Abstract
Purpose
To document the point and cumulative prevalence of incapacitated and forcible rape among first-year college women.
Methods
Female students (N = 483) completed a health questionnaire: (a) upon arrival on campus, (b) at the end of the fall semester, (c) at the end of the spring semester, and (d) at the end of the summer following their first year of college.
Results
Before entering college, 18% reported incapacitated rape (attempted and/or completed), and 15% reported forcible rape (attempted and/or completed). During the first year of college, 15% reported incapacitated rape (attempted or completed) and 9% reported forcible rape (attempted or completed). By the start of the second year (lifetime prevalence), 26% and 22% had experienced incapacitated and forcible rape (attempted or completed), respectively.
Conclusions
Both incapacitated and forcible sexual assaults and rape have reached epidemic levels among college women. Interventions to address sexual violence on campus are urgently needed.
Keywords: college students, women, freshmen, sexual assault, incapacitated rape, forcible rape, prevalence
Sexual assault (i.e., any non-consensual sexual contact) and rape (i.e., non-consensual intercourse) of female college students are increasingly recognized as prevalent. Annual incidence of rape among college women has been estimated at 5%, five times higher than the rate observed among non-college women (1). Estimates that distinguish between forcible (i.e., involving physical force) or incapacitated (i.e., when alcohol or other drugs are used) tactics suggest that incapacitated rape (IR) is more prevalent than forcible rape (FR) (1–4).
Confidence in prevalence estimates is limited owing to several methodological limitations; that is, many studies (a) conflate nonconsensual touching with attempted and completed rape (3–5), (b) use small, non-representative samples, (c) sample students regardless of year in college, even though the risk of IR and FR are higher in the first year (2), and (d) do not examine events over time even though IR may be more common in the first semester (6). To date, no studies have measured IR and FR separately and prospectively reported incidence across 2 semesters and the following summer.
The current study addressed these limitations. We provide point and cumulative prevalence estimates for attempted and completed (A/C) IR, and A/C FR in a sample of first-year women, and test the hypothesis that pre-college history of A/C IR or FR predicts revictimization with similar tactics.
Methods
The sample consisted of 483 first-year women, aged 18 to 21 years, constituting 26% of the incoming class at a large private university in the northeastern U. S. The sample was representative of first year female students with respect to age (94% were 18 years old), and race/ethnicity (66% White, 11% Asian, 10% Black, and 13% multiple races; 9% Hispanic). A detailed sample description is reported elsewhere (7).
Participants were recruited through a mailing sent to all matriculating first-year women, campus flyers, word of mouth, and a research participant pool, and provided informed consent. Compensation was $20 for baseline and $10 for subsequent monthly surveys. Data reported herein come from surveys taken at baseline, and at the end of the fall, spring, and summer. All procedures were approved by an institutional review board.
Sexual victimization was assessed at baseline and every four months using a 20-item version of the Sexual Experiences Survey (SES) revised by Testa et al. to include the tactic of incapacitation (8). The SES was nested within a longer health survey; it crosses 4 perpetrator tactics (i.e., overwhelm you with arguments or continual pressure for sex, use physical force, threaten to harm you or someone close to you, perform sexual acts while you were incapacitated by drugs or alcohol) with 5 types of contact (i.e., fondle, kiss, or touch sexually; oral sex; try to have sexual intercourse, but it did not happen; succeed in making you have sexual intercourse; anal sex or penetration with a finger or objects). Participants reported how many times each had happened (a) before college, (b) fall semester, (c) spring semester, and (d) summer. We report rates of both attempted and completed FR or IR; completed FR or IR was defined as vaginal, oral, or anal penetration achieved using threats of violence or use of physical force (FR), or using the tactic of victim incapacitation (IR).
Results
Among participants who provided baseline data, retention rates were 90% (fall), 85% (spring), and 87% (summer). Table 1 summarizes the prevalence of A/C IR and FR over time. Before college, 15.4% had A/C FR, and 17.5% had experienced A/C IR. Over the study year, 9.0% reported FR and 15.4% reported IA/IR. By the end of the study, lifetime prevalence of A/C FR and IR was 21.7% and 25.7%, respectively; 37% of participants had experienced attempted or completed FR, IR, or both since age 14. Taken together, 11.4% and 8.5% of female first year students reported an attempted or completed rape in the fall and spring semesters, respectively.
Table 1.
