Abstract
OBJECTIVE--To measure the cumulative prevalence of child sexual abuse in a representative sample of the adolescent population of Geneva. DESIGN--Cross sectional survey with an anonymous self administered questionnaire centred on a factual description of sexual activities. SETTING--68 classes (17 schools) randomly selected from the 201 ninth grade classes of the public school system in Geneva. SUBJECTS--1193 adolescents aged 13-17 years, of whom 1116 (93.5%; 568 girls, 548 boys) consented to the study and returned completed questionnaires. RESULTS--192 (33.8%) girls and 60 (10.9%) boys reported having experienced at least one sexually abusive event. The prevalence of abuse involving physical contact was 20.4% (116 cases) among girls and 3.3% (18) among boys. The prevalence of abuse involving some form of penetration was 5.6% (32 cases) among girls and 1.1% (six) among boys. One third of the abused adolescents had experienced more than one abusive event and 46.5% (92/198) had experienced the first event before age 12. Abuse by a family member was reported by 20.5% (36/176) of abused girls and 6.3% (3/48) of abused boys. Abusers were known to victims in two thirds of cases. Ninety per cent of abusers were male and 35.3% (71/201) came from the victim's peer group. Over 80% of participants found the questionnaire interesting, clearly formulated, and useful. CONCLUSIONS--Child sexual abuse is a universal social phenomenon. Adolescents themselves can contribute to research and so help in the search for more efficient prevention and intervention strategies.
Full text
PDF![1326](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86ec/2351043/7b20a1feab06/bmj00543-0022.png)
![1327](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86ec/2351043/e3c3a759d53a/bmj00543-0023.png)
![1328](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86ec/2351043/350fc0eaea78/bmj00543-0024.png)
![1329](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86ec/2351043/5bd050d8b2c7/bmj00543-0025.png)
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Browne A., Finkelhor D. Impact of child sexual abuse: a review of the research. Psychol Bull. 1986 Jan;99(1):66–77. [PubMed] [Google Scholar]
- Ernst C., Angst J., Földényi M. The Zurich Study. XVII. Sexual abuse in childhood. Frequency and relevance for adult morbidity data of a longitudinal epidemiological study. Eur Arch Psychiatry Clin Neurosci. 1993;242(5):293–300. doi: 10.1007/BF02190389. [DOI] [PubMed] [Google Scholar]
- Finkelhor D., Dziuba-Leatherman J. Children as victims of violence: a national survey. Pediatrics. 1994 Oct;94(4 Pt 1):413–420. [PubMed] [Google Scholar]
- Finkelhor D. The international epidemiology of child sexual abuse. Child Abuse Negl. 1994 May;18(5):409–417. doi: 10.1016/0145-2134(94)90026-4. [DOI] [PubMed] [Google Scholar]
- Haugaard J. J., Emery R. E. Methodological issues in child sexual abuse research. Child Abuse Negl. 1989;13(1):89–100. doi: 10.1016/0145-2134(89)90032-x. [DOI] [PubMed] [Google Scholar]
- Kendall-Tackett K. A., Williams L. M., Finkelhor D. Impact of sexual abuse on children: a review and synthesis of recent empirical studies. Psychol Bull. 1993 Jan;113(1):164–180. doi: 10.1037/0033-2909.113.1.164. [DOI] [PubMed] [Google Scholar]
- Narring F., Michaud P. A. Methodological issues in adolescent health surveys: the case of the Swiss Multicenter-adolescent Survey on Health. Soz Praventivmed. 1995;40(3):172–182. doi: 10.1007/BF01318638. [DOI] [PubMed] [Google Scholar]
- Plunkett A., Oates R. K. Methodological considerations in research on child sexual abuse. Paediatr Perinat Epidemiol. 1990 Jul;4(3):351–360. doi: 10.1111/j.1365-3016.1990.tb00657.x. [DOI] [PubMed] [Google Scholar]
- Sariola H., Uutela A. The prevalence of child sexual abuse in Finland. Child Abuse Negl. 1994 Oct;18(10):827–835. doi: 10.1016/0145-2134(94)90062-0. [DOI] [PubMed] [Google Scholar]
- Scott K. D. Childhood sexual abuse: impact on a community's mental health status. Child Abuse Negl. 1992;16(2):285–295. doi: 10.1016/0145-2134(92)90035-p. [DOI] [PubMed] [Google Scholar]
- Widom C. S. Child abuse, neglect, and adult behavior: research design and findings on criminality, violence, and child abuse. Am J Orthopsychiatry. 1989 Jul;59(3):355–367. doi: 10.1111/j.1939-0025.1989.tb01671.x. [DOI] [PubMed] [Google Scholar]
- Wyatt G. E., Peters S. D. Methodological considerations in research on the prevalence of child sexual abuse. Child Abuse Negl. 1986;10(2):241–251. doi: 10.1016/0145-2134(86)90085-2. [DOI] [PubMed] [Google Scholar]