Very few studies examine sexual violence perpetrated on adolescents in Ghana or in sub-Saharan Africa more generally. Using data collected in 2015 as part of a multi-country initiative, we employed multinomial logit models to examine violence experienced by Ghanaian adolescents at sexual debut. Results of our gender-specific models showed violence at sexual debut is gendered. While adolescent girls reported higher levels of forced sex (rape) at sexual debut, boys reported higher levels of coercion. Compared to those who had sex at relatively older ages, girls who had sex at younger ages were significantly more likely to say they were raped, were coerced or that sex ‘just happened’ than to report sex was wanted. Both male and female adolescents were significantly more likely to report sex was forced than wanted if the sexual partner was older. Female respondents who lived with family members other than their parents were significantly more likely to report forced sex (rape). We recommend government and interested stakeholders to promote social norms that discourage violence against adolescents. School-based programs, such as Ghana’s comprehensive sexuality education, must focus on equipping adolescents with the confidence and skills required to handle cultural pressures and the power differences that characterize sexual relationships.

很少有研究检查在加纳或撒哈拉以南非洲地区青少年普遍遭受的性暴力。作为多国计划的一部分，我们使用2015年收集的数据，采用了多项logit模型来检查加纳青少年在性爱首次亮相时所经历的暴力行为。我们针对特定性别的模型的结果显示，性爱首次露脸时的暴力是性别。青春期女孩在首次性交时被强迫做爱（强奸）的水平较高，而男孩则被强迫进行性行为的水平较高。与那些在相对较大年龄做爱的女孩相比，在较小年龄做爱的女孩说被强奸，被胁迫或性“刚发生”的可能性要比报告性要大得多。如果性伴侣年龄较大，则男性和女性青少年报告性行为的可能性明显高于被迫。与父母以外的家庭成员一起生活的女性受访者更有可能报告强迫性行为（强奸）。我们建议政府和感兴趣的利益相关者推广不鼓励针对青少年的暴力行为的社会规范。加纳全面的性教育等以学校为基础的计划，必须着重于使青少年具备应对文化压力和表征性关系的能力差异所需的信心和技能。