CHILD SEXUAL ABUSE—AN INCREASING RATE OF DIAGNOSIS
The LancetPublished 1 October 1987
C. C. Hobbs, J M Wynne
Citations99
SJR quartileQ1
SJR score12.11
SNIP22.72
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TL;DR
In 2 years in Leeds, two paediatricians diagnosed sexual abuse in 94 boys and 243 girls, with boys under 5 at diagnosis and the mean age was 8.0 years.
Abstract
In 2 years in Leeds, two paediatricians diagnosed sexual abuse in 94 boys and 243 girls. 38% were under 5 at diagnosis and the mean age was 8.0 years. 39% presented following disclosure by the child. 83% of boys and 25% of girls had anal signs and 58% of girls had genital signs. 60% of abusers were related to the child and half of these were natural fathers. 25% of all abusers were teenagers and 5% were women. The abuser was convicted in 25% of cases and protective legal orders were sought in 36%. Sexual abuse is emerging as a major child and mental health problem that requires new resources in training and personnel.
Keywords
PsychologyMedicineHealth Professions
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This paper, Sexual Abuse, Another Hidden Pediatric Problem: The 1977 C. Anderson Aldrich Lecture, was published 1978 in Pediatrics and forms the basis of the commentaries in succeeding chapters in this section of the book.
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Inclusion of vaginal inspection in all physical examinations resulted in doubling identification of cases of child sexual abuse and it is recommended that physical examination of young girls routinely include inspection of the vaginal opening.
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Details of 11 child sex rings identified in one working class community were obtained by interviewing investigating police officers and examining health and social services records, finding that many children are seriously abused as a consequence of them.
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