Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, People's Republic of China.
J Pediatr. 2013 May;162(5):1028-34. doi: 10.1016/j.jpeds.2012.10.054. Epub 2012 Dec 7.
To provide a comprehensive profile of the prevalence of child sexual abuse as well as other forms of child victimization in China and to examine the associations between child sexual abuse, demographic factors, and other forms of child victimization.
Using a 2-staged stratified sampling procedure, we recruited a total of 18,341 students in grades 9-12 (girls 46.7%, mean age 15.86 years) from 150 randomly sampled schools during November 2009 through July 2010 in 6 Chinese cities. We assessed the students' demographic background and their experience of child sexual abuse and other forms of victimization. The independent effect on child sexual abuse of each demographic factor and form of child victimization was examined after controlling for other variables.
The overall lifetime and preceding-year prevalence of child sexual abuse was 8.0% and 6.4%, respectively. Boys were more likely to report child sexual abuse than were girls. Apart from having experienced other forms of child victimization, several characteristics were associated with greater risk of child sexual abuse: being a boy; being older; having sibling(s); having divorced, separated, or widowed parents; or having an unemployed father.
This study provides reliable estimates of child victimization to facilitate resource allocation in health care settings in China. The strong associations between child sexual abuse and other forms of child victimization warrant screening for additional forms of child victimization once any one of them has been identified.
全面介绍中国儿童性虐待以及其他形式的儿童受害情况，并探讨儿童性虐待与人口统计学因素及其他形式的儿童受害之间的关联。
采用两阶段分层抽样程序，我们于 2009 年 11 月至 2010 年 7 月在 6 个中国城市的 150 所随机抽取的学校中招募了共 18341 名 9-12 年级学生（女生占 46.7%，平均年龄为 15.86 岁）。我们评估了学生的人口统计学背景以及他们的儿童性虐待和其他形式受害经历。在控制其他变量后，我们考察了每个人口统计学因素和儿童受害形式对儿童性虐待的独立影响。
儿童性虐待的终生和前一年发生率分别为 8.0%和 6.4%。男孩比女孩更有可能报告儿童性虐待。除了经历其他形式的儿童受害外，一些特征与更大的儿童性虐待风险相关：男孩；年龄较大；有兄弟姐妹；父母离异、分居或丧偶；或父亲失业。
本研究提供了可靠的儿童受害估计值，有助于在中国的医疗保健环境中分配资源。儿童性虐待与其他形式的儿童受害之间的强烈关联表明，一旦确定了任何一种形式的受害，就需要对其他形式的受害进行筛查。
