Marital sexual violence in Sohag, Egypt: a cross-sectional survey of prevalence, knowledge, attitudes, and sociodemographic factors in a sample of ever-married women

Abstract Background Marital Sexual Violence (MSV) or marital rape is a concealed form of domestic violence that may confront a forensic doctor. Respecting religious and social beliefs, referring to marital rape as MSV is more appropriate. This study aimed to investigate the prevalence of and attitude (supportive or non-supportive) towards MSV in a sample of married or previously married women in Sohage governorate. Methods A validated questionnaire was administered to 358 women to assess demographics, knowledge, attitudes, prevalence, and consequences of MSV. Participants were categorized as “supportive” or “non-supportive” based on a 16-item scale. Results Most of the study participants (73.46%) were non-supportive of MSV, with urban residence, education, and older husband age identified as significant predictors of this view. Most participants understood and acknowledged the harm of MSV but rejected the term “marital rape,” and prioritized marital stability over reporting abuse. The total prevalence was 20.1%. Exposed women had psychological (100%), physical/sexual (86%), and social (75%) impacts. Conclusions MSV is a truly existing problem in Upper Egypt characterized by significant multidimensional trauma and cultural barriers to disclosure. The study recommends culturally sensitive and collaborative approaches, as well as further research involving male partners, to address the causes and develop solutions.