Allard-Dansereau C, Haley N, Hamane M, Bernard-Bonnin A C
Department of Pediatrics, University of Montreal, Quebec, Canada.
Child Abuse Negl. 1997 Oct;21(10):965-74. doi: 10.1016/s0145-2134(97)00057-4.
The aim of the study was to determine whether sexual victimization of children by young aggressors differs from adult aggressors.
A case review was performed on medical records of children less than 12 years of age referred in 1992 to the Child Protection Clinic at a tertiary care pediatric hospital.
Medical evaluation for sexual abuse was carried out on 316 children, 79% girls, 21% boys, mean age 6 +/- 2.7 years. Among known perpetrators, 39 were less than 16 years and 15 were between 16 and 19 years old. Young aggressors were more likely to abuse older female victims (p = .0009). They also were reported to engage in more genital/genital and genital/anal acts (p < .001). The aggressor's young age was found to be an important determinant related to a history of penetrative forms of sexual abuse (OR = 4.015, 95% C.I. 2.0581; 7.8319). Genital examination was specific for abuse (Adam's Class IV or V) in only 6.3% of victims, but significantly more often when the perpetrator was between 16-19 years old (p = .003).
Adolescent aggressors appear to engage in more genital/genital and genital/anal sexual abuse than older aggressors. Victims of aggressors age 16 to 19 had a higher risk of having specific findings on the anal/genital examination.
本研究旨在确定青少年侵犯者对儿童的性侵害是否与成年侵犯者不同。
对1992年转诊至一家三级护理儿童医院儿童保护诊所的12岁以下儿童的病历进行病例回顾。
对316名儿童进行了性虐待医学评估，其中79%为女孩，21%为男孩，平均年龄6±2.7岁。在已知的犯罪者中，39人年龄小于16岁，15人年龄在16至19岁之间。青少年侵犯者更有可能虐待年龄较大的女性受害者（p = 0.0009）。据报告，他们还更多地实施生殖器/生殖器和生殖器/肛门行为（p < 0.001）。发现侵犯者的年轻年龄是与性虐待的侵入形式病史相关的一个重要决定因素（OR = 4.015，95%置信区间2.0581；7.8319）。仅6.3%的受害者的生殖器检查显示有特定的虐待情况（亚当氏IV级或V级），但当犯罪者年龄在16至19岁之间时，这种情况明显更常见（p = 0.003）。
青少年侵犯者似乎比年龄较大的侵犯者实施更多的生殖器/生殖器和生殖器/肛门性虐待。年龄在16至19岁的侵犯者的受害者在肛门/生殖器检查中有特定发现的风险更高。
