Department of Mental Health Sciences, UCL, Charles Bell House, 67-73 Riding House Street, London W1W 7EJ, UK.
Soc Psychiatry Psychiatr Epidemiol. 2011 Mar;46(3):255-62. doi: 10.1007/s00127-010-0245-8. Epub 2010 Jun 11.
The 2007 adult psychiatric morbidity survey in England provides detailed information of high quality about sexual abuse. Given the major psychiatric implications of child sexual abuse (CSA), we aimed to establish its sociodemographic distribution in the general population.
The experience of sexual abuse was elicited in a random sample of the English household population (N = 7,353), using computer assisted self-completion interviewing. Respondents were handed a laptop, and entered their responses to detailed questions. The interviewer was blind to their responses. CSA was defined as occurring before the age of 16.
2.9% of women and 0.8% of men reported CSA involving non-consensual intercourse, figures that rose to 11.1 and 5.3% if experiences involving sexual touching were included. CSA was common before puberty, but peaked in adolescence. CSA greatly increased the chance in adulthood both of further sexual abuse (OR 10.6; CI 8.9-12.6), and of prostitution (OR 3.3; CI 1.9-5.5). There was no association with ethnicity or social class, but people over 65 were less likely to report CSA. The odds of CSA were doubled in those not brought up with both biological parents until the age of 16.
CSA is common, particularly in women, and is not the preserve of any particular social group. Its frequency and its association with psychiatric consequences render it a major public health issue.
2007 年英国成人精神疾病发病率调查提供了关于性虐待的高质量详细信息。鉴于儿童性虐待（CSA）对主要精神疾病的影响，我们旨在确定其在普通人群中的社会人口分布。
使用计算机辅助自我完成访谈，在英国家庭人群的随机样本中收集性虐待经历的信息（N=7353）。受访者拿到一台笔记本电脑，并回答详细问题。访谈者对他们的回答一无所知。CSA 的定义为发生在 16 岁之前。
2.9%的女性和 0.8%的男性报告了涉及非自愿性交的 CSA，若包括涉及性接触的经历，这一数字上升至 11.1%和 5.3%。CSA 在青春期前很常见，但在青春期达到高峰。CSA 大大增加了成年后再次遭受性虐待（OR 10.6；CI 8.9-12.6）和卖淫（OR 3.3；CI 1.9-5.5）的机会。与种族或社会阶层无关，但 65 岁以上的人报告 CSA 的可能性较小。在 16 岁之前没有与亲生父母一起长大的人中，CSA 的几率增加了一倍。
CSA 很常见，尤其是在女性中，而且不是任何特定社会群体的专利。其频率及其与精神后果的关联使其成为一个主要的公共卫生问题。
