King Abdulaziz Medical City, Ministry of National Guard- Health Affairs, Saudi Arabia; Department of Pediatrics, King Abdullah Specialized Children Hospital, Saudi Arabia; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences (KSAU-HS), Saudi Arabia.
Child Abuse Negl. 2021 Jun;116(Pt 1):103967. doi: 10.1016/j.chiabu.2019.03.003. Epub 2019 Mar 11.
Child Sexual Abuse (CSA) is a global public health problem that has been found to be linked to negative health outcomes. The aim of this study is to examine the prevalence of different forms of CSA and its impact on chronic diseases, mental health disorders, and health-risk behaviors among adults in Saudi Arabia (SA). A cross-sectional, national survey utilizing Adverse Childhood Experiences International Questionnaire (ACE-IQ) was conducted in SA. Adults (N=10,156) aged ≥18 years were invited to participate. The relationship between CSA variables and outcomes were calculated. The prevalence of life time CSA was 20.8%. Participants who reported CSA had 1.7, 2.2, and 3.8 times the odds of diabetes, coronary heart disease, and obesity diagnosis respectively compared to participants with no CSA. Regarding mental health disorders, CSA had 3.0, 2.6, and 4.1 times the odds of a depression, anxiety, and other mental illness diagnosis respectively. Those reported CSA were identified as having 2.0, 5.5, 5.8, 7.9, and 7.2 times the odds of being a smoker, drinking alcohol, using drugs, out of wedlock sexual relations, and suicidal thoughts respectively. In comparing males and females with CSA, males had the highest odd ratio (5.2) for obesity among the physical and mental health disorders and female had the highest OR (10.7) in out of wedlock sexual relations among the health- risk-behaviors. CSA is a common hidden phenomenon in SA, efforts should be strengthened to increase awareness on consequences, and outcomes in order to build prevention programs.
儿童性虐待（CSA）是一个全球性的公共卫生问题，已被发现与负面健康结果有关。本研究旨在探讨沙特阿拉伯（SA）成年人中不同形式的 CSA 的流行程度及其对慢性疾病、心理健康障碍和健康风险行为的影响。利用不良童年经历国际问卷（ACE-IQ）进行了一项横断面、全国性调查。邀请年龄≥18 岁的成年人参加。计算了 CSA 变量与结果之间的关系。终身 CSA 的患病率为 20.8%。与没有 CSA 的参与者相比，报告 CSA 的参与者患糖尿病、冠心病和肥胖症的几率分别高出 1.7、2.2 和 3.8 倍。关于心理健康障碍，CSA 患抑郁症、焦虑症和其他精神疾病的几率分别高出 3.0、2.6 和 4.1 倍。报告 CSA 的人被确定为吸烟者、饮酒者、吸毒者、婚外性行为者和自杀念头者的几率分别高出 2.0、5.5、5.8、7.9 和 7.2 倍。在比较有 CSA 的男性和女性时，男性在身体和心理健康障碍方面肥胖的最高优势比（5.2），而女性在健康风险行为方面婚外性行为的最高 OR（10.7）。CSA 在 SA 是一种常见的隐藏现象，应加强努力提高对后果和结果的认识，以建立预防计划。
