Child Sexual Behavior Research Articles

Adverse Experiences in Childhood and Sexually Transmitted Infection Risk From Adolescence Into Adulthood.

Childhood maltreatment, particularly sexual abuse, has been found to be associated with sexual risk behaviors later in life. We aimed to evaluate associations between a broad range of childhood traumas and sexual risk behaviors from adolescence into adulthood. Using data from Waves I, III and IV of the National Longitudinal Study of Adolescent to Adult Health (Add Health), we used logistic regression to estimate the unadjusted odds ratio (OR) and adjusted OR (AOR) for associations between 9 childhood traumas and a cumulative trauma score and three sexual risk outcomes (multiple partnerships, sex trade involvement, and sexually transmitted infection [STI]) in adolescence, young adulthood, and adulthood. We also examined modification of these associations by gender. Associations between cumulative trauma score and sexual risk outcomes existed at all waves, though were strongest during adolescence. Dose-response-like relationships were observed during at least 1 wave of the study for each outcome. Violence exposures were strong independent correlates of adolescent sexual risk outcomes. Parental binge drinking was the only trauma associated with biologically confirmed infection in young adulthood (AOR, 1.46; 95% confidence interval [CI], 1.01-2.11), whereas parental incarceration was the trauma most strongly associated with self-reported STI in adulthood (AOR, 1.70; 95% CI, 1.11-2.58). A strong connection was also found between sexual abuse and sex trade in the young adulthood period (AOR, 2.17; 95% CI, 1.43-2.49). A broad range of traumas are independent correlates of sex risk behavior and STI, with increasing trauma level linked to increasing odds of sexual risk outcomes. The results underscore the need to consider trauma history in STI screening and prevention strategies.

Analisis Perilaku Pencegahan Child Sexual Abuse Oleh Orang Tua Pada Anak Usia Sekolah

Child abuse is part of the kind of violence that is characterized by any properties of hurting or harassing of sexual. Child sexual abuse is not only a negative impact on the micro level only (individual and family), but it also could have an impact on the process of social development in the future will come. Preventive child sexual abuse in school age children is not optimal due to several factors. The aim of research to analyze factors associated with child abuse prevention behavior of school-age children (6-8 years). The research design is correlational design with cross sectional approach. The population is all mothers in SDN Kawedusan 1 Kediri much as 73 mothers with a sample of 22 respondents taken by purposive sampling technique. The result showed mostly maternal age 20-35 years old, high school educated, have jobs as the private sector, knowledge of early sexual education categories of good and positive maternal attitude towards the prevention of child sexual abuse in school-age children. Based on the analysis of Spearmean rho test obtained child sexual abuse prevention behaviors in school-age children have a correlation with the mother's age factor (p = 0.021), maternal education (p = 0.028), mother's occupation (p = 0.036), knowledge mothers about early sexual education (p = 0.002) and attitude of mothers in the prevention of child sexual abuse behavior (p = 0.001). Based on these results it is expected that the capital increase knowledge about sexual education early in order to carry out the role in sex education so that preventive measures implemented in the environment of child sexual abuse.; Keywords: analysis, mother, behavior, child, sexual, abuse

"Victim, Perpetrator, or Just My Brother?" Sibling Sexual Abuse in Large Families: A Child Advocacy Center Study.

Sibling sexual abuse (SSA) is a continuum of childhood sexual behaviors that do not fit the category of age-appropriate curiosity. Although SSA may be the most prevalent and longest lasting form of intrafamilial sexual abuse-as well as the one with the worst repercussions-it is also the least reported, studied, and treated. Based on 100 mostly religious Jewish families referred to a child advocacy center (CAC) in Jerusalem from 2010 to 2015, this qualitative study examines SSA characteristics, dynamics, and perceptions of deviancy in multisibling subsystems. The findings are based on an analysis of case summaries, demographic charts, and documented conversations between social workers and siblings. Qualitative document analysis reveals two types of SSA dynamics: "identified perpetrator" and "routine relationship," the latter being a particularly understudied dynamic that challenges common stereotypes. We also found sibling perceptions of deviancy to vary along a continuum from deviant to completely normative. These perceptions are affected by the type of dynamics as well as by factors associated with disclosure. Our findings highlight the importance of studying the lived experiences of children involved in SSA as an input with critical policy, treatment, and research implications. Interventions must be adjusted to the family system and sibling subsystem's perceptions and needs to avoid treatment that exacerbates the crisis already experienced by the family. Common assumptions-there must be a "perpetrator"; abuse is necessarily traumatic; and treatment should focus on the trauma-are challenged by the routine type. We conclude that treatment should account for the complexity of SSA by shedding these assumptions and considering the sibling subsystem as an autonomous unit within the large family.

