Aim: To investigate associations between family cohesion and adaptability level of secondary school students and the prevalence of CSA. Method: A retrospective study conducted in the rural middle school in Hubei province, central China. The correlation between the prevalence and family cohesion and adaptability, risk factors of CSA were tested by an anonymous self-completed questionnaire and FACES II-CV 3082 middle school students. Result: The total ratio of CSA is 20.8%. Boys (25.7% vs 14.9%, P<0.05), senior school students (25.4% vs 17.4%, P<0.05) and left-behind children (22.0% vs 18.0%, P<0.05) got higher rate of CSA. After adjustment for potential confounders, logistic regression analysis showed separated (AOR = 0.72, 95%CI:0.53-0.98), connected (AOR = 0.50, 95% CI:0.37-0.69) and enmeshed (AOR = 0.48, 95% CI:0.34-0.67), chaotic (AOR = 0.51, 95% CI:0.34-0.76) were associated with reduced odds of child sexual abuse. Conclusion: The prevalence of CSA was relatively high in rural area, central China. Family adaptability and cohesion level of middle school students were associated with prevalence of CSA.
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