Child sexual abuse reported by an English national sample: characteristics and demography

  • Paul E. BebbingtonEmail author
  • S. Jonas
  • T. Brugha
  • H. Meltzer
  • R. Jenkins
  • C. Cooper
  • M. King
  • S. McManus
Original Paper



The 2007 adult psychiatric morbidity survey in England provides detailed information of high quality about sexual abuse. Given the major psychiatric implications of child sexual abuse (CSA), we aimed to establish its sociodemographic distribution in the general population.


The experience of sexual abuse was elicited in a random sample of the English household population (N = 7,353), using computer assisted self-completion interviewing. Respondents were handed a laptop, and entered their responses to detailed questions. The interviewer was blind to their responses. CSA was defined as occurring before the age of 16.


2.9% of women and 0.8% of men reported CSA involving non-consensual intercourse, figures that rose to 11.1 and 5.3% if experiences involving sexual touching were included. CSA was common before puberty, but peaked in adolescence. CSA greatly increased the chance in adulthood both of further sexual abuse (OR 10.6; CI 8.9–12.6), and of prostitution (OR 3.3; CI 1.9–5.5). There was no association with ethnicity or social class, but people over 65 were less likely to report CSA. The odds of CSA were doubled in those not brought up with both biological parents until the age of 16.


CSA is common, particularly in women, and is not the preserve of any particular social group. Its frequency and its association with psychiatric consequences render it a major public health issue.


Sexual abuse Psychiatric disorder Demography Epidemiology Survey 


Conflict of interest statement

None of the authors has any financial involvement or affiliation with any organisation whose financial interests may be affected by material in the manuscript.


