr.2026.103665},
url = {https://europepmc.org/article/MED/42909131},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Risk and protective factors for sexually violent behavior among male medical undergraduates across Vietnam: Prospective cohort study.
AU - Kathryn M Yount
AU - Katherine M Anderson
AU - Meghan K Macaulay
AU - Jack Cagney
AU - Trang Thu Quach
AU - Xiangming Fang
AU - Daniel J Whitaker
AU - Minh Hung Tran
PY - 2026
DA - 2026/10/09
JO - Preventive medicine reports
DO - 10.1016/j.pmedr.2026.103665
UR - https://europepmc.org/article/MED/42909131
AB - Objective In Asia/Pacific, 24% of men 18-49 years report perpetrating rape. Longitudinal research on sexually violent behavior (SVB) is limited. We assessed risk/protective factors for SVB in a cohort of young men across Vietnam.Methods 2444 male students attending six Vietnamese universities in 2024 participated in two pre-intervention waves of SCALE, an implementation trial of the GlobalConsent sexual-violence-prevention program. Marginal models with a logit link assessed wave-one risk/protective factors for six-month wave-two SVB. Predicted probabilities were derived for significant factors.Results Six-month SVB prevalence was 15.5% (wave one) and 15.2% (wave two). Factors associated with wave-two SVB were: depressive symptoms moderate or higher (adjusted odds ratio aOR = 1.70), sexual consent knowledge (aOR = 0.44), prior-to-18 sexually explicit material (SEM) use (aORs = 1.92 non-physically-violent SEM, 6.29 physically-violent SEM once, 7.51 violent SEM more than once), 3-4 childhood-family-dysfunction types (aOR = 4.87), 4-6 child-maltreatment types (aOR = 1.90), and wave-one SVB (aORs = 2.23 non-contact, 4.57 contact). The predicted probability of wave-two SVB was 92.33% (95% confidence interval [CI] 87.58%, 97.07%) for higher-risk/lower-protection students and 0.69% (95%CI 0.07%, 1.32%) for lower-risk/higher-protection students on significant wave-one factors.Conclusions Efficacious universal sexual-violence prevention programming and risk-reducing psychosocial support in higher-risk/less-protected men may promote healthy sexual behavior among male undergraduates across Vietnam.
SN - 2211-3355
ER -