Psychiatric Services of the Canton St. Gallen-North, Zurcherstrassse 30, 9501, Wil, Switzerland,
Int J Public Health. 2013 Dec;58(6):875-83. doi: 10.1007/s00038-013-0498-6. Epub 2013 Jul 25.
Child sexual abuse (CSA) is considered a major risk factor for a variety of health problems both in childhood and in later adult life. While population-based surveys aim to establish the real incidence rates of CSA by interviewing potential (past) victims, agency surveys focus on the rates of CSA reported to the authorities.
We conducted a nationwide agency survey of CSA in Switzerland. Data were collected from 350 agencies through an anonymous online form during a 6-month period. For data collection, we used a modified version of the case reporting form translated from the American National Incidence Study (NIS-4).
About 2.68 cases of CSA per 1,000 children per year are disclosed to agencies (1.11 in males, 4.33 in females). This is roughly twice the average incidence rate reported in methodologically similar studies from Canada, the US, and Australia.
In Switzerland, the majority of disclosed cases of CSA are handled by specialized yet semi-public agencies instead of public child welfare agencies or penal authorities. This fact might explain the higher disclosure rates.
儿童性虐待（CSA）被认为是儿童期和成年后多种健康问题的主要危险因素。虽然基于人群的调查旨在通过采访潜在（过去）受害者来确定 CSA 的实际发生率，但机构调查则侧重于向当局报告的 CSA 发生率。
我们在瑞士进行了一项全国性的 CSA 机构调查。在六个月的时间里，通过匿名在线表格从 350 个机构收集数据。为了进行数据收集，我们使用了从美国国家发病率研究（NIS-4）翻译而来的经过修改的案例报告表。
每年每 1000 名儿童中有约 2.68 例 CSA 案件被机构披露（男性为 1.11 例，女性为 4.33 例）。这大致是加拿大、美国和澳大利亚类似方法学研究报告的平均发病率的两倍。
在瑞士，大多数披露的 CSA 案件由专门的半公共机构处理，而不是公共儿童福利机构或刑事当局。这一事实可能解释了更高的披露率。
