Abstract
Objective
To study the prevalence and spectrum of sexual abuse among adolescents in Kerala, South India.
Methods
A self- report survey was conducted among adolescents in the 15–19 y age group, studying in the plus one and plus two classes in selected schools.
Results
Of the 1614 respondents (688 boys and 926 girls), 36 % of boys and 35 % of girls had experienced sexual abuse at some point during their lifetime. Most instances were sexual advances while using public transport. Feelings of insecurity and isolation at home, of being disliked by parents and of being depressed were significantly more in adolescents who had experienced sexual abuse, compared to those who had not.
Conclusions
Sexual abuse is widely prevalent and both boys and girls are equally susceptible. There is a need to evolve strategies to protect children from sexual abuse and the programmes should address both boys and girls.
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References
World Health Organization. Report of the consultation on child abuse prevention. Geneva: World Health Organization; 29–31 March 1999. Document WHO/HSC/PVI/99.1.
Senn TE, Carey MP, Vanable PA, Coury-Doniger P, Urban M. Characteristics of sexual abuse in childhood and adolescence influence sexual risk behavior in adulthood. Arch Sex Behav. 2007;36:637–45.
Arnow BA. Relationships between childhood maltreatment, adult health and psychiatric outcomes, and medical utilization. J Clin Psychiatry. 2004;65:S10–5.
Briere J, Elliott DM. Prevalence and psychological sequelae of self-reported childhood physical and sexual abuse in a general population sample of men and women. Child Abuse Negl. 2003;27:1205–22.
Bulik CM, Prescott CA, Kendler KS. Features of childhood sexual abuse and the development of psychiatric and substance use disorders. Br J Psychiatry. 2001;179:444–9.
Callahan KL, Price JL, Hilsenroth MJ. Psychological assessment of adult survivors of childhood sexual abuse within a naturalistic clinical sample. J Pers Assess. 2003;80:173–84.
Molnar BE, Buka SL, Kessler RC. Child sexual abuse and subsequent psychopathology: Results from the National Comorbidity Survey. Am J Public Health. 2001;91:753–60.
Barth J, Bermetz L, Heim E, Trelle S, Tonia T. The current prevalence of child sexual abuse worldwide: A systematic review and meta-analysis. Int J Public Health. 2013;58:469–83.
Pereda N, Guilera G, Forns M, Gómez-Benito J. The prevalence of child sexual abuse in community and student samples: A meta-analysis. Clin Psychol Rev. 2009;29:328–38.
Stoltenborgh M, van Ijzendoorn MH, Euser EM, Bakermans-Kranenburg MJ. A global perspective on child sexual abuse: Meta-analysis of prevalence around the world. Child Maltreat. 2011;16:79–101.
Tulir CPHCSA and Save the Children Sweden, South and Central Asia region. Doesn’t every child count? Research on prevalence and dynamics of child sexual abuse among school going children in Chennai. Available at: http://www.tulir.org/images/pdf/. Accessed 2 July 2013.
Deb S, Modek S. Prevalence of violence against children in families in tripura and its relationship with socio-economic factors. J Inj Violence Res. 2010;2:5–18.
Kacker L, Varadan S, Kumar P. Study on Child Abuse INDIA 2007’. Ministry of Women and Child Development, Government of India. Available at: http://www.wcd.nic.in/childabuse.pdf. Accessed 2 July 2013.
Macmillan HL, Tanaka M, Duku E, Vaillancourt T, Boyle MH. Child physical and sexual abuse in a community sample of young adults: results from the Ontario Child Health Study. Child Abuse Negl. 2013;37:14–21.
Glasser M, Kolvin I, Campbell D, Glasser A, Leitch I, Farrelly S. Cycle of child sexual abuse: Links between being a victim and becoming a perpetrator. Br J Psychiatry. 2001;179:482–94.
Salter D, McMillan D, Richards M, Talbot T, Hodges J, Bentovim A, et al. Development of sexually abusive behaviour in sexually victimised males: A longitudinal study. Lancet. 2003;361:471–6.
Skuse D, Bentovim A, Hodges J, Stevenson J, Andreou C, Lanyado M, et al. Risk factors for development of sexually abusive behaviour in sexually victimised adolescent boys: Cross sectional study. BMJ. 1998;317:175–9.
Carey PD, Walker JL, Rossouw W, Seedat S, Stein DJ. Risk indicators and psychopathology in traumatized children and adolescents with a history of sexual abuse. Eur Child Adolesc Psychiatry. 2008;17:93–8.
Newcomb MD, Munoz DT, Carmona JV. Child sexual abuse consequences in community samples of Latino and European American adolescents. Child Abuse Negl. 2009;33:533–44.
Dong M, Anda RF, Dube RS, Giles WH, Felitti JV. The relationship of exposure to childhood sexual abuse to other forms of abuse, neglect, and household dysfunction during childhood. Child Abuse Negl. 2003;27:625–39.
Acknowledgments
The authors acknowledge the contribution of Ms. V. Joana (Social Worker, IMHANS), Ms. Sushama. SR and Mr. Amal Thomas (Clinical Psychologists, IMHANS) in data collection. They also thank Mr. Mathews Varghese, Associate Editor, Malayala Manorama and his team for their help in organizing the study.
Conflict of Interest
None.
Role of Funding Source
The study was carried out with the financial support from the Malayala Manorama Ltd.
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Krishnakumar, P., Satheesan, K., Geeta, M.G. et al. Prevalence and Spectrum of Sexual Abuse Among Adolescents in Kerala, South India. Indian J Pediatr 81, 770–774 (2014). https://doi.org/10.1007/s12098-013-1260-z
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DOI: https://doi.org/10.1007/s12098-013-1260-z