  1. 1.
    Bebbington PE, Bhugra D, Brugha T, Farrell M, Lewis G, Meltzer H, Jenkins R, Lewis G, Meltzer H (2004) Psychosis, victimisation and childhood disadvantage: evidence from the Second British National Survey of Psychiatric Epidemiology. Br J Psychiatry 185:220–226CrossRefPubMedGoogle Scholar
  2. 2.
    Bebbington PE, Cooper C, Minot S, Brugha TS, Jenkins R, Meltzer H, Dennis M (2009) Suicide attempts, gender and sexual abuse: data from the British psychiatric morbidity survey 2000. Am J Psychiatry 166:1135–1140CrossRefPubMedGoogle Scholar
  3. 3.
    Bebbington PE, Jonas S, Kuipers E, King M, Cooper C, Brugha T, Meltzer H, McManus S, Jenkins R (2010) Sexual abuse and psychosis: English National Survey data 2007 (submitted)Google Scholar
  4. 4.
    Bolen RM, Scannapieco M (1999) Prevalence of child sexual abuse: a corrective metanalysis. Soc Serv Rev 73:281–313CrossRefGoogle Scholar
  5. 5.
    Bulik CM, Prescott CA, Kendler KS (2001) Features of childhood sexual abuse and the development of psychiatric and substance use disorder. Br J Psychiatry 179:444–449CrossRefPubMedGoogle Scholar
  6. 6.
    Classen CC, Palesh OG, Aggarwal R (2005) Sexual revictimization: a review of the empirical literature. Trauma Violence Abuse 6:103–129CrossRefPubMedGoogle Scholar
  7. 7.
    Cloitre M, Tardiff K, Marzuk PM, Leon AC, Portera L (1996) Childhood abuse and subsequent sexual assault among female inpatients. J Traumatic Stress 9:473–482CrossRefGoogle Scholar
  8. 8.
    Coxell A, King M, Mezey G, Gordon D (1999) Lifetime prevalence, characteristics and associated problems of non-consensual sex in men: a cross sectional survey. Br Med J 318:846–850Google Scholar
  9. 9.
    Dinwiddie S, Heath AC, Dunne MP, Bucholz KK, Madden PAF, Slutske WS, Bierut LJ, Statham DB, Martin NG (2000) Early sexual abuse and lifetime psychopathology: a co-twin-control study. Psychol Med 30:41–52CrossRefPubMedGoogle Scholar
  10. 10.
    Fergusson DM, Horwood LJ, Woodward LJ (2000) The stability of child abuse reports: a longitudinal study of the reporting behaviour of young adults. Psychol Med 30:529–544CrossRefPubMedGoogle Scholar
  11. 11.
    Finkelhor D (1994) The international epidemiology of child sexual abuse. Child Abuse Negl 18:409–417CrossRefPubMedGoogle Scholar
  12. 12.
    Fricker AL, Smith DW, Davis JL, Hanson RF (2003) Effects of context and question type on endorsement of child sexual abuse. J Traumatic Stress 16:265–268CrossRefGoogle Scholar
  13. 13.
    Gillham B, Tanner G, Cheyne B, Freeman I, Rooney M, Lambie A (1998) Unemployment rates, single parent density, and indices of child poverty: their relationship to different categories of child abuse and neglect. Child Abuse Negl 22:79–90CrossRefPubMedGoogle Scholar
  14. 14.
    Goodman LA, Thompson KM, Weinfurt K, Corl S, Acker P, Mueser KT, Rosenberg SD (1999) Reliability of reports of violent victimization and posttraumatic stress disorder among men and women with serious mental health. J Trauma Stress 12:587–599CrossRefPubMedGoogle Scholar
  15. 15.
    Gorey KM, Leslie DR (1997) The prevalence of child sexual abuse: integrative review adjustment for potential response and measurement biases. Child Abuse Negl 21:391–398CrossRefPubMedGoogle Scholar
  16. 16.
    Holmes WC (2007) Men’s childhood sexual abuse histories by one-parent versus two-parent status of childhood home. J Epidemiol Community Health 61:319–325CrossRefPubMedGoogle Scholar
  17. 17.
    Horwitz AV, Widom CS, McLaughlin J, White HR (2001) The impact of childhood abuse and neglect on adult mental health: a prospective study. J Health Soc Behav 42:184–201CrossRefPubMedGoogle Scholar
  18. 18.
    Janssen I, Krabbendam L, Bak M, Hanssen M, Vollebergh W, de Graaf R, van Os J (2004) Childhood abuse as a risk factor for psychotic experiences. Acta Psychiatr Scand 109:38–45CrossRefPubMedGoogle Scholar
  19. 19.
    Jenkins R, Meltzer H, Bebbington P, Brugha T, Farrell M, McManus S, Singleton N (2009) The British Mental Health Survey Programme: achievements and latest findings. Soc Psychiatry Psychiatr Epidemiol 44:899–904CrossRefPubMedGoogle Scholar
  20. 20.
