Sexual abuse of boys: Short- and long-term associations and implications for HIV prevention.

Author(s):  
David W. Purcell ◽  
Robert M. Malow ◽  
Curtis Dolezal ◽  
Alex Carballo-Diéguez
2021 ◽  
pp. 133-140
Author(s):  
Cem UYSAL ◽  
Zeliha YILDIRIM

Sexual abuse is a global public health problem that causes many medical, legal, social and economic problems in the short and long term. In this study, it was aimed to evaluate the sociodemographic characteristics and variables of our sexual abuse cases with the literature data. We retrospectively analyzed 175 cases who applied to our department for sexual abuse between January 1, 2013 and December 31, 2018. It was determined that 143 of 175 cases were found under the age of 18. 91,4% of the cases in our study were female and 8,6% were male. It has been observed that victims are frequently abused by people they know. It was found that 17 of the cases were abused by their family members. It was observed that most of those who denied the incident were victims of incest. When the education status of the victims during the incident is examined; 60 (34.3%) cases were found to be at primary school level, 19 (10.9%) cases were found to be at secondary school level, 11 (6.3%) cases were found to be at high school level; It was determined that 78 of all cases (44.6%) still continue their education and 22 cases (12.6%) quit their education. Lesions were detected in the sexual examination of 45(25,7%) of 175 cases; 39 (22,3%) of these cases had acute lesions and 6 (3,4%) of these cases had chronic lesions. Pregnancy occurred in 4 of the victims. Suicide attempts of 8 (4,6%) cases were determined. As a result, sexual abuse is a problem that requires a multi-faceted approach. Common centers should be established to raise the awareness of the society, to prevent sexual abuse, and to support the victims psychologically and socially. Procedural challenges should be reduced, media support should be obtained, and primary protection activities should be organized.


2011 ◽  
Vol 2011 ◽  
pp. 1-6
Author(s):  
Ruth Wolf

The present paper discusses children who have been the victims of sexual abuse in their own family. It focuses on the special role of pediatricians and medical staff in identifying such children and providing them with initial assistance by reporting the situation to the authorities. The first part of the paper surveys the short- and long-term effects of childhood sexual abuse, including the physical and emotional impact of sexual exploitation and severe neglect. This section discusses the symptoms shown by abused children, and how they express and deal with their trauma. It is extremely important for pediatricians to be sensitive to the possibility of patients being abused at home, as this is an area still largely regarded as a societal taboo. Also included in this section a discussion of the effects that are manifested when the victim has grown to adulthood, such as personality disorders. The second part of the paper deals with how pediatricians must act when they encounter such a situation in which they suspect sexual abuse in the family. They should strive to identify the problem and bring it to the attention of the authorities. Discovery of the problem is the most vital part of the path to the victim's recovery. The paper also discusses the aspect of treatment, advising doctors who encounter this problem on ways of dealing with it.


2010 ◽  
Vol 43 (1) ◽  
pp. 31-49 ◽  
Author(s):  
Paola Valerio ◽  
Georgia Lepper

The link between childhood sexual abuse (CSA) and psychiatric disorders in adulthood is well documented. Because much CSA is enshrouded in secrecy, group work is often recommended as a method of treatment. While studies show good outcomes in short-term groups, there are fewer studies of long-term analytic groups for survivors of CSA. This study compares outcomes in long and short-term groups and explores the findings through analysis of the process of one long-term group.


2020 ◽  
pp. 088626052094852 ◽  
Author(s):  
Francieli Sufredini ◽  
Carmen Leontina Ojeda Ocampo Moré ◽  
Scheila Krenkel ◽  
Maria Aparecida Crepaldi

Child and adolescent sexual abuse is considered to be a serious public health concern and a devastating form of violence with serious physical, mental, and behavioral consequences in the short and long term. This qualitative study aimed to identify maternal reactions to the disclosure of sexual violence and explore the comprehension regarding child and adolescent sexual abuse held by the mothers of child victims. Twelve mothers were interviewed, whose children had experienced a situation of sexual abuse and were receiving psychosocial care in a municipality in southern region of Brazil. The collected data were organized and analyzed using the principles of Grounded Theory with the Atlas.ti 7.5.7 software. From the analysis of the narratives, three main categories emerged: mothers with positive reactions, mothers with ambivalent reactions, and mothers with negative reactions. Mothers that presented positive reactions believed the report and supported their children, showing a comprehension that sexual abuse can occur in different ways and not only when there is penetration. The participants that had ambivalent reactions oscillated between maintaining or breaking off the relationship with the perpetrator of the violence, expressed initial disbelief regarding the report of the abused child, and had a comprehension that sexual abuse could be a form of affection. Mothers that had a negative reaction to the disclosure of abuse presented a contradictory narrative, minimizing the effects of the violence and placing the victims at fault regarding the abuse suffered. The importance of considering the possible relationships between the maternal comprehensions regarding child and adolescent sexual abuse and the reactions of these mothers during the professional intervention was demonstrated.


