Armed conflict database (acd)2/29/2024 ![]() In some settings, as many as one in four forced marriages took place before the girls reached 18 years old. The prevalence estimates available indicate that females were more likely than males to be victims of sexual exploitation in conflict settings. ![]() The evidence was limited and not generalizable, due to few prevalence estimates and inconsistent definitions of “sexual exploitation”. The search identified 29 eligible papers with evidence of sex trafficking and sexual exploitation in armed conflict settings in twelve countries in Africa, Asia, and the Middle East. The review adhered to PRISMA guidelines and includes quality appraisal. We extracted prevalence measures, health outcomes and sexual exploitation terminology definitions. We focused on sexual exploitation in forms of early or forced marriage, forced combatant sexual exploitation and sexual slavery. ![]() International definitions of “sexual exploitation” and “sex trafficking” set the indicator parameters. We conducted a systematic search of ten databases and extensive grey literature to gather evidence of sex trafficking and sexual exploitation in conflict-affected settings. Sex trafficking and sexual exploitation has been widely reported, especially in conflict-affected settings, which appear to increase women’s and children’s vulnerabilities to these extreme abuses. ![]()
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