Sexual Abuse of Boys
JAMAPublished 2 December 1998
William R. Holmes, Gail B. Slap
Citations436
SJR quartileQ1
SJR score5.35
SNIP10.71
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TL;DR
Sexual abuse of boys appears to be common, underreported, underrecognized, and undertreated, and future study requires clearer definitions of abuse, improved sampling, more rigorous data collection, more sophisticated data analyses, and better assessment of management and treatment strategies.
Abstract
Sexual abuse of boys appears to be common, underreported, underrecognized, and undertreated. Future study requires clearer definitions of abuse, improved sampling, more rigorous data collection, more sophisticated data analyses, and better assessment of management and treatment strategies. Regardless, health care professionals should be more aware of and sensitive to the possibility of sexual abuse in their male patients.
Keywords
PsychologySocial Sciences
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The discovery of sexually abusive youths across both urban and rural areas supports the need for comprehensive service delivery and a continuum of treatment services to be available in all communities.
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210 Citations1995M Windle, Rebecca C. Windle +2 more
Addressing unresolved intrapsychic trauma associated with childhood abuse may increase the efficacy of treatment outcomes and reduce relapse rates among alcoholics, highlighting the long-term associations between sexual and physical abuse and adult coexisting mental disorders among alcoholic inpatients.
Child Abuse & NeglectPrior victimization: A risk factor for child sexual abuse and for PTSD-related symptomatology among sexually abused youth
205 Citations1995Sue Boney‐McCoy, David Finkelhor
The experience of prior victimization (sexual and nonsexual) was found to increase children's risk for experiencing later child sexual abuse (CSA) in a national random sample of 2,000 American children aged 10-16 years.
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196 Citations1994Bradford N. Bartholow, Lynda S. Doll +6 more
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179 Citations1988John Briere, Diane Evans +2 more
Although molestation during childhood was associated with previous suicide attempts and with elevated symptomatology on the Trauma Symptom Checklist, no differences between males and females were found on these variables.
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178 Citations1993Joseph C. Cappelleri, John Eckenrode +1 more
The epidemiology of child abuse was investigated with data from the Second National Incidence and Prevalence Study of Child Abuse and Neglect and showed that ethnicity, county metrostatus, and a gender-by-income interaction distinguished sexual abuse from physical abuse.
American Journal of EpidemiologyTHE PREVALENCE OF CHILDHOOD SEXUAL ASSAULT
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Journal of Traumatic StressPosttraumatic stress associated with delayed recall of sexual abuse: A general population study
171 Citations1995Diana M. Elliott, John Briere
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Journal of Substance Abuse TreatmentA comparison of male and female clients in substance abuse treatment
166 Citations1992Jacqueline Wallen
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160 Citations1989Kristin Anderson Moore, Christine Winquist Nord +1 more
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158 Citations1994Thomas A. Roesler, NANCY McKENZIE
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148 Citations1995Alex Carballo‐Diéguez, Curtis Dolezal
It is concluded that given the need to improve HIV prevention among Puerto Rican men who have sex with men, sexual abuse in childhood may constitute a marker to identify men at increased risk of HIV.
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147 Citations1992Eva Y. Deykin, Stephen L. Buka +1 more
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147 Citations1987Richard Dembo, Max C. Dertke +4 more
A structural model, specifying the influence of child physical and sexual abuse variables on the youths' illicit drug use, directly and as mediated by self-derogation, was estimated and suggest that for both gender groups, sexual victimization had a primarily direct effect on drug use.
Journal of the American Academy of Child & Adolescent PsychiatrySexual Abuse and Psychopathology in Hospitalized Adolescents
147 Citations1987Huguette Sansonnet-Hayden, Glenn Haley +2 more
The authors emphasize the importance of eliciting a history of sexual abuse from disturbed adolescents in an inpatient unit, especially when severe depressive symptoms are noted.
Child Abuse & NeglectGender differences in abused children with and without disabilities
146 Citations1997Dick Sobsey, Wade Randall +1 more
Boys represented a significantly larger proportion of physically abused, sexually abused, and neglected children with disabilities than would be expected from their respective proportion of abused and neglectedChildren without disabilities.
