Gutman L T, St Claire K K, Weedy C, Herman-Giddens M, McKinney R E
Department of Pediatrics, Duke University Medical Center, Durham, NC 27710.
Am J Dis Child. 1992 Oct;146(10):1185-9. doi: 10.1001/archpedi.1992.02160220071025.
To obtain the following data that pertain to programs for the prevention of sexual abuse and sexual transmission of human immunodeficiency virus (HIV) to children: (1) to determine the prevalence of sexual abuse among siblings and other children cohabiting with sexually abused HIV-positive children, and (2) to determine if programs designed to restrain identified perpetrators from further acts of child sexual abuse were instituted.
Case series.
Households of previously described sexually abused HIV-infected children.
Twenty-two siblings or other children who lived in the homes of 14 previously described HIV-infected sexually abused children. Eight perpetrators of the abuse were identified.
Sexual abuse of cohabiting children was confirmed with disclosure interviews, witness by other persons, diagnosis of another sexually transmitted disease, or an abnormal physical examination result that was highly suggestive of sexual abuse. Telephone contact with the Department of Social Services, county sheriff or police, and district attorney provided data regarding reports, criminal indictments, trials, convictions, and plea-bargain arrangements for the identified perpetrators.
Eleven (50%) of the 22 cohabiting children were confirmed to have been sexually abused and four (18%) were suspected of having been sexually abused. Seven (32%) of the cohabiting children could not be examined and it was not known if they had been sexually abused. No assailant was tried for a criminal offense, required to participate in offender therapy, or prohibited from unsupervised visitation of children.
Programs for the prevention of sexual abuse and sexual transmission of HIV to children require means of ensuring the safety of children exposed to perpetrators and require adequate supervision of perpetrators and their adherence to therapy.
获取与预防儿童性虐待及人类免疫缺陷病毒（HIV）性传播项目相关的以下数据：（1）确定与受性虐待的HIV阳性儿童同居的兄弟姐妹及其他儿童中性虐待的患病率；（2）确定是否实施了旨在约束已确认的犯罪者不再实施儿童性虐待行为的项目。
病例系列研究。
先前描述的受性虐待的HIV感染儿童的家庭。
22名兄弟姐妹或其他儿童，他们生活在14名先前描述的受HIV感染且遭受性虐待的儿童家中。已确认8名虐待犯罪者。
通过披露访谈、他人目睹、诊断出另一种性传播疾病或高度提示性虐待的异常体格检查结果来确认同居儿童是否遭受性虐待。与社会服务部、县治安官或警方以及地方检察官进行电话联系，获取有关已确认犯罪者的报告、刑事指控、审判、定罪及认罪协议安排的数据。
22名同居儿童中有11名（50%）被确认遭受性虐待，4名（18%）被怀疑遭受性虐待。7名（32%）同居儿童无法接受检查，不清楚他们是否遭受性虐待。没有袭击者因刑事犯罪受审，没有被要求参加罪犯治疗，也没有被禁止在无人监督的情况下探视儿童。
预防儿童性虐待及HIV性传播的项目需要确保接触犯罪者的儿童安全的手段，需要对犯罪者进行充分监督并要求他们坚持治疗。
