DST-NRF Centre of Excellence in Human Development, First Floor East Wing, School of Public Health, Education Campus, York Road, University of the Witwatersrand, Johannesburg, 2193, South Africa.
The Children's Institute, University of Cape Town, University of Cape Town, 46 Sawkins Road, Rondebosch, 7700, South Africa.
Child Abuse Negl. 2018 Oct;84:1-10. doi: 10.1016/j.chiabu.2018.07.016. Epub 2018 Jul 20.
Childhood sexual abuse of boys was examined in a longitudinal cohort in South Africa, with data on abuse collected at six age points between 11 and 18 years. Potential personal and social vulnerability of male sexual abuse victims was explored and mental health outcomes of sexually abused boys were examined at age 22-23 years. Reports of all sexual activity - touching, oral and penetrative sex - increased with age and sexual coercion decreased with age. Almost all sexual activity at 11 years of age was coerced, with the highest rates of coercion occurring between 13 and14 years of age; 45% of reports of coerced touching were reported at age 14, 41 percent of coerced oral sex at age 13, and 31% of coerced penetrative sex at age 14. Sexual coercion was perpetrated most frequently by similar aged peers, and although gender of the assailant was less often reported, it can be presumed that perpetration is by males. Boys who experienced childhood sexual abuse tended to be smaller (shorter) and from poorer families. No relationships to measured childhood intelligence, pubertal stage, marital status of mother or presence of the father were found. There was no significant association between reports of childhood sexual abuse and mental health in adulthood and when personal and social vulnerabilities were taken into account.
本研究对南非一个纵向队列中的男童进行了儿童期性虐待研究，在 11 至 18 岁之间的六个年龄点收集了虐待数据。研究探索了男性性虐待受害者的潜在个人和社会脆弱性，并在 22-23 岁时检查了遭受性虐待的男孩的心理健康结果。报告的所有性活动——触摸、口交和插入性性交——随着年龄的增长而增加，性胁迫随着年龄的增长而减少。11 岁时几乎所有的性活动都是被迫的，胁迫率最高发生在 13 至 14 岁之间；14 岁时报告了 45%的被迫触摸，13 岁时报告了 41%的被迫口交，14 岁时报告了 31%的被迫插入性性交。性胁迫最常由同龄的同伴实施，尽管攻击者的性别较少报告，但可以推测实施者是男性。经历过儿童期性虐待的男孩往往身材较小（较矮），来自较贫困的家庭。没有发现与儿童期智力、青春期阶段、母亲的婚姻状况或父亲的存在有关的关系。当考虑到个人和社会脆弱性时，报告的儿童期性虐待与成年期的心理健康之间没有显著关联。