635. The Influence of Intelligence, Cortical Thickness, Surface Area, and White Matter Connectivity on Child Sexual Abuse Behavior by Pedophiles

635. The Influence of Intelligence, Cortical Thickness, Surface Area, and White Matter Connectivity on Child Sexual Abuse Behavior by Pedophiles

Neuroticism as a risk factor for child abuse in victims of childhood sexual abuse

Findings on the relationship of experienced sexual abuse and abuse behavior in adulthood are ambiguous. However, associations between experienced abuse and neuroticism as well as between neuroticism and active child abuse have been reported repeatedly. In our study, we compared pedosexual child abusers with consumers of internet child pornography and control subjects with adult-sexual preference with regard to traumatic childhood experience (Childhood Trauma Questionnaire, CTQ), personality traits (NEO – Personality Inventory – Revised, NEO-PI-R), and sexual abnormalities (Multiphasic Sex Inventory, MSI). In an initial analysis, sexual abuse experienced in childhood was not directly linked to sexual abuse behavior in adulthood. However, this relationship was mediated by neuroticism. In a second step, the CTQ scales were conflated and, using a structural equation model, direct links between the overall level of abuse experienced in childhood (generally high CTQ levels) and sexual abuse behavior in adulthood revealed again the mediation by neurotic personality. We conclude that the overall level of abuse experienced in childhood in general, and less sexual abuse experience in particular, modulates the tendency for child sexual abuse behavior in adulthood. Data suggest that, depending on the resilience of an individual, abuse experience during childhood increases the likelihood of developing neurotic personality traits in later life, which are in turn considered to increase the risk of child sexual abuse in child sex offenders.

Child Sexual Abuse.

1. Antonia Chiesa, MD* 2. Edward Goldson, MD* 1. *Pediatrics, University of Colorado School of Medicine, Children’s Hospital Colorado, Aurora, CO * Abbreviations: CDC: : Centers for Disease Control and Prevention HIV: : human immunodeficiency virus SANE: : Sexual Assault Nurse Examiner STI: : sexually transmitted infection 1. Clinicians should be aware that, in most cases, sexual abuse of a child is distinctly different from adult sexual assault. Usually there is no physical evidence of the abuse and delayed disclosure is common. 2. Developmental and behavioral histories are important components of a medical history for a sexual abuse diagnosis. Clinicians must be aware of normal sexual behaviors in children. The child’s developmental level also informs the approach to evaluation, including how much information can be obtained directly from the child. After completing this article, readers should be able to: 1. Review the epidemiology of child sexual abuse. 2. Recognize the history, signs, and symptoms of sexual abuse. 3. Recognize which patients require emergent evaluation and physical examination for sexual abuse or assault. 4. Describe the behavioral and emotional consequences of child sexual abuse. 5. Describe the normal process of disclosure. 6. Employ effective strategies for interviewing suspected victims of sexual abuse or assault. 7. Recognize that most children examined for sexual abuse have normal examination findings. 8. Discuss common abnormal anogenital findings associated with sexual abuse and differentiate them from those associated with accidental trauma and other medical conditions. 9. Plan appropriate collection of forensic evidence and laboratory evaluation during a sexual abuse concern. 10. Follow mandated reporting laws when there are suspicions of child sexual abuse. Child sexual abuse is one of the most challenging forms of child maltreatment encountered by pediatric clinicians. It is a highly emotional topic in our society, and although the legal and medical definitions appear to be relatively straightforward, it is very difficult to operationalize them in real-life circumstances. Social contexts affect awareness and cultural norms. High-profile cases with sports figures and clergy …

Child Sexual Behaviors in School Context: Age and Gender Differences

ABSTRACTThe main purpose of the study was to explore the child sexual behaviors that Italian teachers have observed in the school context. A representative sample of 227 children, from 5 to 10 years old, was rated by their teachers through the Child Sexual Behavior Inventory. Frequencies of sexual behaviors among children aged 5 to 6, 7 to 8, and 9 to 10 are presented. Younger children showed a broader range of sexual behaviors that decrease with the growing age, such as males in comparison to females. Moreover, findings showed that child sexual behavior is not only related to age and gender but also to family characteristics. These results suggested that child sexual behaviors reported by teachers through the Child Sexual Behavior Inventory may provide useful information about the development of children’s sexuality. The knowledge of age appropriate sexual behaviors can help teachers discern normal sexual behaviors from problematic sexual behaviors.