Behavior (% Yes) | Precollege | Fall Semester | Spring Semester | Summer | Academic year | Study year | Lifetime |
---|---|---|---|---|---|---|---|
Forcible Rape | |||||||
Attempted | 13.3 | 4.3 | 3.3 | 2.8 | 6.0 | 7.3 | 18.6 |
Completed | 6.0 | 3.4 | 3.6 | 3.3 | 5.2 | 6.6 | 11.0 |
Attempted or Completed | 15.4 | 5.2 | 4.3 | 4.0 | 7.3 | 9.0 | 21.7 |
| |||||||
Incapacitated Rape | |||||||
Attempted | 16.2 | 7.7 | 4.8 | 4.4 | 10.1 | 12.6 | 22.6 |
Completed | 9.0 | 4.5 | 4.0 | 4.7 | 7.1 | 9.6 | 15.7 |
Attempted or Completed | 17.5 | 8.4 | 6.4 | 6.5 | 12.1 | 15.4 | 25.7 |
| |||||||
Either A/C Forcible or Incapacitated Rape | 28.0 | 11.4 | 8.5 | 7.9 | 15.3 | 18.6 | 37.1 |
| |||||||
Both A/C Forcible or Incapacitated Rape | 4.8 | 2.0 | 2.2 | 2.4 | 4.1 | 5.6 | 9.5 |
Note. A/C = attempted or completed combined. Precollege represents any events from age 14 until starting college, 1st semester represents since starting college through December 31st, 2nd semester represents Jan 1st through April 30th, summer represents May 1st through August 31st, academic year represents since starting college through April 30th, study year represents since starting college through August 31st, and lifetime represents from age 14 through August 31st after freshman year.
Table 2 shows the association between pre-college history of incapacitated and forcible rape and revictimization. History of pre-college IR increased rates of both IR and FR during college. History of pre-college FR increased rates of FR during college. New cases constituted 56% of the IR and 73% of the FR during the study year. To test our hypothesis, logistic models regressed FR during study year on both precollege FR and precollege IR; and IR during study year on both precollege FR and precollege IR. Only pre-college IR predicted IR (OR = 6.37; p < .001) and FR (OR = 4.34; p < .001) during the first year after starting college.
Table 2.
Study Year Incidence | ||||||||
---|---|---|---|---|---|---|---|---|
Incapacitated Rape | Forcible Rape | |||||||
Precollege Incapacitated Rape | ||||||||
No (n = 386) | 10% | 6% | ||||||
Yes (n = 78) | 41% | 23% | ||||||
χ2 (1) | 46.54*** | 22.40*** | ||||||
Precollege Forcible Rape | ||||||||
No (n = 412) | 15% | 8% | ||||||
Yes (n = 49) | 18% | 15% | ||||||
χ2 (1) | 0.68 | 4.61* | ||||||
| ||||||||
Multivariate Logistic Regression Predictors |
OR | SE | Z | 95% CI | OR | SE | Z | 95% CI |
| ||||||||
Precollege Incapacitated Rape | 6.37 | 1.86 | 6.35 *** | 3.60, 11.29 | 4.34 | 1.52 | 4.20 *** | 2.19, 8.62 |
Precollege Forcible Rape | 0.94 | 0.35 | −0.17 | 0.46, 1.93 | 1.75 | 0.69 | 1.41 | 0.80, 3.81 |
Likelihood Ratio χ2 (2) | 39.41*** | 20.28 *** |
Note. CI = confidence interval. All values represent combined attempted and completed events. Study year represents any events in the 12 months between starting college through August 31th after freshman year.
p < .05.
p < .01.
p < .001.
Discussion
This study provides both cumulative and point prevalence of A/C IR and A/C FR on one campus during the first year of college. It addition, this study provides temporal resolution unavailable in most previous reports.
Prior to entering college, 28% of women had experienced attempted or completed rape. During their first year, 1 out of 6 female students had experienced A/C IR or A/C FR. The lifetime prevalence of attempted or completed rape increased to 37% by the start of sophomore year. These data make clear that prevention programs for both men and women (10) in both high-school and college are necessary. Programs may need to address trauma-related concerns for previously victimized women.
Consistent with previous research, IR was more common than FR. Whereas others have found that IR accounted for 69%–72% of rapes reported in college samples (4–6), 83% of reported rapes in our sample were incapacitated. Future research should explore whether first-year students are more vulnerable to A/C IR than older students.