    Jonas S, Bebbington PE, McManus S, Meltzer H, Jenkins R, Kuipers E, Cooper C, King M, Brugha T (2010) Sexual abuse and psychiatric disorder in England: results from the 2007 adult psychiatric morbidity survey. Psychol Med (in press)Google Scholar
  21. 21.
    Kendler KS, Bulik CM, Silberg J, Hettema JM, Myers J, Prescott CA (2000) Childhood sexual abuse and adult psychiatric and substance use disorders in women—an epidemiological and cotwin control analysis. Arch Gen Psychiatry 57:953–959CrossRefPubMedGoogle Scholar
  22. 22.
    Kenny MC, McEachern AG (2000) Racial, ethnic, and cultural factors of childhood sexual abuse: a selected review of the literature. Clin Psychol Rev 20:905–922CrossRefPubMedGoogle Scholar
  23. 23.
    Kish L (1965) Survey sampling. Wiley, New YorkGoogle Scholar
  24. 24.
    Lindholm KJ, Willey R (1986) Ethnic differences in child abuse and sexual abuse. Hisp J Behav Sci 8:111–125CrossRefGoogle Scholar
  25. 25.
    MacMillan HL, Fleming JE, Streiner DL, Lin E, Boyle MH, Jamieson E, Duku EK, Walsh CA, Wong MYY, Beardslee WR (2001) Childhood abuse and lifetime psychopathology in a community sample. Am J Psychiatry 158:1878–1883CrossRefPubMedGoogle Scholar
  26. 26.
    May-Chahal C, Cawson P (2005) Measuring child maltreatment in the United Kingdom: a study of the prevalence of child abuse and neglect. Child Abuse Negl 29:943–1070CrossRefGoogle Scholar
  27. 27.
    McManus S, Meltzer H, Brugha T, Bebbington P, Jenkins R (2009). Adult psychiatric morbidity in England, 2007: results of a household survey, National Centre for Social ResearchGoogle Scholar
  28. 28.
    Meltzer H, Gill B, Petticrew M, Hinds K (1995) OPCS Surveys of Psychiatric Morbidity in Great Britain, Report 1: the prevalence of psychiatric morbidity among adults living in private households. London, HMSOGoogle Scholar
  29. 29.
    Miner MH, Flitter JMK, Robinson BE (2006) Association of sexual revictimization with sexuality and psychological function. J Interpers Violence 21:503–524CrossRefPubMedGoogle Scholar
  30. 30.
    Moisan PA, Sanders-Phillips K, Moisan PM (1997) Ethnic differences in circumstances of abuse and symptoms of depression and anger among sexually abused Black and Latino boys. Child Abuse Negl 21:473–488CrossRefPubMedGoogle Scholar
  31. 31.
    Molnar BE, Buka SL, Kessler RC (2001) Child sexual abuse and subsequent psychopathology: Results from the National Comorbidity Survey. Am J Public Health 91:753–760CrossRefPubMedGoogle Scholar
  32. 32.
    Morgan C, Fearon P (2007) Social experience and psychosis: insights from studies of migrant and ethnic minority groups. Epidemiol Psichiatr Soc 16:118–123PubMedGoogle Scholar
  33. 33.
    Muenzenmaier K, Meyer I, Struening E, Ferber J (1993) Childhood abuse and neglect among women outpatients with chronic mental illness. Hosp Community Psychiatr 44:666–670Google Scholar
  34. 34.
    Nelson EC, Heath AC, Lynskey MT, Bucholz KK, Madden PAF, Statham DJ, Martin NG (2006) Childhood sexual abuse and risks for licit and illicit drug related outcomes: a twin study. Psychol Med 36:1473–1483CrossRefPubMedGoogle Scholar
  35. 35.
    Putnam FW (2003) Ten-year research update review: child sexual abuse. J Am Acad Child Adolesc Psychiatry 42:269–278CrossRefPubMedGoogle Scholar
  36. 36.
    Read J, van Os J, Morrison AP, Ross CA (2005) Childhood trauma, psychosis and schizophrenia: a literature review with theoretical and clinical implications. Acta Psychiatr Scand 112:330–350CrossRefPubMedGoogle Scholar
  37. 37.
    Singleton N, Bumpstead R, O’Brien M, Lee A, Meltzer H (2001) Psychiatric morbidity among adults living in private households, 2000. TSO, LondonGoogle Scholar
  38. 38.
    StataCorp (2008) Stata Statistical Software: Release 10.0. Stata Corporation, College Station, TXGoogle Scholar

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Paul E. Bebbington
    • 1
    Email author
  • S. Jonas
    • 1
  • T. Brugha
    • 2
  • H. Meltzer
    • 2
  • R. Jenkins
    • 3
  • C. Cooper
    • 1
  • M. King
    • 1
  • S. McManus
    • 4
  1. 1.Department of Mental Health SciencesUCLLondonUK
  2. 2.Department of Health Sciences, Leicester General HospitalUniversity of LeicesterLeicesterUK
  3. 3.Institute of Psychiatry, Kings College LondonLondonUK
  4. 4.National Centre for Social ResearchLondonUK

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