Clinical and demographic factors associated with sexual behaviour in children with autism spectrum disorders.

IntroductionThe sexual behaviour and development of children with autism spectrum disorders (ASDs) have been mostly overlooked in research and practice. This study aimed to determine the association between certain clinical and demographic factors found in a sample of children with ASDs, and their reported sexual behaviour (RSB).MethodsThe study was conducted at a school in Gauteng, South Africa, for learners with ASDs. Two questionnaires completed by caregivers/parents enquired about family stability, clinical profile and RSB (if any) in their child. RSB was analysed via three domains: self-care, socio-sexual skills and actual RSB, with additional information from school records.ResultsOf the 107 questionnaires distributed, only 31 parents responded and 24 agreed to participate. The 24 (100%) children included 10 pubertal and 14 pre-pubertal children, of which 18 (n = 18) had more stable primary caregiver statuses as well as more stable socioeconomic and family environments. Two of the 14 pre-pubertal children had abnormal self-care, whereas none of the 10 pubertal children had any abnormal self-care. Eight of the 18 children from more stable environments displayed abnormal sexual behaviours. Of the 6 children from less stable environments, two displayed more abnormal socio-sexual skills, whereas 9 of the 18 children from more stable environments displayed more abnormal sexual behaviour. In contrast with the postulated hypothesis that children from less stable socioeconomic and family environments would exhibit more abnormal sexual behaviours, this study did not find any evidence of such a relationship or association.ConclusionASDs are characterised by deficits in communication and social skills. These may lead to an affected individual struggling to develop appropriate sexual behaviour. If specific risk factors that contribute to the development of abnormal sexual behaviour can be identified, one can try to modify/prevent these where some degree of prevention or alleviation may be possible.

Clinical and demographic factors associated with sexual behaviour in children with autism spectrum disorders

Introduction: The sexual behaviour and development of children with autism spectrum disorders (ASDs) have been mostly overlooked in research and practice. This study aimed to determine the association between certain clinical and demographic factors found in a sample of children with ASDs, and their reported sexual behaviour (RSB).Methods: The study was conducted at a school in Gauteng, South Africa, for learners with ASDs. Two questionnaires completed by caregivers/parents enquired about family stability, clinical profile and RSB (if any) in their child. RSB was analysed via three domains: self-care, socio-sexual skills and actual RSB, with additional information from school records.Results: Of the 107 questionnaires distributed, only 31 parents responded and 24 agreed to participate. The 24 (100%) children included 10 pubertal and 14 pre-pubertal children, of which 18 (n = 18) had more stable primary caregiver statuses as well as more stable socioeconomic and family environments. Two of the 14 pre-pubertal children had abnormal self-care, whereas none of the 10 pubertal children had any abnormal self-care. Eight of the 18 children from more stable environments displayed abnormal sexual behaviours. Of the 6 children from less stable environments, two displayed more abnormal socio-sexual skills, whereas 9 of the 18 children from more stable environments displayed more abnormal sexual behaviour. In contrast with the postulated hypothesis that children from less stable socioeconomic and family environments would exhibit more abnormal sexual behaviours, this study did not find any evidence of such a relationship or association.Conclusion: ASDs are characterised by deficits in communication and social skills. These may lead to an affected individual struggling to develop appropriate sexual behaviour. If specific risk factors that contribute to the development of abnormal sexual behaviour can be identified, one can try to modify/prevent these where some degree of prevention or alleviation may be possible.

