Rates Of Childhood Sexual Abuse Research Articles

What Helps Children and Young People to Disclose their Experience of Sexual Abuse and What Gets in the Way? A Systematic Scoping Review

Abstract Background Global research has found that prevalence rates of child sexual abuse suggest that this is a significant ongoing public health concern. A recent Australian study, for example, revealed that more than three girls and almost one in five boys reported experiencing sexual abuse before the age of 18. Self-reported rates of abuse, however, far exceed official figures, suggesting that large numbers of children who experience sexual abuse do not come to the attention of relevant authorities. Whether and how those children have tried to tell their stories remains unclear. Objective The goal of the review was to explore scholarly literature to determine what was known about what enables or constrains children to disclose their experience of sexual abuse. Method A systematic scoping review was undertaken to better understand the current state of knowledge in the scholarly literature on child sexual abuse disclosure. Thirty-two scholarly publications were included for analysis following a rigorous process of sourcing articles from five databases and systematically screening them based on transparent inclusion and exclusion criteria. Ecological systems and trauma-informed theoretical paradigms underpinned an inductive thematic analysis of the included manuscripts. Results Three multi-dimensional themes were identified from the thirty-two publications. These themes were: factors enabling disclosure are multifaceted; barriers to disclosure include a complex interplay of individual, familial, contextual and cultural issues; and Indigenous victims and survivors, male survivors, and survivors with a minoritised cultural background may face additional barriers to disclosing their experiences of abuse. Conclusions The literature suggests that a greater understanding of the barriers to disclosures exists. Further research that supports a deeper understanding of the complex interplay of enablers and the barriers to disclosure across diverse populations is needed. In particular, future research should privilege the voices of victims and survivors of child sexual abuse, mobilising their lived experiences to co-create improved practice and policy.

Originalarbeiten / Original Articles. Prävention sexualisierter Gewalt an Kindern und Jugendlichen: Präventionsmaßnahmen und Schutzkonzepte in den Bereichen Sport, Musik und Kirche

Prevention of Child Sexual Abuse: Prevention Programs and Safeguarding Concepts in the Context of Sports, Musical Education, and Religious Organizations Prevalence rates of child sexual abuse by caregivers in private and non-public institutions underscore the need for implementing safeguarding concepts. However, factors driving the implementation of prevention and safeguarding in the field are not well understood. What supportive and inhibiting factors can be identified in the implementation of safeguarding concepts and prevention programs? Content analysis of semi-structured interviews with professional and volunteer staff in clubs and institutions (n = 10, 69 % female) as well as with individuals who experienced child sexual abuse during their childhood (n = 3, 66 % female). Safeguarding concepts in clubs or religious institutions were primarily initiated by umbrella organizations. Current incidents of child maltreatment, public pressure, and media attention substantially increased the need for preventive actions. The provision of training, resources, and networking structures by umbrella organizations further facilitated their implementation. Main implementation challenges included limited personnel and time resources, lack of expertise, insufficient training opportunities, and absence of guidelines and support from umbrella organizations. Due to club leaders' limited knowledge and resources an independent implementation of safeguarding concepts is largely lacking without concrete guidelines and support from umbrella organizations. To upscale safeguarding, public policies or incentive systems such as state-funded child protection certifications are thus paramount.

The prevalence of child sexual abuse perpetrated by leaders or other adults in religious organizations in Australia

BackgroundNumerous national public inquiries have highlighted the problem of child sexual abuse in religious organizations. Despite this, evidence of population-wide prevalence is scarce. ObjectiveTo provide the first nationally representative prevalence estimates of child sexual abuse perpetrated by adults in religious organizations in Australia. MethodsThe Australian Child Maltreatment Study (ACMS) surveyed 8503 people aged 16 and over about their experiences of child maltreatment. Weighted prevalence estimates were calculated based on responses to the child sexual abuse questions from the Juvenile Victimization Questionnaire-R2: Adapted Version (ACMS). ResultsOne in 250 people reported being sexually abused as a child by an adult in a religious organization (0.4 %, 95 % CI, 0.3–0.6 %). Men reported significantly higher rates of child sexual abuse by these perpetrators (0.8 %, 95 % CI, 0.5–1.2 %), compared to women (0.1 %, 95 % CI, 0–0.3 %). This type of sexual abuse was overwhelmingly perpetrated by men (0.4 %, 95 % CI, 0.3–0.6 %), compared to women (0 %, 95 % CI, 0–0.1 %), and was substantially more often experienced in Catholic organizations (71.9 %) than other Christian denominations or other religions. Prevalence of child sexual abuse in religious organizations has declined over time (2.2 % of men 65 years and older, compared with 0.2 % of 16–24-year-old men). ConclusionsChild sexual abuse has been widespread in religious organizations in Australia. A decline over time indicates progress has been made in preventing sexual abuse of children. Religious organizations must take all reasonable measures to prevent child sexual abuse, with a particular need for interventions targeting male leaders, and organizational cultures.

