对男孩的性虐待:定义,流行,相关性,后果和管理
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
概括
对男孩的性虐待很常见,报告不足,治疗不足,患病率差异很大. 医疗保健专业人员需要对男性患者这一问题的认识和敏感性更大.
科学领域:
- 儿科 儿科 儿科
- 心理学 心理学 心理学
- 犯罪学 犯罪学
背景情况:
- 对男孩的性虐待是一个重大的公共卫生问题.
- 现有的研究提出了各种定义和流行率估计.
- 了解相关性,后续和管理对于干预至关重要.
研究的目的:
- 为了定义对男孩的性虐待.
- 为了更新流行率估计.
- 探索相关性,后续和管理策略.
主要方法:
- 对1985年至1997年间发表的研究进行系统审查.
- 在OVID-MEDLINE和OVID-CINAHL中搜索了以下术语:性虐待,性受害,性侵犯.
- 包括具有明确设计的同行评审研究,至少20名男性受试者和北美样本.
主要成果:
- 确定了166项代表149个样本的研究,但方法上存在局限性.
- 患病率估计在4%至76%之间,受定义和人口的影响.
- 风险因素包括年龄较小,非白人种族,低社会经济地位;后果包括心理痛苦和药物滥用.
结论:
- 对男孩的性虐待很普遍,没有得到充分的报道,没有得到充分的认可和治疗.
- 未来的研究需要更清晰的定义,更好的抽样和严格的数据收集.
- 医疗保健提供者必须提高男性患者对性虐待的认识和敏感性.
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