Clinical and demographic factors associated with sexual behaviour in children with autism spectrum disorders

<p><strong>Introduction:</strong> The sexual behaviour and development of children with autism spectrum disorders (ASDs) have been mostly overlooked in research and practice. This study aimed to determine the association between certain clinical and demographic factors found in a sample of children with ASDs, and their reported sexual behaviour (RSB).</p><p><strong>Methods:</strong> The study was conducted at a school in Gauteng, South Africa, for learners with ASDs. Two questionnaires completed by caregivers/parents enquired about family stability, clinical profile and RSB (if any) in their child. RSB was analysed via three domains: self-care, socio-sexual skills and actual RSB, with additional information from school records.</p><p><strong>Results:</strong> Of the 107 questionnaires distributed, only 31 parents responded and 24 agreed to participate. The 24 (100%) children included 10 pubertal and 14 pre-pubertal children, of which 18 (<em>n</em> = 18) had more stable primary caregiver statuses as well as more stable socioeconomic and family environments. Two of the 14 pre-pubertal children had abnormal self-care, whereas none of the 10 pubertal children had any abnormal self-care. Eight of the 18 children from more stable environments displayed abnormal sexual behaviours. Of the 6 children from less stable environments, two displayed more abnormal socio-sexual skills, whereas 9 of the 18 children from more stable environments displayed more abnormal sexual behaviour. In contrast with the postulated hypothesis that children from less stable socioeconomic and family environments would exhibit more abnormal sexual behaviours, this study did not find any evidence of such a relationship or association.</p><p><strong>Conclusion:</strong> ASDs are characterised by deficits in communication and social skills. These may lead to an affected individual struggling to develop appropriate sexual behaviour. If specific risk factors that contribute to the development of abnormal sexual behaviour can be identified, one can try to modify/prevent these where some degree of prevention or alleviation may be possible.</p>

Developmental Trajectories of Child Sexual Behaviors on the Path of Sexual Behavioral Problems: Evidence From a Prospective Longitudinal Study.

There is little information about the onset and the developmental course of child sexual behavior problems (SBPs), including sexually intrusive behaviors (SIBs). Using data from the Vancouver Longitudinal Study on the Psychosocial Development of Children, the current study examined the presence of distinct patterns of sexual development among children. A normative sample of preschoolers ( N = 354) with a small clinical subsample were followed from age 3 to 8 with repetitive measurements of sexual behaviors using a revised version of Child Sexual Behavior Inventory. Semiparametric group-based modeling identified four distinct sexual development trajectories: the very low (10.5%), the low declining (27.8%), the moderate stable (48.3%), and the high-rate increasing (13.4%). In contrast to the other developmental trajectories found, the high-rate-increasing pattern showed that sexual behaviors became increasingly extensive after school entry. Children characterized by this developmental pattern, especially boys, were more likely to be involved in SIBs after elementary school entry than those in the other groups. Findings highlight the presence of multiple developmental trajectories of sexual development with significantly different behavioral patterns after school entry.

The Role of Entitlement, Self-Control, and Risk Behaviors on Dating Violence Perpetration.

Dating violence continues to be pervasive among college students (Stappenbeck & Fromme, 2010). Given the paucity of research investigating the various pathways through which risk factors are linked to dating violence among different college campuses, we use multiple group path analysis to examine the role of child abuse, self-control, entitlement, and risky behaviors on dating violence perpetration among college students from one Southeastern and one Midwestern university. There were 1,482 college students (51% female) enrolled in undergraduate courses at 2 large public universities who completed paper and pencil surveys. Dating violence perpetration was directly associated with gender, child physical abuse, and sexual and drug risk behaviors and indirectly associated with college Greek letter fraternity affiliation, self-control, and entitlement. Moreover, significant differences in the pathways to dating violence were found between the Southeast and Midwest campuses.

Gender differences in the association between childhood sexual abuse and risky sexual behaviours: A systematic review and meta-analysis

This meta-analytic review examines the association between childhood sexual abuse and risky sexual behaviours with sub-group analyses by gender. Systematic searches of electronic databases including MEDLINE, PubMed, EMBASE, and PsycINFO were performed using key terms. We used a priori criteria to include high quality studies and control for heterogeneities across eligible studies. The review was registered with PROSPERO and used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The final meta-analysis applied fixed-effects model to generate pooled odds ratio (OR). Subgroup analyses were conducted to identify potential methodological moderators. The meta-analysis included 8 eligible studies (N=38,989, females=53.1%). The overall syndemic of risky sexual behaviors at adulthood was 1.59 times more common in childhood sexual abuse victims. There was a similar association between childhood sexual abuse in general and subsequent risky sexual behaviors in both females and males. However, in cases of substantiated childhood sexual abuse, there was a greater odds of risky sexual behaviors in females (OR=2.72) than males (OR=1.69). The magnitude of association of childhood sexual abuse and risky sexual behaviors was similar for males and females regardless of study time, study quality score and method of childhood sexual abuse measurement. There were nonsignificant overall and subgroup differences between males and females. Childhood sexual abuse is a significant risk factor for a syndemic of risky sexual behaviors and the magnitude is similar both in females and males. More research is needed to explore possible mechanisms of association.

