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Physical and Mental Health of Sexually Abused Boys: a 5 Year Matched-Control and Cohort Study

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Abstract

The goal of the current study was to explore the rates of medical consultation and hospitalizations of sexually abused boys. Specifically, to examine if sexually abused boys had higher rates of medical consultations and hospitalizations for physical and mental health problems than boys from the general population. Administrative databases were used to compare medical diagnoses of 222 boys with a substantiated sexual abuse report with those of 222 matched-controls. Results revealed that sexually abused boys were up to five times more likely than those from the general population to consult a physician for mental health problems. With regards to physical health problems, sexually abused boys were as likely as those from the general population to consult a physician, but up to 10 times more likely to be hospitalized.

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References

  • Ackard, D. M., & Neumark-Sztainer, D. (2003). Multiple sexual victimizations among adolescent boys and girls: prevalence and associations with eating behaviours and psychological health. Journal of Child Sexual Abuse, 12(1), 17–37.

    Article  PubMed  Google Scholar 

  • Afifi, T. O., MacMillan, H. L., Boyle, M., Taillieu, T., Cheung, K., & Sareen, J. (2014). Child abuse and mental disorders in Canada. Canadian Medical Association Journal, 186(9), E324–E332. doi:10.1503/cmaj.131792.

    Article  PubMed  PubMed Central  Google Scholar 

  • Afifi, T. O., MacMillan, H. L., Taillieu, T., Cheung, K., Turner, S., Tonmyr, L., & Hovdestad, W. (2015). Relationship between child abuse exposure and reported contact with child protection organizations: results from the Canadian Community Health Survey. Child Abuse & Neglect., 46, 198–206. doi:10.1016/j.chiabu.2015.05.001.

    Article  Google Scholar 

  • Barth, J., Bermetz, L., Heim, E., Trelle, S., & Tonia, T. (2013). The current prevalence of child sexual abuse worldwide: a systematic review and meta-analysis. International Journal of Public Health, 58(3), 469–483. doi:10.1007/s00038-012-0426-1.

    Article  PubMed  Google Scholar 

  • Belsky, J. (1993). Etiology of child maltreatment: a developmental-ecological analysis. Psychological Bulletin, 114(3), 413–434.

    Article  PubMed  Google Scholar 

  • Brand, E. F., King, C. A., Olson, E., Ghaziuddin, N., & Naylor, M. (1996). Depressed adolescents with a history of sexual abuse: Diagnostic comorbidity and suicidality. Journal of the American Academy of Child & Adolescent Psychiatry, 35(1), 34–41.

  • Brownell, M. D., & Jutte, D. P. (2013). Administrative data linkage as a tool for child maltreatment research. Child Abuse & Neglect, 37(2), 120–124.

    Article  Google Scholar 

  • Canadian Institutes of Health Research, Natural Sciences and Engineering Research Council of Canada, & Social Sciences and Humanities Research Council of Canada. (2014). Tri-council policy statement: ethical conduct for research involving humans (TCPS2) (RR4-2/2014E-PDF). Ottawa: Interagency Secretariat on Research Ethics. Retrieved from http://www.pre.ethics.gc.ca/eng/policy-politique/initiatives/tcps2-eptc2/Default/.

    Google Scholar 

  • Chartier, M. J., Walker, J. R., & Naimark, B. (2007). Childhood abuse, adult health, and health care utilization: results from a representative community sample. American Journal of Epidemiology, 165(9), 1031–1038.

    Article  PubMed  Google Scholar 

  • Chartier, M. J., Walker, J. R., & Naimark, B. (2009). Health risk behaviours and mental health problems as mediators of the relationship between childhood abuse and adult health. American Journal of Public Health, 99(5), 847–854. doi:10.2105/AJPH.2007.122408.

    Article  PubMed  PubMed Central  Google Scholar 

  • Collin-Vézina, D., Hélie, S., & Trocmé, N. (2010). Is child sexual abuse declining in Canada? An analysis of child welfare data. Child Abuse & Neglect, 34(11), 807–812. doi:10.1016/j.chiabu.2010.05.004.

    Article  Google Scholar 

  • Cutajar, M. C., Mullen, P. E., Ogloff, J. R., Thomas, S. D., Wells, D. L., & Spataro, J. (2010). Psychopathology in a large cohort of sexually abused children followed up to 43 years. Child Abuse & Neglect, 34(11), 813–822. doi:10.1016/j.chiabu.2010.04.004.