Trends in the Annual Incidence Rates of Child Sexual Abuse and Child Maltreatment over the Past 25 Years in the United States

AbstractExperiencing child sexual abuse is associated with increased risk for a range of short‐ and long‐term negative effects. This short report defines and explores the annual incidence rates of child sexual abuse in the United States over 25 years between 1996 and 2021 (the most recent data released) and, comparatively, annual incidence rates of child maltreatment, more generally. A retrospective trend analysis of Child Maltreatment Reports, produced by the Department of Health and Human Services with data from the National Child Abuse and Neglect Data System, was conducted to compile and analyse rates of child sexual abuse and child maltreatment over time. In general, the rates of reported child maltreatment and child sexual abuse have declined, on average, since the 1990s. We, then, discuss these trends in connection with research documenting societal and family factors that may have contributed to these declines.

Childhood Sexual Abuse by Women of Boys Who Go On to Sexually Offend: Review and Critical Analysis.

Sexual offending perpetrated by women has historically been overlooked and understudied, and the potentially unique impact of that abuse is even more so. Women who have sexually offended against children typically do so against older boys, use little or no forms of force or coercion during the abuse, and are unlikely to be prosecuted or sentenced following the abuse. Boys whom women have sexually abused are unlikely to report or disclose the abuse that they have experienced, perhaps because social structures surrounding sexual abuse of boys by women are designed to minimize, excuse, or even encourage such sexual contact. The intersection of these unique features may help understand the role of childhood sexual abuse perpetrated by women in subsequent sexual offending among adult men. Men who have sexually offended experience high rates of childhood sexual abuse perpetrated by women. The relationship between experienced sexual abuse and subsequent perpetration of sexual abuse is neither linear nor causal; however, the characteristics associated with this form of abuse, such as non-disclosure and lack of sentencing, may contribute to adulthood sexual maladjustment and vulnerability to offending among men.

Psychosocial Risk Pathways from Childhood Sexual Abuse to Intimate Partner Violence among Sexual Minority Men: A Test of the Psychological Mediation Framework of Minority Stress.

Although sexual minority men experience elevated rates of childhood sexual abuse (CSA) and equal or greater rates of intimate partner violence (IPV) victimization compared to heterosexual individuals, little research has examined mechanisms linking these forms of victimization in this high-need population. We examined general (i.e., emotion regulation difficulties) and sexual minority specific (i.e., internalized homophobia) mediational pathways between CSA and IPV victimization in a longitudinal sample of 940 sexual minority men. Path analyses revealed significant associations between CSA and internalized homophobia, between internalized homophobia and emotion regulation difficulties, and between emotion regulation difficulties and IPV victimization. No indirect effects of CSA on IPV via general or minority specific pathways were observed. Findings suggest that minority stress specific (i.e., internalized homophobia) and general psychological risk factors (i.e., emotion regulation difficulties) co-occur and may function along independent pathways to link CSA to IPV revictimization. Future work is needed to investigate how mitigation of these modifiable pathways may be targeted to inform violence prevention interventions for sexual minority men.