PubMedChildhood adversity and vulnerability to mood and anxiety disorders.
142 Citations1997Elizabeth A. Young, James L. Abelson +2 more
Journal of Adolescent HealthUnwanted sexual experiences among middle and high school youth
136 Citations1991Pamela I. Erickson, Andrea J. Rapkin
Students who reported having had an unwanted sexual experience were more likely to report current risk taking behaviors, school problems, and health problems that those who had not had such experiences.
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136 Citations1995Stephen J. Rossetti
Journal of Interpersonal ViolenceThe Sexual Abuse of Boys
131 Citations1987Leslie I. Risin, Mary P. Koss
Self-reports of childhood sexual experiences were obtained from 2,972 men in an approximately representative national sample of students in higher education, which represents 26% of all persons in the United States aged 18-24.
Child Abuse & NeglectSelf-reported childhood and adolescent sexual abuse among adult homosexual and bisexual men
129 Citations1992Lynda S. Doll, Dan Joy +7 more
The data suggest the risk of sexual abuse may be high among some male youth and increased attention should be devoted to prevention as well as early identification and treatment.
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127 Citations1985Robert L. Pierce, Lois Pierce
Significant differences between female and male victims were observed in the following areas: family composition, the perpetrator of the abuse, variables contributing to the continuation of the abusive situation, and the type of services provided to the sexually abused child and family.
American Journal of PsychiatrySexual and physical abuse histories and psychiatric symptoms among male psychiatric outpatients
126 Citations1990Chester Swett, Janet L. Surrey +1 more
Of 125 consecutive male patients at an adult psychiatric outpatient clinic, 48% reported histories of sexual abuse and/or physical abuse and Childhood abuse was associated with high levels of psychiatric symptoms in these men.
American Journal of PsychiatryPast sexual victimization by females of male patients in an adolescent medicine clinic population
125 Citations1987Robert L. Johnson, Diane K. Shrier
In an adolescent medicine clinic with more than 1,000 patients during 1982-1984, 11 male adolescents reported a history of sexual molestation by females, and one-fourth of the victims of both male and female molesters described themselves as sexually dysfunctional.
Journal of Abnormal PsychologySexual abuse histories of adolescent male sex offenders: Differences on the basis of the age and gender of their victims.
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Journal of Studies on AlcoholThe role of childhood stressors in the intergenerational transmission of alcohol use disorders.
120 Citations1997K J Sher, Beth S. Gershuny +2 more
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119 Citations1988Richard Dembo, Max C. Dertke +3 more
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Journal of Interpersonal ViolenceBehavior Problems in Young Sexually Abused Boys
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118 Citations1990Ann F. Jacobson, C Herald
In clinical assessments, routine inquiry about childhoodSexual abuse appears justified to clarify diagnoses and establish effective treatment plans and the authors make specific recommendations for a brief, routine clinical assessment for history of childhood sexual abuse.
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Child Abuse & NeglectMethodological issues in child sexual abuse research
116 Citations1989Jeffrey J. Haugaard, Robert E. Emery
The influences of response rate, ordering of questions, and definition of child sexual abuse on the results of a survey of college students' childhood and adolescent sexual experiences are reported on.
American Journal of PsychiatrySexually assaultive male juveniles: a follow-up
116 Citations1993Morton Rubinstein, Catherine A. Yeager +2 more
Investigation of the adult outcome of a group of male juveniles who committed sexual assault found that sexually assaultive delinquents are at particularly high risk for subsequent violence and special efforts must be made to treat them in adolescence.
Psychiatric ServicesPsychosocial Background and Behavioral and Emotional Disorders of Homeless and Runaway Youth
115 Citations1992Barbara Feitel, Neil Margetson +2 more
One hundred fifty clients of a shelter for homeless youths in New York City were interviewed to obtain information about their backgrounds and the incidence of behavioral and emotional disorder.