2001 ◽  
Vol 13 (4) ◽  
pp. 1001-1019 ◽  
Author(s):  
PENELOPE K. TRICKETT ◽  
JENNIE G. NOLL ◽  
ALLAN REIFFMAN ◽  
FRANK W. PUTNAM

This study examines short- and long-term maladaptive outcomes in a sample of sexually abused females and a comparison group. The sample consists of intrafamilial sexual abuse victims ages 6–16 years at entry into the study and a demographically similar comparison group. The outcomes examined included measures of behavior and psychological problems such as aggressive behavior, depression, dissociation, and low self-esteem; and measures at two time points, first at entry into the study (median age 11 years) and approximately 7 years later (median age 18 years). The specific questions being addressed were (a) whether subgroups or profiles, based on the specific characteristics of the sexual abuse experienced, can be identified in this sample of abused females; and (b) whether these profile groups predict different patterns of adverse short- or long-term outcomes.


2020 ◽  
pp. 088626052095865
Author(s):  
Noga Tsur ◽  
Carmit Katz ◽  
Bella Klebanov

The literature on child sexual abuse (CSA) has contributed significantly to the understanding of its characteristics, epidemiology, and consequences. Considerably less attention has been dedicated, however, to the subjective experiences of the abused children, and more specifically to their experiences of pain. The current study explored the way children perceive and describe pain during and shortly following incidents of sexual abuse. The sample was comprised of 35 transcripts of forensic interviews following alleged CSA. Thematic analysis of the children’s narratives identified three themes: (a) pain during the abusive incidents, described using words indicating its intensity and quality; (b) pain shortly after the abusive incidents, including weeks later, and (c) pain as embedded within the complex dynamic with perpetrator. The children struggled to localize the pain, mainly using words such as “inside” and “deep.” Moreover, they testified that in the course of the abusive incidents, they were often silenced when trying to communicate their pain to the perpetrators. The children’s narratives provided us with a unique opportunity to learn about the pain not only during the abusive incidents but also following it. Additionally, children described suffering from pain in areas that were not directly injured during the CSA incidents, mainly referring to the head, abdomen and legs. The discussion addresses the potential intervening factors in peritraumatic CSA pain, as well as its potential links with chronic post-traumatic physical and mental morbidity. This study illuminates the necessity to address the complicated links between short- and long-term physical, emotional, cognitive, and interpersonal manifestations of CSA.


2018 ◽  
Vol 7 (1) ◽  
pp. 14-25
Author(s):  
Anita Sharma ◽  
Kamala Rana Magar

Sexual abuse is a pervasive public health problem that affects all directly or indirectly causing many short- and long-term struggles for victims, families, communities and the whole social system. Although sexual abuse is growing as a major problem in community, especially among the adolescents the trend and facts have not been explored adequately. Therefore, a descriptive study entitled "Awareness on Sexual Abuse among Adolescents" was carried out among 114 students of grade 9 and 10 in Tribhuvan Secondary School at Baglung Municipality. Census method was adopted and self-administered structured questionnaire was used for data collection. Data was analyzed using SPSS Version 16. Descriptive and inferential statistics were used to analyze the data. The findings revealed, almost 51 percent had low level of awareness on sexual abuse, and prevalence rate of sexual abuse was 18.4 percent. Out of 114 respondents, 38.6 percent were of age 14 years and 66.7 percent of the respondents were studying in grade 10. The highest proportion 38.6 percent were Brahmin and 71.0 percent got information about sexual abuse from their teachers. More than half (59.6%) respondents define try to rape as a sexual abuse. There was significant association between education of respondents with awareness on sexual abuse. It is concluded that the awareness on sexual abuse is low among adolescents therefore there is need of awareness program and education to adolescents in the school and community for improving their knowledge as well as to make them aware of sexual abuse.


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