    Article  Google Scholar 

  • Daigneault, I., Hébert, M., Bourgeois, C., Dargan, S., & Frappier, J.-Y. (2016). Santé mentale et physique des filles et garçons agressés sexuellement : une étude de cas contrôle apparié avec un suivi de cohorte sur 10 ans. Criminologie.

  • Darves-Bornoz, J.-M., Choquet, M., Ledoux, S., Gasquet, I., & Manfredi, R. (1998). Gender differences in symptoms of adolescents reporting sexual assault. Social Psychiatry and Psychiatric Epidemiology, 33(3), 111–117.

    Article  PubMed  Google Scholar 

  • Dong, M., Giles, W. H., Felitti, V. J., Dube, S. R., Williams, J. E., Chapman, D. P., & Anda, R. F. (2004). Insights into causal pathways for ischemic heart disease: adverse childhood experiences study. Circulation, 110(13), 1761–1766. doi:10.1161/01.CIR.0000143074.54995.7F.

    Article  PubMed  Google Scholar 

  • Doty, D. H., & Glick, W. H. (1998). Common methods bias: does common methods variance really bias results? Organizational Research Methods, 1(4), 374–406.

    Article  Google Scholar 

  • Euser, S., Alink, L. R., Tharner, A., IJzendoorn, M. H., & Bakermans-Kranenburg, M. J. (2015). The prevalence of child sexual abuse in out-of-home care: increased risk for children with a mild intellectual disability. Journal of Applied Research in Intellectual Disabilities. doi:10.1111/jar.12160.

    PubMed  Google Scholar 

  • Feiring, C., Taska, L., & Lewis, M. (1999). Age and gender differences in children’s and adolescents’ adaptation to sexual abuse. Child Abuse and Neglect, 23(2), 115–128.

    Article  PubMed  Google Scholar 

  • Fergusson, D. M., Horwood, J. L., & Lynskey, M. T. (1996). Childhood sexual abuse and psychiatric disorder in young adulthood: II. psychiatric outcomes of childhood sexual abuse. Journal of American Academy of Child and Adolescent Psychiatry, 34(10), 1365–1374.

    Article  Google Scholar 

  • Fergusson, D. M., Boden, J. M., & Horwood, L. (2008). Exposure to childhood sexual and physical abuse and adjustment in early adulthood. Child Abuse & Neglect, 32(6), 607–619. doi:10.1016/j.chiabu.2006.12.018.

    Article  Google Scholar 

  • Fergusson, D. M., McLeod, G. F. H., & Horwood, L. J. (2013). Childhood sexual abuse and adult developmental outcomes: findings from a 30-year longitudinal study in New Zealand. Child Abuse & Neglect, 37(9), 664–674. doi:10.1016/j.chiabu.2013.03.013.

    Article  Google Scholar 

  • Finkelhor, D., Shattuck, A., Turner, H. A., & Hamby, S. L. (2014). The lifetime prevalence of child sexual abuse and sexual assault assessed in late adolescence. Journal of Adolescent Health, 55(3), 329–333. doi:10.1016/j.jadohealth.2013.12.026.

    Article  PubMed  Google Scholar 

  • Galdas, P. M., Cheater, F., & Marshall, P. (2005). Men and health help-seeking behaviour: literature review. Journal of Advanced Nursing, 49(6), 616–623.

    Article  PubMed  Google Scholar 

  • Garnefski, N., & Arends, E. (1998). Sexual abuse and adolescent maladjustment: differences between male and female victims. Journal of Adolescence, 21(1), 99–107.

    Article  PubMed  Google Scholar 

  • Hillberg, T., Hamilton-Giachritsis, C., & Dixon, L. (2011). Review of meta-analyses on the association between child sexual abuse and adult mental health difficulties: a systematic approach. Trauma, Violence & Abuse, 12(1), 38–49. doi:10.1177/1524838010386812.

    Article  Google Scholar 

  • Homma, Y., Wang, N., Saewyc, E., & Kishor, N. (2012). The relationship between sexual abuse and risky sexual behavior among adolescent boys: a meta-analysis. Journal of Adolescent Health, 51(1), 18–24. doi:10.1016/j.jadohealth.2011.12.032.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hussey, J. M., Chang, J. J., & Kotch, J. B. (2006). Child maltreatment in the United States: prevalence, risk factors, and adolescent health consequences. Pediatrics, 118(3), 933–942.

    Article  PubMed  Google Scholar 

  • Irish, L., Kobayashi, I., & Delahanty, D. L. (2010). Long-term physical health consequences of childhood sexual abuse: a meta-analytic review. Journal of Pediatric Psychology, 35(5), 450–461.

