Abstract

Child and adolescent sexual abuse (CSA) is an important global health problem, especially in non-Western low- and middle-income countries. A number of studies have indicated that, in Latin American countries, male CSA is phenomenon of great concern. However, research on this topic is seriously lacking, and more specifically, on male-on-male CSA. We carried out a qualitative and quantitative secondary analysis of 680 cases of alleged male-on-male CSA that occurred between the years 2017 and 2018 in the Caribbean Region of Colombia. We analyzed the contents of forensic interviews with the alleged victims, conducted by professionals working at the Colombian Institute of Legal Medicine and Forensic Sciences. Our findings indicated a high prevalence of cases of alleged male-on-male CSA among young minors. Most of these cases were allegedly perpetrated by offenders known to the victim and involved high levels of violence. Evidence-based and culturally grounded preventative actions, such as training-based programs for teachers and parents among other public health initiatives are needed to address this type of CSA. Further research is also required to gain a more fine-grained understanding of the cultural and social context of CSA in the Caribbean Latin American countries.

Highlights

  • Numerous studies provide strong evidence for considering child and adolescent sexual abuse (CSA) an important global health problem

  • We carried out a secondary analysis of a medico-legal dataset of case records of alleged Child and adolescent sexual abuse (CSA) during the years 2017 and 2018 in the Caribbean region of Colombia, provided to us by the Colombian Institute of Legal Medicine and Forensic (CILMFS)

  • Based on census data from the Government of Colombia [55], the Unsatisfied Needs Index (UNI) is a proxy measure of the level of social and economic development of each municipality, as it quantifies the percentage of population with unmet needs in areas such as quality of housing, crowding, income and education of the household head, and school attendance of minors

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Summary

Introduction

Numerous studies provide strong evidence for considering child and adolescent sexual abuse (CSA) an important global health problem. A large body of literature has reported the short-term and long-term consequences of CSA on both the physical and mental health of the victims [5,6,7,8]. These consequences include anal injury and sexually transmitted infections [9], anxiety and depression [10], post-traumatic stress. Public Health 2020, 17, 8248; doi:10.3390/ijerph17218248 www.mdpi.com/journal/ijerph

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