Longitudinal associations between childhood sexual abuse-related PTSD symptoms and passive and active suicidal ideation among sexual minority men

BackgroundSexual minority men report high rates of childhood sexual abuse (CSA) and adulthood suicidality. However, mechanisms (e.g., PTSD symptoms) through which CSA might drive suicidality remain unknown. ObjectiveIn a prospective cohort of sexual minority men, we examined: (1) associations between CSA and suicidal thoughts and behaviors; (2) prospective associations between CSA-related PTSD symptoms and suicidal ideation; and (3) interpersonal moderators of these associations. Participants and settingParticipants included 6305 sexual minority men (Mage = 33.2, SD = 11.5; 82.0% gay; 53.5% White) who completed baseline and one-year follow-up at-home online surveys. MethodsBivariate analyses were used to assess baseline demographic and suicidality differences between CSA-exposed participants and non-CSA-exposed participants. Among CSA-exposed participants, multivariable logistic regression analyses were used to regress passive and active suicidal ideation at one-year follow-up on CSA-related PTSD symptoms at baseline. Interactions were examined between CSA-related PTSD symptoms and interpersonal difficulties. ResultsCSA-exposed sexual minority men reported two-and-a-half times the odds of suicide attempt history compared to non-CSA-exposed men (95% CI = 2.15–2.88; p < 0.001). Among CSA-exposed sexual minority men, CSA-related PTSD symptoms were prospectively associated with passive suicidal ideation (adjusted odds ratio [aOR] = 1.38; 95% CI = 1.19; 1.61). Regardless of CSA-related PTSD symptom severity, those with lower social support and greater loneliness were at elevated risk of active suicidal ideation at one-year follow-up. ConclusionsCSA-related PTSD symptom severity represents a psychological mechanism contributing to CSA-exposed sexual minority men's elevated suicide risk, particularly among those who lack social support and report loneliness.

Engaging Parents in Zimbabwe to Prevent and Respond to Child Sexual Abuse: A Pilot Evaluation

Data from the Violence Against Children Surveys reveal alarming rates of child sexual abuse (CSA) in sub-Saharan Africa, highlighting the critical need for public health programming to prevent and respond to this issue. This paper describes the results of the Families Matter! Program (FMP) pilot evaluation study conducted in two urban suburbs of Harare, Zimbabwe to measure the effect of a new FMP session about preventing and responding to CSA. FMP is an evidence-based intervention for parents of adolescents designed to promote positive parenting practices and effective parent–child communication about sexual risk reduction and HIV prevention. We applied a pre/post-prospective study design to assess changes in CSA-related indicators such as parental monitoring, parent–child communication about CSA, and ability to respond to instances of CSA. Parents and their children (ages 9–12) enrolled in the study as dyads and participated in two assessments administered via ACASI prior to and three months following the intervention, with 248 dyads completing both assessments. Parents and children reported significantly higher levels of parental monitoring (p < 1.001) and communication about CSA after the intervention (p < 0.001). Significantly more parents also reported conversations with people in their community about CSA (p < 0.001) and knowledge of where to access services if their child was abused (p < 0.001). The pilot evaluation suggests that FMP equipped parents with skills and knowledge to prevent and respond to CSA, and increased communication regarding CSA within communities, further normalizing the need to address and talk about child abuse, CSA in particular.

Provider Attitudes and Self-Efficacy When Delivering a Child Sexual Abuse Prevention Module: An Exploratory Study.

As constant figures in children's lives, parents are key in protecting children from sexual abuse. One barrier to reaching parents is that the topic can be difficult to broach and is sensitive in nature. Such barriers can interfere with implementation and fidelity of evidence-based prevention strategies that are focused on reducing rates of childhood sexual abuse (CSA). In this exploratory study, we examine provider attitudes about delivering CSA-specific content in an evidence-based prevention module and their self-efficacy. Thirty-three providers participated in three surveys: prior to a skills-oriented training on how to deliver the CSA prevention module (pretraining), immediately posttraining, and 6 months posttraining. Changes in self-reported willingness to deliver content, beliefs about parents' role in CSA prevention, and confidence about their ability to deliver content were assessed over time. Open-ended questions were coded thematically to reinforce quantitative findings. Prior to training, providers were worried that parents would respond negatively to CSA content and were concerned about their comfort level discussing victimization and sexual development. Findings suggest that skill-oriented training and provision scripts effectively supported providers and improved confidence in delivering CSA prevention content. Provider self-efficacy is an important element of implementation fidelity. This exploratory study demonstrated that, though providers may approach CSA content with wariness and trepidation, adequate skills-oriented training can reduce negative attitudes and increase perceived efficacy in the actual delivery of CSA content that persists through implementation. Skills-based training can significantly enhance fidelity in the delivery of difficult content included in parent-focused preventative interventions.

