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[墨西哥莫雷洛斯州学生童年及青少年期遭受性虐待的相关因素]

[Factors for sexual abuse during childhood and adolescence in students of Morelos, Mexico].

作者信息

Chavez Ayala Ruben, Rivera-Rivera Leonor, Angeles-Llerenas Angélica, Díaz-Cerón Eva, Allen-Leigh Betania, Ponce Eduardo Lazcano

机构信息

Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.

出版信息

Rev Saude Publica. 2009 Jun;43(3):506-14. doi: 10.1590/s0034-89102009000300015.

Abstract

OBJECTIVE

To estimate the prevalence and factors associated with sexual abuse in childhood and adolescence.

METHODS

Study conducted in a sample of students in the state of Morelos, Mexico, in 2004-2005. Participants (n=1730) were drawn from a cohort of 13,293 students aged 12 to 24 years. Data were collected by means of a questionnaire comprising parts of validated scales. The variables studied were: sociodemographic (gender, living area, socioeconomic status), family (parental education, parental addictions, violence between parents), individual psychological factors (self-esteem assessed using the Coopersmith Self-Esteem Inventory, depression, alcohol consumption), intrafamily violence (assessed through Strauss Scale) and sexual abuse. Multiple logistic regression assessed the risk factors associated. Odds ratios (OR) with 95% confidence intervals were estimated.

RESULTS

Of all students studied, 4.7% (n=80) reported attempted sexual abuse and 2.9% (n=50) were victims of consummated sexual abuse. Women had higher prevalence of attempted (6.1%) abuse; 3.6% of females and 1.9% of men were sexually abused. Main perpetrators were boyfriends in women and a stranger in men. Mean age was 12.02 years old among females and 11.71 years old among men. Factors found to be associated with abuse: high parental alcohol consumption (OR = 3.37, 95% CI 1.40;8.07), violence toward the mother (OR = 4.49, 95% CI 1.54;13.10), female gender (OR = 2.47, 95% CI 1.17;5.24), being a victim of great domestic violence (OR = 3.58, 95% CI 1.32;9.67). High self-esteem was a protective factor (OR = 0.27, 95% CI 0.09;0.75).

CONCLUSIONS

Overall sexual abuse occurs at the age of 12 in both males and females, and it is more frequent among females. Most victims do not report abuse.

摘要

目的

评估儿童及青少年期性虐待的患病率及其相关因素。

方法

2004 - 2005年在墨西哥莫雷洛斯州的学生样本中开展研究。参与者(n = 1730)来自13293名年龄在12至24岁的学生队列。通过包含部分经过验证的量表的问卷收集数据。研究的变量包括:社会人口学因素(性别、居住地区、社会经济地位)、家庭因素(父母教育程度、父母成瘾情况、父母间暴力)、个体心理因素(使用库珀史密斯自尊量表评估的自尊、抑郁、饮酒情况)、家庭内暴力(通过施特劳斯量表评估)以及性虐待。采用多重逻辑回归分析相关危险因素。估计比值比(OR)及95%置信区间。

结果

在所有研究学生中,4.7%(n = 80)报告曾遭受性虐待未遂,2.9%(n = 50)是性虐待既遂的受害者。女性性虐待未遂的患病率更高(6.1%);3.6%的女性和1.9%的男性遭受过性虐待。女性的主要施虐者是男友,男性的主要施虐者是陌生人。女性受害者的平均年龄为12.02岁,男性为11.71岁。发现与性虐待相关的因素有:父母酗酒程度高(OR = 3.37,95% CI 1.40;8.07)、对母亲的暴力行为(OR = 4.49,95% CI 1.54;13.10)、女性性别(OR = 2.47,95% CI 1.17;5.24)、曾是严重家庭暴力的受害者(OR = 3.58,95% CI 1.32;9.67)。高自尊是一个保护因素(OR = 0.27,95% CI 0.09;0.75)。

结论

总体而言,男性和女性在12岁时均会发生性虐待,且在女性中更为常见。大多数受害者并未报告遭受过性虐待。

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