Clinical characteristic and risk factors of recurrent sexual abuse and delayed reported sexual abuse in childhood

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dc.contributor.authorHu, M. H., Huang, G. S., Huang, J. L., Wu, C. T., Chao, A. S., Lo, F. S., & Wu, H. P.
dc.date.accessioned2018-04-12T15:35:39Z
dc.date.available2018-04-12T15:35:39Z
dc.date.issued2018
dc.description.abstractChild sexual abuse (CSA) is a global problem that affects children of all ages, and the evaluation of these victims by psychologic and gynecologic experts in pediatric emergency departments is an important issue. Few data are available on the characteristics of children admitted to pediatric emergency department with recurrent CSA and delayed reported CSA. The aim of the present study was to describe the clinical features of, and risk factors for, recurrent CSA and delayed reported CSA. The study retrospectively analyzed victims of CSA who were admitted to a pediatric emergency department. Chi-square tests and univariate analyses were performed to assess the risk factors of recurrent or delayed reported CSA. Of the 91 CSA cases, 32 (35.2%) were recurrent assaults. Of the 70 cases recorded the duration of the event, 22 (31.4%) were delayed report cases. Comparisons of the non-recurrent and recurrent CSA assault groups revealed a significant increase in comorbidities (odds ratio [OR]: 4.46, 95% confidence interval [CI]: 1.54–12.93), acute psychiatric problems (OR: 3.18, CI: 1.26–8.06), attempted suicide (OR: 4.23, CI: 1.28–13.99), and the need for treatment with antipsychotic medications (OR: 5.57, CI: 1.37–22.65). Compared with non-delayed reported cases, the delay reported cases of CSA were significantly more likely to have anxiety (P < .05). The CSA victims in the present study exhibited acute medical and/or psychosocial problems, which indicate that pediatric emergency professionals have a responsibility to look for and recognize particular characteristics in these victims.en_US
dc.identifier.citationHu, M. H., Huang, G. S., Huang, J. L., Wu, C. T., Chao, A. S., Lo, F. S., & Wu, H. P. (2018). Clinical characteristic and risk factors of recurrent sexual abuse and delayed reported sexual abuse in childhood. Medicine, 97(14), e0236.en_US
dc.identifier.urihttps://journals.lww.com/md-journal/Fulltext/2018/04060/Clinical_characteristic_and_risk_factors_of.14.aspx
dc.identifier.urihttp://hdl.handle.net/11212/3785
dc.language.isoenen_US
dc.publisherMedicineen_US
dc.subjectInternational Resourcesen_US
dc.subjectTaiwanen_US
dc.subjectchild sexual abuseen_US
dc.subjectdelayed reportingen_US
dc.subjectrecurrenten_US
dc.subjectsuicideen_US
dc.titleClinical characteristic and risk factors of recurrent sexual abuse and delayed reported sexual abuse in childhooden_US
dc.typeArticleen_US

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