Sexual harassment is a major problem in higher education systems worldwide with major impacts on students. This study aims to describe and synthesise quantitative data on sexual harassment prevalence among higher education students.
Methods:
We searched seven databases. We included studies published in English and French from 2000 until 2023 if they measured sexual harassment prevalence on students attending higher education, and they were quantitative cross-sectional studies. Prevalence estimates disaggregated by gender identity and world region were meta-analysed using a random effects model and reported following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidance.
Results:
We identified 53 articles, from six different world regions. The meta-analysed prevalence of sexual harassment was 43.7% for women, 16.8% for men, 33.4% for transgender and gender diverse people and 38.2% for healthcare students. The Eastern Mediterranean region had the highest prevalence estimates for women’s sexual harassment, and the Region of the Americas had the highest prevalence estimates for men’s sexual harassment.
Conclusions:
Higher education institutions, especially in low and middle-income countries, should commit to the conduct of surveys to monitor the prevalence of sexual harassment, and policymakers should allocate specific funds and resources to support the implementation of sexual harassment prevention and intervention initiatives in higher education, prioritising the safety and wellbeing of students.
FitzgeraldLFShullmanSLBaileyN.The incidence and dimensions of sexual harassment in academia and the workplace. J Vocat Behav1988;32:152–175. doi.org/10.1016/0001-8791(88)90012-7
SivertsenBNielsenMBMadsenIEH, et al. Sexual harassment and assault among university students in Norway: a cross-sectional prevalence study. BMJ Open2019;9:e026993. doi:10.1136/bmjopen-2018-026993
5.
KhineATSawYMHtutZY, et al. Assessing risk factors and impact of cyberbullying victimization among university students in Myanmar: a cross-sectional study. PloS One2020;15:e0227051. doi:10.1371/journal.pone.0227051
6.
SnaychukLAO’NeillML.Technology-facilitated sexual violence: prevalence, risk, and resiliency in undergraduate students. J Aggress Maltreatment Trauma2020;29:984–99. doi:10.1080/10926771.2019.1710636
7.
AizpuruaECaravaca-SánchezFStephensonA.Victimization status of female and male college students in Spain: prevalence and relation to mental distress. J Interpers Violence2021;36:4988–5010. doi:10.1177/0886260518802848
8.
BastianiFRomitoPSaurel-CubizollesMJ.Mental distress and sexual harassment in Italian university students. Arch Womens Ment Health2019;22:229–236. doi:10.1007/s00737-018-0886-2
9.
BarbierJMCarrardVSchwarzJ, et al. Exposure of medical students to sexism and sexual harassment and their association with mental health: a cross-sectional study at a Swiss medical school. BMJ Open2023;13:e069001. doi:10.1136/bmjopen-2022-069001
TavolacciMPKarmalyAEl Gharbi-HamzaN, et al. Gender-based violence among healthcare students: prevalence, description and associated factors. PloS One2023;18:e0288855. doi:10.1371/journal.pone.0288855
12.
BondestamFLundqvistM.Sexual harassment in higher education – a systematic review. Eur J High Educ2020;10:397–419. doi:10.1080/21568235.2020.1729833
13.
AguilarSJBaekC.Sexual harassment in academe is underreported, especially by students in the life and physical sciences. PloS One2020;15:e0230312. doi:10.1371/journal.pone.0230312
14.
JordanCECombsJLSmithGT.An exploration of sexual victimization and academic performance among college women. Trauma Violence Abuse2014;15:191–200. doi:10.1177/1524838014520637
15.
MengoCBlackBM.Violence victimization on a college campus: impact on GPA and school dropout. J Coll Stud Retent Res Theory Pract2016;18:234–248. doi:10.1177/1521025115584750
16.
LatchevaR.Sexual harassment in the European Union: a pervasive but still hidden form of gender-based violence. J Interpers Violence2017;32:1821–1852. doi:10.1177/0886260517698948
17.
RanganathanMWamoyiJPearsonI, et al. Measurement and prevalence of sexual harassment in low- and middle-income countries: a systematic review and meta-analysis. BMJ Open2021;11:e047473. doi:10.1136/bmjopen-2020-047473
18.
CantorDFisherBChibnallS, et al. Report on the AAU Campus Climate Survey on Sexual Assault and Sexual Misconduct. Assoc Am Univ2019. Located at: rayyan-643582231. https://ira.virginia.edu/sites/ira/files/2022-11/aau-uva-campus-climate-survey-report-2019_508.pdf
19.
National Academies of Sciences, Engineering, and Medicine, Policy and Global Affairs, Committee on Women in Science, Engineering, and Medicine, Committee on the Impacts of Sexual Harassment in Academia. Sexual Harassment of Women: Climate, Culture, and Consequences in Academic Sciences, Engineering, and Medicine [Internet]. BenyaFFWidnallSEJohnsonPA (eds). Washington (DC): National Academies Press (US); 2018 Jun 12. PMID: 29894119.
20.
KleinLBMartinSL.Sexual harassment of college and university students: a systematic review. Trauma Violence Abuse2021;22:777–792. doi:10.1177/1524838019881731
21.
SpencerCMRivas-KoehlMAstleS, et al. Factors correlated with sexual assault victimization among college students in the United States: a meta-analysis. Trauma Violence Abuse 2024;25:246-259. doi:10.1177/15248380221146800
22.
SteeleBMartinMSciarraA, et al. The prevalence of sexual assault among higher education students: a systematic review with meta-analyses. Trauma Violence Abuse 2024;25:1885-1898. doi:10.1177/15248380231196119
23.