A century of sexual abuse victimisation: A birth cohort analysis.

This study examined changes in the reported prevalence of adult and child sexual abuse over the last century and explored how changes in social and political circumstances may have affected rates. Data from two population-based face-to-face surveys conducted in New Zealand (samples of 2855 women in 2003 and 1464 women in 2019) were used to produce birth cohort prevalence estimates of three forms of sexual abuse including by an intimate partner (lifetime and 12-month), by non-partners, and child sexual abuse. A timeline of major population influences that might be associated with violence occurrence was developed. There were no changes in reported lifetime intimate partner sexual abuse prevalence estimates found over the past century. The most recent birth cohort reported the lowest rates of 12-month prevalence estimates for intimate partner sexual abuse, lifetime rates of non-partner sexual abuse, and also suggest lower reported rates of child sexual abuse. Macro-social events including feminist movements, changes in legislation, and an increase in public awareness might have contributed to women's awareness about the non-acceptability of violent behaviour, and their ability to leave relationships after violence has occurred. This may have contributed to the small recent decreases in reported 12-month rate of sexual IPV and CSA, as women's ability to leave relationships may be protective for their children. The recent decrease in reported non-partner sexual violence may also be attributed to women's greater awareness of, and agency to avoid sexual abuse. The lack of change for the lifetime prevalence of sexual IPV over the past century highlights the need for ongoing prevention efforts. While recent reductions in reported rates of child and adult sexual abuse are encouraging, even reduced rates are high and warrant sustained implementation of prevention policies and programs.

Why do child sexual abuse victims not tell anyone about their abuse? An exploration of factors that prevent and promote disclosure.

Disclosure rates of child sexual abuse (CSA) to both social supports and law enforcement are concerningly low, although more research is needed to understand factors that impact disclosure. Thus, the present study examined rates of informal (i.e., to a social support) and formal (i.e., to law enforcement) disclosure of CSA, as well as victims' self-reported experiences with telling others about their own abuse and their perceptions of the overall advantages and disadvantages of disclosure. In all, 76 undergraduate women (who collectively experienced 105 instances of abuse) participated in a semi-structured interview regarding their history of CSA. Results revealed that approximately 50% of cases involved the victim informally disclosing, and only 10% of cases being formally disclosed to authorities. The quantitative and qualitative data shed light on a number of factors that lead victims to not disclose, as well as the identification of factors that may promote a victim to share their abuse with others. The implications for improved prevention and responses to CSA disclosure are discussed.

Efficacy of a Sexual Abuse Prevention Program with Children on an Indian Reservation

ABSTRACT American Indian youth experience high rates of child sexual abuse (CSA). To date, however, we are aware of no programs that have assessed outcomes associated with an evidence-based CSA prevention program among American Indian children. The purpose of the proposed study was to assess the preliminary acceptability and efficacy of IMpower, a 12-hour curriculum that teaches children how to identify their anatomy, recognize risk, say “no,” and tell others if they are being hurt. Using a non-randomized, single-arm pilot trial methodology (N = 48 4th and 5th graders), we found that some domains of children’s knowledge of CSA as well as their efficacy to resist an attack increased from pre- to posttest. Moreover, 83% of children reported that they liked IMpower, and 96% of children reported that IMpower helped keep them safe. These data provide preliminary evidence that IMpower is an acceptable and effective CSA prevention initiative that requires further evaluation with American Indian children.

I was like a kid full of revenge: self-reported reasons for sexual offending by men who were sexually abused as children

ABSTRACT It is widely acknowledged that the rate of childhood sexual abuse (CSA) reported by men who sexually offend is elevated relative to the general population. The idea of a “sexually abused-sexual abuser” (SA-SA) cycle is one possible explanation for the relationship between CSA and subsequent sexual offending. The current study explored why sexually abused men went on to sexually offend, through qualitative interviews with 41 SA-SAs attending a community treatment programme in New Zealand. Most of them gave externalising reasons for offending (including anger and revenge towards others, and deviant arousal). There was an even split between those who did/did not see a relationship between their own victimisation and their offending. Of those who perceived this connection, sexualisation, externalisation, and normalisation were themes underlying their motivation to offend. The implications for the treatment of male victims of sexual abuse are discussed.