These data provide more evidence that a pre-college history of sexual assault, particularly A/C IR, predicts revictimization (9), in that it increases the odds of both IR and FR in the first year. Thus, continued engagement in risky drinking behavior should be an important target for prevention (8). Note that because women without any history of sexual assault are in the majority, they account for more assaults. Thus, prevention of both revictimization and new cases is essential.
Several strengths of the study enhance confidence in these findings: a longitudinal design with four assessments, a large sample of first year women unselected for assault history, use of reliable measures to separately assess A/C IR and FR, and strong retention rates. Our data document risk during a distinct developmental period for young women. Limitations include reliance on self-report and sampling from a single campus.
Implications and Contribution.
Sexual violence on campus has reached epidemic levels: During their first year in college, 1 in 7 women will have experienced incapacitated assault or rape and nearly 1 in 10 will have experienced forcible assault or rape. Interventions to reduce sexual violence on campus are urgently needed.
Acknowledgments
This research was supported by Grant R21-AA018257 from the National Institute on Alcohol Abuse and Alcoholism to Michael P. Carey. The funding source had no role in the design or conduct of the study; the collection, analysis and interpretation of the data; the preparation of the manuscript; or the decision to submit the manuscript for publication. The authors thank Annelise Sullivan for assistance with data collection
Footnotes
Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
Contributor Information
Kate B. Carey, Brown University School of Public Health.
Sarah Durney, Brown University School of Public Health.
Robyn L. Shepardson, Syracuse VA Center for Integrated Healthcare.
Michael P. Carey, The Miriam Hospital & Brown University.
References
- 1.Kilpatrick DG, Resnick HS, Ruggierio KJ, Conoscenti MA, McCauley J. Drug-facilitated, incapacitated, and forcible rape: A national study. Charleston, SC: Medical University of South Carolina; 2007. [Google Scholar]
- 2.Krebs CP, Lindquist CH, Warner TD, Fisher BS, Martin SL. College women’s experiences with physically forced, alcohol- or other drug-enabled, and drug-facilitated sexual assault before and since entering college. J Am Coll Health. 2009;57:639–47. doi: 10.3200/JACH.57.6.639-649. [DOI] [PubMed] [Google Scholar]
- 3.Lawyer S, Resnick H, Bakanic V, Burkett T, Kilpatrick D. Forcible, drug-facilitated, and incapacitated rape and sexual assault among undergraduate women. J Am Coll Health. 2010;58:453–60. doi: 10.1080/07448480903540515. [DOI] [PubMed] [Google Scholar]
- 4.Mohler-Kuo M, Dowdall GW, Koss MP, Wechsler H. Correlates of rape while intoxicated in a national sample of college women. J Stud Alcohol. 2004;65(1):37–45. doi: 10.15288/jsa.2004.65.37. [DOI] [PubMed] [Google Scholar]
- 5.Messman-Moore TL, Coates AA, Gaffey KJ, Johnson CF. Sexuality, substance use, and susceptibility to victimization: risk for rape and sexual coercion in a prospective study of college women. J Interpers Violence. 2008;23:1730–46. doi: 10.1177/0886260508314336. [DOI] [PubMed] [Google Scholar]
- 6.Testa M, Hoffman JH. Naturally occurring changes in women’s drinking from high school to college and implications for sexual victimization. J Stud Alcohol Drugs. 2012;73:26–33. doi: 10.15288/jsad.2012.73.26. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 7.Fielder RL, Walsh JL, Carey KB, Carey MP. Sexual hookups and adverse health outcomes: a longitudinal study of first-year college women. J Sex Res. 2014;51:131–44. doi: 10.1080/00224499.2013.848255. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Testa M, Hoffman JH, Livingston JA, Turrisi R. Preventing college women’s sexual victimization through parent based intervention: a randomized controlled trial. Prev Sci. 2010;11:308–18. doi: 10.1007/s11121-010-0168-3. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Messman-Moore TL, Ward RM, Zerubavel N. The role of substance use and emotion dysregulation in predicting risk for incapacitated sexual revictimization in women: results of a prospective investigation. Psychol Addict Behav. 2013;27:125–32. doi: 10.1037/a0031073. [DOI] [PubMed] [Google Scholar]
- 10.Gidycz CA, Orchowski LM, Edwards KM. Primary prevention of sexual violence. In: Koss MP, White JW, Kazdin AE, editors. Violence against women and children: Navigating solutions. Vol. 2. Washington DC: American Psychological Association; 2011. pp. 159–79. [Google Scholar]