HardtSStöcklHWamoyiJ, et al. Sexual harassment in low- and middle-income countries: a qualitative systematic review. Trauma Violence Abuse2023;24:3346–3362. doi:10.1177/15248380221127255
24.
FnaisNSoobiahCChenMH, et al. Harassment and discrimination in medical training: a systematic review and meta-analysis. Acad Med2014;89:817–827. doi:10.1097/ACM.0000000000000200
25.
McClellandGHorneMDearnleyC, et al. Experiences and outcomes among undergraduate health professional higher education students with protected characteristics: disability, gender, and ethnicity. J Psychol Issues Organ Cult2015; 6:38-64. doi:10.1002/jpoc.21168
OuzzaniMHammadyHFedorowiczZ, et al. Rayyan – a web and mobile app for systematic reviews. Syst Rev2016;5:210. doi:10.1186/s13643-016-0384-4
28.
LombardMSnyder-DuchJBrackenCC.Content analysis in mass communication: assessment and reporting of intercoder reliability. Hum Commun Res2002;28:587–604. doi:10.1111/j.1468-2958.2002.tb00826.x
29.
PopovaSLangeSProbstC, et al. Estimation of national, regional, and global prevalence of alcohol use during pregnancy and fetal alcohol syndrome: a systematic review and meta-analysis. Lancet Glob Health2017;5:e290–e299. doi:10.1016/S2214-109X(17)30021-9
30.
FedinaLBenderAETibbitsJ, et al. Dating abuse and harassment among sexual and gender minority U.S. college students. LGBT Health2023;10:S79–S88. doi:10.1089/lgbt.2023.0109
31.
GrinerSBVamosCAThompsonEL, et al. The intersection of gender identity and violence: victimization experienced by transgender college students. J Interpers Violence2020;35:5704–5725. doi:10.1177/0886260517723743
32.
BorgognaNCLathanECAitaSL.Sexual and gender minority victimization: base rates of assault in college students across sexual and gender identities. J Interpers Violence2023;38:5613–5637. doi:10.1177/08862605221124253
33.
AgardhAPriebeGEmmelinM, et al. Sexual harassment among employees and students at a large Swedish university: who are exposed, to what, by whom and where – a cross-sectional prevalence study. BMC Public Health2022;22:2240. doi:10.1186/s12889-022-14502-0
34.
BarendregtJJDoiSALeeYY, et al. Meta-analysis of prevalence. J Epidemiol Community Health2013;67:974–978. doi:10.1136/jech-2013-203104
35.
MunnZMoolaSLisyK, et al. Methodological guidance for systematic reviews of observational epidemiological studies reporting prevalence and cumulative incidence data. Int J Evid Based Healthc2015;13:147–153. doi:10.1097/XEB.0000000000000054
36.
HigginsJPTGreenS. Cochrane Handbook for Systematic Reviews of Interventions [Internet]. Wiley-Blackwell. 2008 [cited 2024 Apr 3]. https://training.cochrane.org/handbook
37.
ViechtbauerW.Conducting meta-analyses in R with the metafor package. J Stat Softw2010;36:1–48. doi:10.18637/jss.v036.i03
38.
BatesDMächlerMBolkerB, et al. Fitting linear mixed-effects models using lme4. J Stat Softw2015;67:1–48. doi:10.18637/jss.v067.i01
39.
AlbertKCouture-CarronASchneiderhanE.Non-physical and ambient sexual harassment of women undergraduate university students in Canada: A diary study. Violence Against Women. 2024;30:2345-2370. doi:10.1177/107780122311533.
40.
KelleyMLParsonsB.Sexual harassment in the 1990s: A university-wide survey of female faculty, administrators, staff, and students. J High Educ. 2000;71:548-568. doi:10.2307/2649259
41.
KearneyLKGilbertLA.The role of ethnicity in Mexican American and non-Hispanic white students’ experience of sexual harassment. Hisp J Behav Sci2012;34:507–524. doi:10.1177/0739986312461134
42.
McClainTKammer-KerwickMWoodL, et al. Sexual harassment among medical students: prevalence, prediction, and correlated outcomes. Workplace Health Saf2021;69:257–267. doi:10.1177/2165079920969402
43.
ThéorêtVHébertMBergeronM, et al. A latent class analysis of campus sexual violence experiences based on its forms and consequences. J Aggress Maltreatment Trauma2022;32:1548–1567. doi:10.1080/10926771.2022.2142181
44.
GretgrixEFarmerC.Heteronormative assumptions and expectations of sexual violence: language and inclusivity within sexual violence policy in Australian universities. Sex Res Soc Policy2022;20:735–750. doi:10.1007/s13178-022-00718-7
45.
D’AugelliAR.Lesbian and gay male undergraduates’ experiences of harassment and fear on campus. J Interpers Violence1992;7:383–395. doi:10.1177/088626092007003007
46.
FedinaLHolmesJLBackesBL.Campus sexual assault: a systematic review of prevalence research from 2000 to 2015. Trauma Violence Abuse2018;19:76–93. doi:10.1177/1524838016631129
47.
HibinoYHitomiYKambayashiY, et al. Exploring factors associated with the incidence of sexual harassment of hospital nurses by patients. J Nurs Scholarsh Off Publ Sigma Theta Tau Int Honor Soc Nurs2009;41:124–131. doi:10.1111/j.1547-5069.2009.01244.x
48.
FitzgeraldLFGelfandMJDrasgowF.Measuring sexual harassment: theoretical and psychometric advances. Basic Appl Soc Psychol1995;17:425–445. doi:10.1207/s15324834basp1704_2
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