    Article  PubMed  Google Scholar 

  • Kendall-Tackett, K. A. (2013). Treating the lifetime health effects of childhood victimization (2nd ed.). Kingston: Civic Research Institute.

    Google Scholar 

  • Kendall-Tackett, K. A., Williams, L. M., & Finkelhor, D. (1993). Impact of sexual abuse on children: a review and synthesis of recent empirical studies. Psychological Bulletin, 113(1), 164–180. doi:10.1037/0033-2909.113.1.164.

    Article  PubMed  Google Scholar 

  • Lanier, P., Jonson-Reid, M., Stahlschmidt, M. J., Drake, B., & Constantino, J. (2010). Child maltreatment and pediatric health outcomes: a longitudinal study of low-income children. Journal of Pediatric Psychology, 35(5), 511–522. doi:10.1093/jpepsy/jsp086.

    Article  PubMed  Google Scholar 

  • Leach, C., Baksheev, G. N., & Powell, M. (2015). Child sexual abuse research: challenges of case tracking through administrative databases. Psychiatry, Psychology and Law. doi:10.1080/13218719.2015.1019333.

    Google Scholar 

  • MacMillan, H. L. (2010). Commentary: child maltreatment and physical health: a call to action. Journal of Pediatric Psychology, 35(5), 533–535. doi:10.1093/jpepsy/jsq017.

    Article  PubMed  Google Scholar 

  • Maikovich-Fong, A. K., & Jaffee, S. R. (2010). Sex differences in childhood sexual abuse characteristics and victims’ emotional and behavioural problems: findings from a national sample of youth. Child Abuse and Neglect, 34(6), 429–437. doi:10.1016/j.chiabu.2009.10.006.

    Article  PubMed  PubMed Central  Google Scholar 

  • Maniglio, R. (2009). The impact of child sexual abuse on health: a systematic review of reviews. Clinical Psychology Review, 29(7), 647–657. doi:10.1016/j.cpr.2009.08.003.

    Article  PubMed  Google Scholar 

  • McCarthy-Jones, S., & McCarthy-Jones, R. (2014). Body mass index and anxiety/depression as mediators of the effects of child sexual and physical abuse on physical health disorders in women. Child Abuse & Neglect, 38(12), 2007–2020. doi:10.1016/j.chiabu.2014.10.012.

    Article  Google Scholar 

  • Miller, G. E., & Chen, E. (2010). Harsh family climate in early life presages the emergence of pro-inflammatory phenotype in adolescence. Psychological Science, 21(6), 848–856. doi:10.1177/0956797610370161.

    Article  PubMed  PubMed Central  Google Scholar 

  • Miller, G. E., Chen, E., & Parker, K. J. (2011). Psychological stress in childhood and susceptibility to the chronic diseases of aging: moving toward a model of behavioural and biological mechanisms. Psychological Bulletin, 137(6), 959–997. doi:10.1037/a0024768.

    Article  PubMed  PubMed Central  Google Scholar 

  • MSSS. (2001). Orientations gouvernementales en matière d’agression sexuelle. Québec: La Direction des communications du ministère de la Santé et des Services sociaux. Retrieved from http://publications.msss.gouv.qc.ca/acrobat/f/documentation/2000/00-807-1.pdf.

    Google Scholar 

  • MSSS. (2008). Faire un signalement au DPJ, c’est déjà protéger un enfant. Québec, Canada.

  • Mueser, K. T., Salyers, M. P., Rosenberg, S. D., Goodman, L. A., Essock, S. M., Osher, F. C., Swartz, M. S., & Butterfield, M. I. (2004). Interpersonal trauma and posttraumatic stress disorder in patients with severe mental illness: demographic, clinical, and health correlates. Schizophrenia Bulletin, 30(1), 45–57.

    Article  PubMed  Google Scholar 

  • Pampalon, R., & Raymond, G. (2000). A deprivation index for health and welfare planning in Quebec. Chronic Diseases in Canada, 21(3), 104–113.

    PubMed  Google Scholar 

  • Repetti, R. L., Taylor, S. E., & Seeman, T. E. (2002). Risky families: family social environments and the mental and physical health of offspring. Psychological Bulletin, 128(2), 330–366. doi:10.1037/0033-2909.128.2.330.

    Article  PubMed  Google Scholar 

  • Rhodes, A. E., Boyle, M. H., Tonmyr, L., Wekerle, C., Goodman, D., Leslie, B., Mironova, P., Bethell, J., & Manion, I. (2011). Sex differences in childhood sexual abuse and suicide-related behaviours. Suicide and Life-Threatening Behavior, 41(3), 235–254. doi:10.1111/j.1943-278X.2011.00025.x.