The role of risk and protective factors in the modification of risk for sexual victimization, sexual risk behaviors, and survival sex among homeless youth: A meta‐analysis

AbstractYouth homelessness is a multifaceted and significant social problem. For many homeless youth, the risk for exposure to sexual exploitation is high, with the experience of sexual victimization and engaging in sexual risk behaviors and survival sex commonplace. This meta‐analysis appraised internationally published literature to investigate the role of risk and protective factors in modifying the occurrence of sexual victimization, sexual risk behaviors, and survival sex among homeless youth. A comprehensive search of psychology, sociology, medicine, health, and criminology electronic abstraction databases was conducted for the period 1990–2016. Search terms included “homeless,” “rape,” “sexual victimization,” “unsafe sex,” and “survival sex.” The perpetration of sexual offences was included in the search strategy. Eighteen studies, examining sexual victimization, sexual risk behavior, and survival sex, met the inclusion criteria and were included in the meta‐analysis. All but two studies were conducted in the United States. No retrieved studies examined sexual offending; hence, this could not be included in the meta‐analysis. Findings showed that substance use, exposure to violence and crime (as victims and perpetrators), childhood abuse, sexual behavior, and peers' antisocial and sexual behavior were unique factors increasing the likelihood for each of sexual victimization, engagement in sexual risk behavior, and engagement in survival sex. Protective factors were peer and family social support. Moderator analyses showed that the influence of risk factors may differ based on study design, sample size, study country of origin, and participant age and gender. Findings suggest that risk and protective factors may be important mechanisms by which to modify the occurrence of adverse sexual behavior outcomes and better contextualize prevention and early intervention strategies for homeless youth.

Harmful sexual behaviour in children and young people.

Essential facts Harmful sexual behaviour is when children or young people engage in sexual discussions or acts that are inappropriate for their age or development. Many will grow out of these behaviours, so it is important they are not unnecessarily stigmatised.

Mentalization and dissociation in the context of trauma: Implications for child psychopathology

ABSTRACTDissociation is a common reaction subsequent to childhood sexual abuse (CSA) and has been identified as a risk factor for child psychopathology. There is also evidence that mentalization contributes to resilience in the context of abuse. However, at this stage little is known regarding the relationship between mentalization and dissociation, and their respective contributions to psychopathology. The aim of this study was to examine pathways from CSA to depressive symptoms, externalizing behaviour difficulties and sexualized behaviour through mentalization and dissociation. These pathways were examined in a sample of 168 mother-child dyads, including 74 dyads where children (aged 7–12) had histories of sexual abuse. Maternal mentalization was assessed using the Parent Development Interview-Revised and children’s mentalization was assessed using the Child Reflective Functioning Scale. Children completed the Child Depression Inventory and parents completed the Child Dissociative Checklist, the Child Behavior Checklist and the Child Sexual Behavior Inventory. Direct and indirect paths from CSA to child psychopathology via children’s mentalization and dissociation were examined using Mplus. Distinct paths from abuse to psychopathology were identified. Child mentalization partially mediated the relationship between CSA and depressive symptoms. The effects of CSA on externalizing symptoms and sexualized behaviour difficulties were sequentially mediated through mentalization and dissociation.

Children’s narratives of alleged child sexual abuse offender behaviors and the manipulation process.

OBJECTIVE: The aim of the current study is to examine offender behaviors and manipulation tactics described by children using a mixed method analysis. METHOD: The sample consisted of 95 randomly selected investigative interviews with children (aged 5 to 13 years) in which external evidence indicated a high probability that abuse occurred. An initial qualitative phase that aimed to identify key offender behaviors and manipulation tactics was followed by a quantitative phase, which explored the frequency of these tactics and their relations to children and abuse characteristics. RESULTS: In the qualitative phase, the children described the emotional rapport offenders exhibited with them, the manipulation of their families, and the use of temptation and coercion immediately before or after the abuse. In the quantitative analysis, the establishment of emotional rapport and manipulation of the families were the most frequent offender behaviors. Girls more frequently reported emotional rapport, and children who experienced multiple incidents reported the manipulation of families more often. CONCLUSIONS: In the current study the children's reports focused more on the establishment of rapport and threats to family members and less on the offering of temptations than past research on offenders' descriptions of manipulation tactics. This suggests children focus more on the interpersonal aspects of offenders' manipulation efforts, and this could be a focus of investigation and intervention. Moreover, these interpersonal aspects strengthen previous studies regarding the importance of communities in the prevention of child abuse. Communities must be a central component in understanding children's safety and well-being. ©2016 American Psychological Association Language: en