Child Abuse & NeglectReview of 125 children 6 years of age and under who were sexually abused
115 Citations1986Marcellina Mian, William Wehrspann +3 more
A chart review of 125 children, 6 years of age and under, who presented between early 1981 and mid 1983 to an acute care hospital because of sexual abuse is presented, finding that parents of children who had been the victims of intrafamilial abuse were more likely to be separated or divorced.
Journal of General Internal MedicineChildhood Sexual Abuse Among Homosexual Men Prevalence and Association with Unsafe Sex
114 Citations1997William R. Lenderking, Cheryl Wold +4 more
PEDIATRICSAre Children at Risk for Sexual Abuse by Homosexuals?
114 Citations1994Carole Jenny, Thomas A. Roesler +1 more
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Health PsychologySexual assault history and health perceptions: Seven general population studies.
109 Citations1997Jean Golding, M. Lynne Cooper +1 more
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109 Citations1987Michael A. Reinhart
Comparison to an age- and race-matched group of girl victims seen during the same period revealed many similarities in patterns of disclosure and perpetrator characteristics.
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108 Citations1997Robert W. Robin, Barbara Chester +3 more
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Journal of Adolescent HealthChildhood sexual abuse and coercive sex among school-based adolescents in a Midwestern state
107 Citations1996Mark Lodico, Enid Gruber +1 more
Adolescent health care providers should assess patients for sexually coercive behavior if they report childhoodSexual abused adolescents were twice as likely to report sexual aggression, and six times more likely toReport sexual victimization and the co-occurrence of sexual aggression and victimization.
Child Abuse & NeglectLong-term psychological correlates of childhood sexual abuse in two samples of college men
107 Citations1989Mary Ellen Fromuth, Barry R. Burkhart
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103 Citations1988Sylvia D. Broussard, William G. Wagner
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Psychiatric ServicesUndetected Abuse Among Intensive Case Management Clients
101 Citations1991Stephen M. Rose, Carolyn G. Peabody +1 more
A study of the first 89 clients referred to an intensive case management program revealed substantial previously undetected physical and sexual abuse, yet none of the clients had ever been asked about their abuse experiences, and suggests that mental health providers make routine inquiry about clients' family history of alcoholism and history of physical andSexual abuse.
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99 Citations1988Richard Dembo, Linda Williams +6 more
Data gathered from a new sample of detained juveniles, interviewed 3 years after the first study, relating to this issue were examined and the previous findings were replicated.
Child Abuse & NeglectIncidence and impact of sexual abuse in a child outpatient sample: The role of direct inquiry
96 Citations1991Cheryl Lanktree, John Briere +1 more
Children with an identified sexual abuse history reported more psychological symptoms, had made more suicide attempts in the past, and were more likely than nonabused children to receive a diagnosis of major depression.
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94 Citations1990Kurt Freund, Robin J. Watson +1 more
Analysis of self-reports confirmed that the proportion of pedophiles who report having been sexually abused in childhood by mature persons is larger than that of men who were not charged for or accused of a sex offense against a child though the difference is relatively small.
Journal of Adolescent Health CareSexual victimization of boys
93 Citations1985Robert L. Johnson, Diane K. Shrier
A six-year experience in an adolescent medicine clinic in which all medical interviews of adolescent males included questions about sexual molestation concludes that questions aboutSexual molestation should be included as part of routine histories in adolescent clinics.
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92 Citations1988Robert Dubé, Martine Hébert
Characteristics of abuse were found to be associated with the victim's age, sex, and relationship to the assailant, and extrafam familial sexual abuse was distinguished from intrafamilial sexual abuse insofar as it was more often a single episode, occurring outside the home environment, involving an act of abduction and physical force, and being reported to the police.
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Increased risk of problem behaviors and negative feelings among abused adolescents when compared with nonabused peers is confirmed, and influences of gender and abuse type on emotional and behavioral risks are better defined.
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87 Citations1995Jon McClellan, Julie Adams +3 more
Sexual abuse histories were quite common in this sample of severely mentally ill youth and were predicted by sexually inappropriate behaviors, symptoms of PTSD and borderline personality disorders, dissociative symptoms, substance abuse and animal cruelty.