    Article  PubMed  Google Scholar 

  • Rogosch, F. A., Dackis, M. N., & Cicchetti, D. (2011). Child maltreatment and allostatic load: consequences for physical and mental health in children from low-income families. Development and Psychopathology, 23(4), 1107–1124. doi:10.1017/S0954579411000587.

    Article  PubMed  PubMed Central  Google Scholar 

  • Saewyc, E. M., & Edinburgh, L. D. (2009). Restoring healthy developmental trajectories for sexually exploited young runaway girls: fostering protective factors and reducing risk behaviours. Journal of Adolescent Health, 46(2), 180–188. doi:10.1016/j.jadohealth.2009.06.010.

    Article  PubMed  PubMed Central  Google Scholar 

  • Silverman, A. B., Reinherz, H. Z., & Giaconia, R. M. (1996). The long-term sequelae of child and adolescent abuse: A longitudinal community study. Child Abuse & Neglect, 20(8), 709–723.

  • Smith, B. N., Shipherd, J. C., Schuster, J. L., Vogt, D. S., King, L. A., & King, D. W. (2011). Posttraumatic stress symptomatology as a mediator of the association between military sexual trauma and post-deployment physical health in women. Journal of Trauma & Dissociation, 12(3), 275–289. doi:10.1080/15299732.2011.551508.

    Article  Google Scholar 

  • Spataro, J. (2004). Impact of child sexual abuse on mental health: prospective study in males and females. The British Journal of Psychiatry, 184(5), 416–421. doi:10.1192/bjp.184.5.416.

    Article  PubMed  Google Scholar 

  • Stoltenborgh, M., van Ijzendoorn, M. H., Euser, E. M., & Bakermans-Kranenburg, M. J. (2011). A global perspective on child sexual abuse: meta-analysis of prevalence around the world. Child Maltreatment, 16(2), 79–101. doi:10.1177/1077559511403920.

    Article  PubMed  Google Scholar 

  • Stoltenborgh, M., Bakermans-Kranenburg, M. J., Alink, L. R. A., & van Ijzendoorn, M. H. (2015). The prevalence of child maltreatment across the globe: review of a series of meta-analyses. Child Abuse Review, 24(1), 37–50. doi:10.1002/car.2353.

    Article  Google Scholar 

  • Tyler, K. A. (2002). Social and emotional outcomes of childhood sexual abuse: a review of recent research. Aggression and Violent Behavior, 7(6), 567–589. doi:10.1016/S1359-1789%2801%2900047-7.

    Article  Google Scholar 

  • Weeks, M., Cairney, J., Wild, T. C., Ploubidis, G. B., Naicker, K., & Colman, I. (2014). Early-life predictors of internalizing symptom trajectories in Canadian Children. Depression and Anxiety, 31(7), 608–616.

    Article  PubMed  Google Scholar 

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Acknowledgments

The authors wish to thank Denis Lacerte from the Centre jeunesse de Québec for his assistance with administrative databases. This study was made possible with financial support from the Ministry of Justice’s Fonds d’aide aux victimes d’actes criminels (FAVAC), from the Centre de recherche interdisciplinaire sur les problèmes conjugaux et l’agression sexuelle (CRIPCAS) and the Équipe violence sexuelle et santé (ÉVISSA). This study was funded by three grants to the first author: one from Quebec’s ministry of Justice (no. 126489), a second via a partnership grant from the Fonds de recherche Québecois – société et culture (no. 2015-RG-178804), and a third via a team grant from the Fonds de recherche Québecois – société et culture (no. 2012-SE-144392).

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Correspondence to Isabelle Daigneault.

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Isabelle Daigneault, Catherine Bourgeois, Pascale Vézina-Gagnon, Alexane Alie-Poirier, Sonia Dargan, Martine Hébert and Jean-Yves Frappier declare that they have no conflicts to report.

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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation with Canadian (Canadian Institutes of Health Research, Natural Sciences and Engineering Research Council of Canada & Social Sciences and Humanities Research Council of Canada 2014), and American ethical standards (IRB00004218, FWA00013911), and with the 1964 Helsinki Declaration of 1975, as revised in 2000. Data used in this study were taken from existing administrative databanks, thus informed consent was not obtained from individual participants.

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Daigneault, I., Bourgeois, C., Vézina-Gagnon, P. et al. Physical and Mental Health of Sexually Abused Boys: a 5 Year Matched-Control and Cohort Study. Journ Child Adol Trauma 10, 9–17 (2017). https://doi.org/10.1007/s40653-016-0120-1

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