少年に対する性的虐待:定義,流行,相関関係,後遺症,管理

W C Holmes¹, G B Slap

¹Department of Medicine, Leonard Davis Institute, University of Pennsylvania School of Medicine and The Children's Hospital of Philadelphia, 19104-6021, USA. holmeswc@mail.med.upenn.edu

JAMA

|December 10, 1998

まとめ

少年に対する性的虐待は一般的であり,報告されず,治療されず,その流行率は大きく異なっています. 医療従事者は,男性患者におけるこの問題に対するより高い意識と感性を必要としています.

科学分野:

小児科は小児科です.
心理学心理学とは
クリミノロジー犯罪学

背景:

少年に対する性的虐待は,公衆衛生上の重大な懸念事項である.
現存する研究では,さまざまな定義と罹患率の推定値が提示されています.
相関関係,続変,管理の理解は,介入にとって極めて重要です.

研究の目的:

少年に対する性的虐待を定義する.
罹患率の推定値を更新する.
関連性,連続性,および管理戦略を探求する.

主な方法:

1985年から1997年の間に発表された研究の体系的レビュー.
OVID-MEDLINEとOVID-CINAHLで,性的虐待,性的被害,性的暴行といった用語を使って検索しました.
明確なデザイン,少なくとも20人の男性被験者,および北米のサンプルを含むピアレビューされた研究が含まれています.

主要な成果:

149個のサンプルを代表する166件の研究が特定され,方法論的な限界があった.
罹患率の推定値は,定義と人口によって影響を受けた4%から76%の範囲であった.
危険因子には,年齢の若さ,非白人民族,社会経済的地位の低さ,心理的苦痛や薬物乱用などが含まれる.

結論:

少年に対する性的虐待は蔓延しており,報告されず,認識されず,治療もされていない.
将来の研究には,より明確な定義,改善されたサンプリング,厳格なデータ収集が必要です.
医療従事者は,男性患者の性的虐待に対する意識と敏感性を高めなければならない.

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