Prevalence and Patterns of Child Sexual Abuse in Selected Countries of Asia and Africa: A Review of Literature

Africa and Asia are among the regions with the highest rates of child sexual abuse (CSA) in the world. They also share the highest proportion of children under 18 with Asia alone accounting for 24% of children under 14 years of age and about 41% of the African population are under the age of 15. Despite the magnitude of the problem, few studies have investigated CSA in these regions hence limiting appropriate and timely response. Objectives: To describe the prevalence and patterns of child sexual abuse in Africa and Asia. Methods: This was a literature review study. Electronic database search was performed to select relevant materials on CSA published between 2000 and 2018. Electronic search articles were included in the review after screening for inclusion and exclusion criteria. Results: The study showed prevalence of CSA (broadly and narrowly defined) in Africa to be from 2.1% - 68.7% for females in Tanzania and Ethiopia and 4.1% - 60% for males in South Africa. The prevalence in Asia ranges from 3.3% - 42.7% for females in China and India respectively and 4.3% - 58% for males in Hong Kong and Sri Lanka. The rates for contact CSA among females in Asia are from 1.9% - 59.2% in China and India and 1.8% - 9.1% for males in China while for non-contact abuse ranges from 1.8% - 28.7% for females in China and India and 3.1% - 29.4% for males in China. The findings in both regions suggest high risk of victimization in pre-pubertal and late adolescent, however, pre-pubertal victimization is much higher in Africa. Victim’s home and public area found to be high risk places for abuse in both regions. Relatives comprise common perpetrators in Asia while friends were most cited in Africa. Conclusions: The results highlight high rate of CSA in Africa and Asia calling for comprehensive approach for its prevention. Future research should focus more on population-based studies and using comparable methodology.

A mixed methods investigation of sexual victimisation and coping among sexual minority compared to heterosexual women

ABSTRACT Sexual victimisation (SV) is pervasive in our society and is associated with a variety of negative outcomes. Sexual minority women (SMW) – particularly bisexuals – report higher rates of SV compared to heterosexual women, yet little is known about SMW’s post-SV outcomes. The present study sought to fill this gap using a mixed methods approach. A community sample of 246 women (88 lesbians, 84 bisexuals, 74 heterosexuals) completed questionnaires and interviews about SV and subsequent disclosure and coping patterns. SMW reported higher rates of childhood sexual abuse, but SV rates in adulthood were similar to heterosexuals. Qualitative interviews revealed insights into women’s SV incidents and the recovery process. Almost all the incidents involved male perpetrators. Of those who disclosed the assault (80%), most told friends (84%), romantic partners (30%), family members (31%), and/or therapists (30%). The most common reasons for non-disclosure were shame or minimising the seriousness of the incident. Four broad categories of coping behaviours emerged: avoidance, self-blame and disclosure decisions, awakening, and reaching out. Notably, few sexual identity differences in SV incidents or the recovery process were found. Understanding the impact of SV is critical to inform culturally competent clinical care that address the needs of diverse women.

Review of Children with Concerns for Sexual Abuse or Commercial Sexual Exploitation: Identifying Defining Characteristics

Introduction: Rates of child sexual abuse (CSA) in the United States have been projected to be well over half a million annually. It is estimated that 3-400,000 children are victims of commercial sexual exploitation (CSE). However, research that adequately describes sexually exploited populations is sparse, leaving medical professionals with little guidance on how to discern between patients who are victims of child sexual abuse or commercial sexual exploitation. Understanding the …

The Role of Childhood Victimization on the Severity of Adult Offending among Female Sex Offenders