Child Abuse & NeglectCharacteristics of a clinical sample of sexually abused children: How boy and girl victims differ
86 Citations1989Kathleen Coulborn Faller
A clinical sample of 87 boy victims of child sexual abuse is described and compares them to 226 girl victims and the majority of perpetrators were men; however girls were more likely than boys to be abused by men, and boys by both men and women.
Child Abuse & NeglectClinician responses to sexual abuse allegations
85 Citations1993Helene Jackson, Ronald L. Nuttall
A stratified random sample of 1,635 United States clinicians from national directories of clinical social work, pediatrics, psychiatry and psychology was drawn, yielding a 42% response rate.
Child Abuse & NeglectPredictors of legal intervention in child maltreatment cases
85 Citations1992Patricia Tjaden, Nancy Thoennes
Examination of substantiated intrafamilial child abuse and neglect cases reported in Denver, Los Angeles, and Newcastle Counties in 1985-1986 indicates that legal intervention is rare, and the primary predictor of both dependency and criminal filings is whether the case involved sexual abuse.
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84 Citations1990Richard Dembo, Linda Williams +7 more
Using data collected in a longitudinal study of detained juveniles, a model of the relationships of physical abuse, sexual exploitation, and alcohol/other drug use in children involved in the justice system is tested.
Child Abuse & NeglectRecall of abuse in childhood and three measures of dissociation
84 Citations1993Michael J. DiTomasso, Donald K. Routh
Recalled abuse was examined in relation to dissociation in a sample of 312 undergraduates and prevalence of sexual abuse, but not physical abuse, was found to be significantly higher for females than males.
Child Abuse & NeglectChild sexual abuse and gender differences: Attitudes and prevalence
83 Citations1993Mary M. Wellman
PubMedA comparison of risky health behaviors of sexually active, sexually abused, and abstaining adolescents.
83 Citations1994Szabolcs Nagy, Adcock Ag +1 more
Indications are that forced sex experiences are associated strongly with risky health behaviors in some adolescents, which should alert clinicians to the possibility of sexual abuse.
Journal of Interpersonal ViolencePsychotherapy Outcome of Sexually Abused Boys
83 Citations1992William N. Friedrich, William J. Luecke +2 more
Therapy outcome was related to a number of family and abuse factors, including maternal depression and social support, family conflict, and severity of abuse.
PEDIATRICSSituational and Sociodemographic Characteristics of Children Infected With Human Immunodeficiency Virus From Pediatric Sexual Abuse
81 Citations1993George A. Gellert, Michael Durfee +3 more
This study assessed the situational and sociodemographic characteristics of children infected with human immunodeficiency virus (HIV) from pediatric sexual abuse and identified 41 HIV-infected children with a history of sexual abuse.
Journal of the American Academy of Child & Adolescent PsychiatryInfluence of Sexual Abuse on HIV-Related Attitudes and Behaviors in Adolescent Psychiatric Inpatients
79 Citations1997Larry K. Brown, SHARI M. KESSEL +3 more
A history of sexual abuse is associated with impaired safe sexual decision-making and HIV-preventive communication skills, even in this already at-risk group, which underscores the importance of actively addressing these issues in the context of clinical care.
Clinical Journal of PainChildhood Sexual Abuse Among Chronic Pain Patients
78 Citations1990Sandy K. Wurlel, Glenn M. Kaplan +1 more
The prevalence of sexual abuse among 135 chronic pain patients is examined, with history of victimization more significant for women than men, and the relationship between sexual abuse and chronic somatic reactions was discussed.
Journal of Psychopathology and Behavioral AssessmentFactors associated with erection in adolescent sex offenders
78 Citations1989Judith Becker, John Hunter +2 more
International Journal of Law and PsychiatryIs sexual erotica associated with sexual deviance in adolescent males?
77 Citations1991Judith Becker, Robert M. Stein
Within the last few years, there has been a tremendous increase in the availability of highly sexually explicit material, specifically with the introduction of adult videos, which creates a climate in which researchers may expect to find links between pornography and sexual violence which may in turn color the interpretation of research findings.
