“I thought . . . maybe this is my chance”

This article is based on a pilot study conducted in Malawi in 2006 that intended to uncover episodes of violence and abuse against women and girls with disabilities and furthermore to explore the mechanisms behind such acts. The stories of 23 women with disabilities were obtained through in-depth semistructured interviews that covered, among other topics, aspects of sexual abuse experienced by or known to these women. None of the informants reported having been sexually abused during childhood. In adulthood, several had experienced what they themselves defined as sexual abuse: Men came and wanted to “marry” them. When the woman became pregnant, the man disappeared and left her alone. The interviewees were very opinionated regarding this theme and sought both social and political action in this matter, especially a means to enforce men to take economic responsibility for their biological children. The informants stressed that adapted education for women with disabilities would allow them to become more economically independent and be better able to refuse the advances of unserious suitors.

[1]  K. Kendler,et al.  Childhood sexual abuse and adult psychiatric and substance use disorders in women: an epidemiological and cotwin control analysis. , 2000, Archives of general psychiatry.

[2]  J. Beitchman,et al.  A review of the long-term effects of child sexual abuse. , 1992, Child abuse & neglect.

[3]  T. Weisner,et al.  A good friend is hard to find: friendship among adolescents with disabilities. , 2007, American journal of mental retardation : AJMR.

[4]  Dimitris Michailakis,et al.  Standard Rules on the Equalization of Opportunities for Persons with Disabilities , 1995, Human Rights and Disabled Persons.

[5]  K. Gorey,et al.  The prevalence of child sexual abuse: integrative review adjustment for potential response and measurement biases. , 1997, Child abuse & neglect.

[6]  M. Loeb,et al.  Living Conditions among People with Disabilities in Namibia. A National, Representative Study , 2003 .

[7]  P. M. Sullivan,et al.  Communicative disorders as a risk factor in abuse , 1993 .

[8]  Agnes Chimbiri,et al.  Adolescent sexual and reproductive health in Malawi: a synthesis of research evidence. , 2004 .

[9]  H. Brown,et al.  THE SEXUAL ABUSE OF ADULTS WITH LEARNING DISABILITES: RESULTS OF A TWO YEAR INCIDENCE SURVEY , 2010 .

[10]  J. Beitchman,et al.  A review of the short-term effects of child sexual abuse. , 1991, Child abuse & neglect.

[11]  M. Rani,et al.  An empirical investigation of attitudes towards wife-beating among men and women in seven sub-Saharan African countries. , 2004, African journal of reproductive health.

[12]  M. Kvam,et al.  Violence and abuse against women with disabilities in Malawi , 2006 .

[13]  M. Kvam.  Experiences of Childhood Sexual Abuse among Visually Impaired Adults in Norway: Prevalence and Characteristics , 2005 .

[14]  S. Milberger,et al.  Violence Against Women With Physical Disabilities , 2003, Violence and Victims.

[15]  D. Sobsey,et al.  Sexual abuse patterns of children with disabilities , 1994 .

[16]  N. Groce.  HIV/AIDS and people with disability , 2003, The Lancet.

[17]  S. H. Braathen,et al.  Albinism in Malawi: knowledge and beliefs from an African setting , 2006 .

[18]  Scott B. Crosse.  A Report on the Maltreatment of Children with Disabilities. , 1992 .

[19]  J. Scanlan,et al.  Sexual Abuse of Deaf Youth , 1987, American annals of the deaf.

[20]  M Y Wong,et al.  Childhood abuse and lifetime psychopathology in a community sample. , 2001, The American journal of psychiatry.

[21]  M. Hammond,et al.  The Friendships of Young Children with Developmental Delays: A Longitudinal Analysis. , 2007, Journal of applied developmental psychology.

[22]  K. Depauw.  Girls and Women with Disabilities in Sport , 1999 .

[23]  Mitchell Loeb,et al.  Living Conditions among People with Activity Limitations in Malawi. A National Representative Study , 2004 .

[24]  D. Price-Williams,et al.  Developmentally Disabled Women who were Molested as Children , 1988 .

[25]  D Finkelhor,et al.  Impact of sexual abuse on children: a review and synthesis of recent empirical studies. , 1993, Psychological bulletin.

[26]  Kristian Tambs,et al.  Mental health in deaf adults: symptoms of anxiety and depression among hearing and deaf individuals. , 2006, Journal of deaf studies and deaf education.

[27]  P. Jaudes,et al.  The handicapped child and child abuse. , 1985, Child abuse & neglect.

[28]  M. Kvam.  Sexual abuse of deaf children. A retrospective analysis of the prevalence and characteristics of childhood sexual abuse among deaf adults in Norway. , 2004, Child abuse & neglect.

[29]  Dena Hassouneh-Phillips.  Understanding Abuse of Women With Physical Disabilities: An Overview of the Abuse Pathways Model , 2005, ANS. Advances in nursing science.

[30]  J. Conte,et al.  What sexual offenders tell us about prevention strategies. , 1989, Child abuse & neglect.

[31]  K. Ferguson,et al.  Anxiety, depression, and dissociation in women health care providers reporting a history of childhood psychological abuse. , 1997, Child abuse & neglect.

[32]  Christine M. Tilley,et al.  Health Care for Women with Physical Disabilities: Literature Review and Theory , 1998 .

[33]  A. L. Kirkengen.  Inscribed Bodies: Health Impact of Childhood Sexual Abuse , 2001 .

[34]  A. Eide,et al.  Living conditions among people with activity limitations in Zimbabwe. A representative regional survey. , 2003 .

[35]  Pamela Jordan.  Basics of qualitative research: Grounded theory procedures and techniques , 1994 .

[36]  E. Bass,et al.  Clinical Characteristics of Women With a History of Childhood Abuse: Unhealed Wounds , 1997 .

[37]  N. Groce,et al.  Rape of individuals with disability: AIDS and the folk belief of virgin cleansing , 2004, The Lancet.

[38]  M. Kvam.  Is sexual abuse of children with disabilities disclosed? A retrospective analysis of child disability and the likelihood of sexual abuse among those attending Norwegian hospitals. , 2000, Child abuse & neglect.

[39]  P. M. Sullivan,et al.  Maltreatment and disabilities: a population-based epidemiological study. , 2000, Child abuse & neglect.