Madu S N, Peltzer K
Department of Psychology, University of the North, Sovenga, South Africa.
Child Abuse Negl. 2000 Feb;24(2):259-68. doi: 10.1016/s0145-2134(99)00128-3.
This is an investigation into the risk factors that could discriminate childhood sexual abuse (CSA) from non-abuse in the Northern Province (South Africa).
414 students in standard 9 and 10 in three secondary schools in the province filled-in a retrospective self-rating questionnaire in a classroom setting. Questionnaires included modified and adapted questions from the Finkelhor's (1979) Risk Factor Checklist, and asked for physical contact forms of sexual abusive experiences of participants before the age of 17 years with an adult or a person at least 5 years older or a person in a position of power.
It shows an overall (N = 414) CSA prevalence rate of 54.2%. Only four factors (from eight)-ethnicity not Northern Sotho, mother employed and not as laborer, a stepparent present in the family during childhood, and violence at home not seldom-significantly discriminated CSA from non-abuse. Increase in the number of combination of the four significant factors also increases the probability of the discrimination in a linear manner.
With some caution, we recommend the four significant risk factors for use while planning preventive strategies against childhood sexual abuse, and a massive campaign against child sexual abuse in the province. More job opportunities should be created in the province.
本研究旨在调查南非北部省份中能够区分儿童性虐待（CSA）与非虐待情况的风险因素。
该省三所中学的414名九年级和十年级学生在课堂环境中填写了一份回顾性自评问卷。问卷包含从芬克尔霍尔（1979年）风险因素清单中修改和改编的问题，询问了参与者在17岁之前与成年人、至少比自己大5岁的人或有权力地位的人性虐待经历的身体接触形式。
结果显示总体（N = 414）儿童性虐待患病率为54.2%。在八个因素中，只有四个因素——非北索托族裔、母亲就业且非体力劳动者、童年时期家庭中有继父母、家中暴力情况不少见——能够显著区分儿童性虐待与非虐待情况。这四个显著因素组合数量的增加也会以线性方式增加区分的可能性。
我们谨慎建议，在制定预防儿童性虐待的策略时使用这四个显著风险因素，并在该省开展大规模打击儿童性虐待的运动。该省应创造更多就业机会。