Sexual behaviour in preschool children in the context of intra-parental violence and sexual coercion.

Very little is understood about the developmental antecedents of sexual behaviour prior to adolescence. Our aim was to examine the impact of different forms of intimate partner violence on early childhood sexual development. We used data from an ongoing prospective longitudinal cohort study of Canadian families. Intimate partner violence of various kinds was measured using a modified version of the Conflict Tactics Scale. Measures of child sexual development were based on the Child Sexual Behavior Inventory. Both measures relied on parental report. Sexual coercion between parental figures, but not physical violence or emotional aggression, was significantly associated with intrusive sexual behaviours shown by 3- to 5-year-old children. It may seem unlikely that 3- to 5- year-old children can understand that their parents are in a sexually coercive relationship, but our findings suggest that they are sufficiently aware of such behaviours when they occur that they may start to model their own behaviour on them. Clinicians and social workers may need to be more aware of this possibility. Copyright © 2016 John Wiley & Sons, Ltd.

Is Emotional Congruence With Children Associated With Sexual Offending in Pedophiles and Hebephiles From the Community?

Although emotional congruence with children (ECWC) is a risk factor for sexual offending against children, its conceptual validity has hardly been researched. This study aims to explore the construct of ECWC by evaluating the factor structure of the Child Identification Scale (CIS-R) and its relation to facets of sexual preference and child sexual abuse behaviors. It was hypothesized that the measure comprises consistent subscales that are differently associated with aspects of sexual preference and sexual offending against children. CIS-R data of a sample of 217 adult male pedophiles from the community were used for an exploratory principal component analysis (PCA). Group comparisons and a multinomial logistic regression analysis were conducted after including a non-pedophilic control group of 22 adult men. PCA revealed a three-factor solution for the CIS-R accounting for 30% of variance. Group comparisons found differences in overall scores and the factor labeled "Attachment to Children" between subgroups of sexual age and gender preference, but not between contact, online, and non-offenders. The regression analysis showed a pedophile sexual preference and the interaction between a hebephile sexual age preference and the factor "Attachment to Children" being associated with past offending behavior. The results indicate a wish to attach to children as core feature of the CIS-R measure assessing ECWC. It is discussed whether this is an inherent feature of pedophilia or rather an independent aspect being differently distinct in pedophiles.

Child Maltreatment and Sexual Risk Behavior: Maltreatment Types and Gender Differences.

To compare sexual risk behaviors in maltreated male and female sexually active adolescents with a comparison population and examine whether specific maltreatment experiences were associated with sexual risk behaviors and teen pregnancy. Data came from the fourth assessment (M = 7.2 years after baseline) of an ongoing longitudinal study with case-control design. The sample was restricted to only the sexually active adolescents, leaving a sample of 251 (n = 82 comparison, n = 169 maltreated, mean age = 18.49 years, SD = 1.46). Maltreatment type was coded from case records, and sexual behaviors were assessed via computerized questionnaire. Maltreated youth were significantly younger at first consensual intercourse than comparison youth, and males were younger than females. Maltreated males reported significantly higher number of lifetime sexual partners than maltreated females. Neglected, sexually abused, and physically abused youth were more likely to have had a one-night stand than comparison youth. Sexually abused females were at higher risk of having sex under the influence than other maltreated females. Neglected females were more likely to have ever been pregnant than females with other maltreatment types or comparison females. A higher number of maltreatment victimizations predicted a younger age at first pregnancy involvement for both sexes. Many maltreated youth continue to be at high risk for engaging in behaviors that may initiate a trajectory of problematic sexual behaviors. The findings highlight maltreated males and neglected females as vulnerable groups that should be targeted in prevention efforts to curtail sexual risk behaviors and prevent teenage pregnancy.