Sexual AbuseCharacteristics of Sex Offenders Who Were Sexually Victimized as Children
77 Citations1989Rachel Langevin, P. Wright +1 more
PubMedHistories of sexual abuse in adolescent male runaways.
77 Citations1987Mark‐David Janus, Ann Wolbert Burgess +1 more
Sexually abused male runaways differed from nonsexually abused runaways in their reactions to their runaway event, with sexually abusedmale runaways responding in highly avoidant patterns coupled with extreme withdrawal from all types of interpersonal relationships.
Journal of Child Sexual AbuseAttributions of Blame in Child Sexual Abuse Victims
75 Citations1993John Hunter, Dennis W. Goodwin +1 more
Archives of Family MedicineSelf-reported childhood abuse in an adult population in a primary care setting. Prevalence, correlates, and associated suicide attempts
74 Citations1994Debra A. Gould
A history of childhood abuse was a common experience in this sample of adult patients and patients with a history of abuse, particularly sexual and emotional abuse, are at increased risk of suicidal behavior.
Journal of the American Academy of Child & Adolescent PsychiatryPredictors of Self-Reported Psychopathology in Children Abused Repeatedly by a Parent
73 Citations1993Richard Livingston, Louanne Lawson +1 more
Gender, age, and stressors other than abuse contribute to the prediction of psychiatric disorder in abused children.
Child Abuse & NeglectPersonal history of childhood abuse among clinicians
72 Citations1994Ronald L. Nuttall, Helene Jackson
Responses who had been sexually abused and/or physically abused were more likely to believe allegations of sexual abuse contained in 16 vignettes alleging sexual abuse.
PubMedCriteria for judging the credibility of children's statements about their sexual abuse.
72 Citations1988Kathleen C. Faller
The results support clinical assumptions that the criteria in question were valid ones for determining the truth of a sexual abuse allegation in cases involving confessions of abusers.
PubMedAxis I and II comorbidity and childhood trauma history in chemical dependency.
72 Citations1996Joan W. Ellason, Colin A. Ross +2 more
Dissociative disorders, mood and anxiety disorders, personality disorders, and histories of childhood trauma appear to be common in chemical dependency subjects, and should be inquired about routinely.
Child Abuse & NeglectAttitudes of health professionals to child sexual abuse and incest
72 Citations1987Nadine E. Eisenberg, R. Glynn Owens +1 more
Results showed that the type of sexual activity involved influenced responses; type of relationship between adult and child, less so; and incest was considered, especially by female respondents, to be harmful to the victim.
Violence and VictimsChildhood Sexual Victimization among College Men: Definitional and Methodological Issues
71 Citations1987Mary Ellen Fromuth, Barry R. Burkhart
Methodological and definitional issues are identified as being critical to the study of childhood sexual victimization, particularly among males.
Child Abuse & NeglectOne thousand fifty-nine children with a chief complaint of sexual abuse
68 Citations1988J. Michael Cupoli, Pamela Monaghan Sewell
Sexual assault victims under the age of 17 were evaluated over a period of 44 months in a teaching, metropolitan county emergency room and a major finding is that 58.1% of the perpetrators were known to the child but were not family members.
Annals of Otology Rhinology & LaryngologyPatterns of Physical and Sexual Abuse of Communicatively Handicapped Children
68 Citations1991Patricia M. Sullivan, Patrick E. Brookhouser +3 more
These children may be at risk for abuse from a wide variety of potential perpetrators, including teachers, dormitory counselors, van drivers, clergy, classroom aides, older students, peer siblings, scout leaders, abused peers, baby-sitters, and custodians.
Child Abuse & NeglectA descriptive study of abuse and neglect in out-of-home-placement
65 Citations1991James A. Rosenthal, Janet K. Motz +2 more
Quantitative and qualitative methods demonstrate that a significant percentage of confirmed reports are of a serious nature and injuries occurred most frequently because of physical abuse while sexual abuse reports were most likely to be confirmed.
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