ABSTRACTAlthough males comprise the majority of sex offenders, research has found that females sexually offend similarly to male sex offenders. While male and female sex offenders share commonalities, female sex offenders have higher rates of childhood sexual abuse compared to male sex offenders. In addition, previous research has indicated that childhood abuse can predict adult offending; however, severity of these offenses has not been explored for female sex offenders. Therefore, the purpose of this study was to understand the relationship between previous sexual abuse and the severity of future sexual offending for a sample of convicted female sex offenders (n = 263) from 1995 to 2017 in a southern state. The data consisted of agency files that included police investigation reports, initial offender and victim statements (prior to conviction), court records, offender personal history questionnaires, offender assessment reports, and criminal histories. We found support for the cycle of violence hypothesis in which those who had a history of prior sexual abuse were more likely to have committed the most severe and violent offenses against a child when compared to female offenders who did not report childhood sexual abuse. Implications are discussed based on our findings.

Child Sexual Abuse Victimization Prevention Programs in Preschool and Kindergarten: Implications for Practice

ABSTRACTWith the alarming rates of child sexual abuse in the United States, there have been several attempts to develop and implement child abuse victimization programs in elementary schools across the country. Many programs have targeted older school-age children, but research shows that these programs can be effective for children of preschool and kindergarten age. This paper will review the literature that provides the rationale behind offering these types programs to the youngest of school-children, what these programs can offer, and describe specific programs that have been validated for preschool and kindergarten-aged children, using the best practice guidelines in the field of early childhood education. Recommendations for future programs and research needs are also offered.

A Latent Class Analysis of Lifetime Victimization Among Homeless Youth.

Homeless youth experience high rates of child physical and sexual abuse, and many are revictimized on the streets. Despite their high rates of victimization, few studies have examined whether specific victimization types (e.g., sexual vs. physical) cluster together and for whom (e.g., sexual minority youth). As such, the purpose of this study was to identify clusters of homeless youth based on their exposure to different forms of child abuse and street victimization, to examine what factors distinguish each cluster, and how unique clusters are related to youths' mental health using data collected at two time points. The sample included 150 youth experiencing homelessness in the Midwest. Latent class analysis was used to identify clusters of youth. Three latent classes emerge: The low exposure class had significantly lower rates of child physical and emotional abuse and threats compared with the medium- and high-exposure groups. The high exposure group had significantly higher rates of child sexual abuse compared with the other groups. Females, sexual minority youth, and those who have lived in more foster care homes were more likely to be in the high exposure group compared with the low and/or medium exposure groups. Multivariate results revealed that those in the medium and high exposure cluster groups had higher rates of Wave 1 depressive symptoms and Wave 1 anxiety compared with youth in the low exposure cluster. Overall, although these young people experience high rates of abuse and victimization both at home and while on the street, there are gradations in these experiences such that certain victimization experiences subgroups are at heightened risk for poor mental health.

Emotional reactivity, trauma-related distress, and suicidal ideation among adolescent inpatient survivors of sexual abuse.

Adolescent psychiatric inpatients suffer high rates of childhood sexual abuse, trauma-related distress, and suicidality. This study evaluated the hypothesis that three domains of resiliency (i.e., Sense of Mastery, Sense of Relatedness, and Emotional Reactivity) would mediate the effect of trauma-related distress upon suicidal ideation, while accounting for symptoms of depression, and that the indirect effect of trauma-related distress upon suicidal ideation would be greater among survivors of childhood sexual abuse. Chart review patients included 550 adolescents admitted to a public psychiatric hospital in a Northwestern US State from 2010 to 2015. Adolescents completed self-report measures of trauma-related distress, depression, resiliency, and suicidal ideation. Half of the adolescents in this study reported past history of childhood sexual abuse, and more than half disclosed history of attempted suicide. There was a group noninvariant indirect effect of trauma-related distress upon suicidal ideation via emotional reactivity among survivors of childhood sexual abuse (β = 0.10, 95% ACI: 0.04 to .17), as well as a group invariant direct effect of depression symptoms (β = 0.88, p < .001). The other two domains of resiliency, sense of mastery and sense of relatedness did not mediate the association between trauma-related distress and suicidal ideation. These findings demonstrate the importance of emotional reactivity with regard to suicidal ideation, as well as the association between depression symptoms and suicidal ideation in this clinical population, and suggest the potential utility of skills-based interventions, and the need for trauma-informed policy and procedures in adolescent psychiatric inpatient settings.