Pediatrics. 2009 Sep;124(3):992-8. doi: 10.1542/peds.2009-1692. Epub 2009 Aug 31.
Most children will engage in sexual behaviors at some time during childhood. These behaviors may be normal but can be confusing and concerning to parents or disruptive or intrusive to others. Knowledge of age-appropriate sexual behaviors that vary with situational and environmental factors can assist the clinician in differentiating normal sexual behaviors from sexual behavior problems. Most situations that involve sexual behaviors in young children do not require child protective services intervention; for behaviors that are age-appropriate and transient, the pediatrician may provide guidance in supervision and monitoring of the behavior. If the behavior is intrusive, hurtful, and/or age-inappropriate, a more comprehensive assessment is warranted. Some children with sexual behavior problems may reside or have resided in homes characterized by inconsistent parenting, violence, abuse, or neglect and may require more immediate intervention and referrals.
大多数儿童在童年的某个时候都会有性行为。这些行为可能是正常的，但可能会让父母感到困惑和担忧，或者对他人造成干扰或侵犯。了解与情境和环境因素相关的适龄性行为可以帮助临床医生区分正常性行为和性行为问题。大多数涉及幼儿性行为的情况都不需要儿童保护服务的干预；对于适龄且短暂的行为，儿科医生可以在监督和监测行为方面提供指导。如果行为具有侵扰性、伤害性和/或不适龄，那么更全面的评估是必要的。一些有性行为问题的儿童可能居住或曾经居住在父母教养不一致、存在暴力、虐待或忽视的家庭中，可能需要更直接的干预和转介。
