Singh H S, Yiing W W, Nurani H N
Pediatric Department, Hospital Ipoh, Malaysia.
Child Abuse Negl. 1996 Jun;20(6):487-92. doi: 10.1016/0145-2134(96)00030-0.
There has been increasing awareness that sexual abuse of children is a problem in Malaysia. Existing data is based on notification of cases. Population based studies are required to plan services for sexually abused children. This study utilized trainee paramedical staff as a community population to determine the prevalence of childhood sexual abuse. An anonymous, self-administered questionnaire was given to student nurses and trainee medical assistants at the Ipoh School of Nursing and Hospital Bahagia Medical Assistant Training School. Questionnaires were distributed directly to all students in a classroom setting and retrieved after a 30-minute interval. Information collected included questions on personal experiences of sexual abuse. Sexual abuse was defined as rape, sodomy, molestation, or exhibitionism occurring to a child less than 18 years of age. Six hundred and sixteen students participated in the study; 6.8% of the students admitted to having been sexually abused in their childhood, 2.1% of males and 8.3% of females. Of those abused, 69% reported sexual abuse involving physical contact, 9.5% of whom experienced sexual intercourse. The age at first abuse was < 10 years in 38.1% of the cases; 59.5% were repeatedly abused and 33.3% had more than one abuser. Of the abusers, 71.4% were known to the respondent, 14.2% of whom were brothers, 24.5% relatives, and 24.5% a family friend. Further, 28.9% of all students knew of an individual who had been sexually abused as a child. While this population may not be entirely reflective of the community, this study does provide an indication of the prevalence of sexual abuse in Malaysian children. The prevalence figures in this study are lower than those reported in industrialized countries and this may reflect local sociocultural limitations in reporting abuse.
人们越来越意识到，儿童性虐待在马来西亚是一个问题。现有数据基于案件通报。需要开展基于人群的研究，以便为遭受性虐待的儿童规划服务。本研究将实习医护人员作为社区人群，以确定儿童性虐待的患病率。向怡保护理学校和巴哈agia医院医疗助理培训学校的学生护士和实习医疗助理发放了一份匿名的自填式问卷。问卷在课堂上直接分发给所有学生，并在30分钟后收回。收集的信息包括有关性虐待个人经历的问题。性虐待的定义为发生在18岁以下儿童身上的强奸、鸡奸、猥亵或露阴行为。616名学生参与了该研究；6.8%的学生承认童年时期遭受过性虐待，其中男性为2.1%，女性为8.3%。在那些遭受虐待的人中，69%报告性虐待涉及身体接触，其中9.5%经历过性交。首次受虐年龄在10岁以下的占38.1%；59.5%的人遭受过多次虐待，33.3%的人有不止一名施虐者。在施虐者中，71.4%为受访者认识的人，其中14.2%是兄弟，24.5%是亲戚，24.5%是家庭朋友。此外，28.9%的学生认识曾在童年时期遭受性虐待的人。虽然这个人群可能不能完全反映整个社区的情况，但这项研究确实提供了马来西亚儿童性虐待患病率的一个指标。本研究中的患病率数字低于工业化国家报告的数字，这可能反映了当地在报告虐待行为方面的社会文化限制。
