Stigma and Resilience Among Vulnerable Youth Centre, School of Nursing, University of British Columbia, T222-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada.
Department of Adolescent Health and Medicine, University of British Columbia, V2-203, 948 W 28 Avenue, Vancouver, BC, V5Z 4H4, Canada.
Child Abuse Negl. 2018 Feb;76:440-451. doi: 10.1016/j.chiabu.2017.12.003. Epub 2017 Dec 12.
This systematic review assessed the current state of the literature on sexually exploited boys internationally. We aimed to describe what is known about sexual exploitation of boys, identify gaps in the literature, provide implications for practice, and make recommendations for future research. Multiple database searches were conducted using a combination of controlled vocabulary and keywords to capture child and adolescent sexual exploitation. Our search identified 11,099 unique references and excluded studies that did not include male participants less than 18 years old or disaggregate results by relevant age groups and/or by sex. This review identified 42 studies from 23 countries, providing evidence that sexual exploitation of boys is an issue in both high- and low-income countries. Seventeen articles had sexual exploitation as their primary variable of interest, the majority of which sampled boys who accessed services (i.e., shelters, health care, social, and justice services). Boys' experiences of sexual exploitation varied in terms of venue, exploiters, and compensation. Compared to their non-sexually exploited peers, sexually exploited boys more commonly reported experiences of child abuse, substance use, conduct problems, and mental health problems such as anxiety, depression, and self-harm. Despite increasing evidence that boys are sexually exploited around the world, the current literature provides limited data about the antecedents, sequelae, and the specific features of sexual exploitation experiences among boys. Further research is needed to inform, policy, social services and health care delivery specific to the needs of sexually exploited boys.
本系统评价评估了国际上关于性剥削男孩的文献现状。我们旨在描述已知的关于男孩性剥削的情况，确定文献中的空白，为实践提供启示，并为未来的研究提出建议。我们使用了受控词汇和关键词的组合进行了多次数据库搜索，以捕获儿童和青少年的性剥削。我们的搜索确定了 11099 个独特的参考文献，并排除了那些不包括年龄小于 18 岁的男性参与者或不按相关年龄组和/或性别划分结果的研究。本综述从 23 个国家确定了 42 项研究，这些研究提供了证据表明，男孩的性剥削是高收入和低收入国家都存在的问题。17 篇文章将性剥削作为其主要关注的变量，其中大多数样本是接受服务（即庇护所、医疗保健、社会和司法服务）的男孩。男孩的性剥削经历在场所、剥削者和报酬方面存在差异。与非性剥削的同龄人相比，性剥削的男孩更常报告遭受虐待、滥用药物、行为问题以及焦虑、抑郁和自残等心理健康问题。尽管越来越多的证据表明世界各地的男孩都受到性剥削，但目前的文献仅提供了有限的数据，这些数据涉及男孩性剥削经历的前因、后果以及具体特征。需要进一步研究，为政策、社会服务和特定于性剥削男孩需求的医疗保健提供信息。
