public forms of sexual violence are more likely in conflict while sexual abuse and violence in more closed institutions as with sexual violence against women and girls as well as against those of nonbinary gender identities sexual violence against men is about gendered and patriarchal power and domination one of the main reasons why sgbv against men and boys is so effective in undermining survivors selves is that it strikes at multiple levels what it means to be a man in many societies this includes to be able to protect oneself the family and the community to be a breadwinner as this might become impossible because of the injuries incurred especially where manual labour is the main opportunity available to partake in the leadership of the family and community and to not seek outside help or support