Wild N J
Br Med J (Clin Res Ed). 1986 Apr 26;292(6528):1113-6. doi: 10.1136/bmj.292.6528.1113.
Temporal trends in physical and sexual abuse of children within a geographically defined area were examined, and cases of suspected sexual abuse referred to paediatricians during 1984 were studied in detail. After remaining static for four years referrals due to all types of abuse trebled between 1979 and 1984, and referrals due to sexual abuse increased from none to 50 a year. In 1984, 50 children (39 girls) aged 1-16 were referred because of possible sexual abuse. Abuse was confirmed or considered to be likely in 30 (28 girls). The perpetrator was a male relative or family friend in 17 cases and a man participating in a child sex ring in seven cases. Physical examination often did not show anything remarkable, but three girls had venereal infections. These figures suggest that paediatricians and child psychiatrists will increasingly be presented with cases of sexual abuse in children.
研究了一个地理区域内儿童身体虐待和性虐待的时间趋势，并对1984年转介给儿科医生的疑似性虐待病例进行了详细研究。在保持四年稳定之后，1979年至1984年间，各类虐待导致的转介病例增加了两倍，性虐待导致的转介病例从无增加到每年50例。1984年，有50名年龄在1至16岁的儿童（39名女孩）因可能遭受性虐待而被转介。30例（28名女孩）的虐待得到证实或被认为很可能发生。在17例案件中，犯罪者是男性亲属或家庭朋友，7例案件中是参与儿童性交易团伙的男子。体格检查通常没有发现任何异常，但有三名女孩患有性病感染。这些数据表明，儿科医生和儿童精神科医生将越来越多地面对儿童性虐待病例。
