Orozco-Alatorre LG, Pérez-Molina JJ, Sánchez-Palacios VB, Cervantes-Chávez F, Martínez-Romero E

Language: Spanish
References: 18
Page: 143-149
PDF size: 431.67 Kb.

ABSTRACT

Introduction: the strength of association of factors related to child sexual abuse (CSA) is different in different places. This wide range is due to differences in definition, measurement instruments, sample characteristics, and study designs. Objectives: to identify personal and domestic factors associated with sexual abuse in adolescents served by the PAS (Prevention of Child Sexual Abuse) Foundation. Material and methods: a case-control study was carried out, approved by the ethics committee and the confidentiality of the information was respected. Adolescents with CSA from the PAS Foundation (cases) and adolescents without CSA chosen at simple random from a secondary school (controls) were consecutively included. The dependent variable was CSA. The independent variables were personal and domestic factors. After training by psychologists from the PAS Foundation, a researcher collected information from adolescents who suffered from CSA between 2019-2020, and applied self-administered surveys to the control group of a high school. The association was measured with logistic regression with a 95% confidence interval. Results: the study included 49 adolescents with CSA aged 14.3 ± 2.1 years and 49 adolescents without CSA aged 13.4 ± 1.7 years. A model with logistic regression showed an association of CSA with the adolescent's perception of "not knowing how to protect their body from other people" (aOR= 7.21 95% CI 1.55-33.43), and "other domestic violence" (aOR= 5.12 95% CI 1.18-22.17). An association between CSA and low maternal education, adolescent aggressive behavior and poor family coexistence was ruled out. Conclusions: an association of ASI with adolescent perception of "not knowing how to protect their body from other people" and "domestic violence" was demonstrated.

REFERENCES

1. Daley SF, Gutovitz S. Child sexual abuse. 2025 Apr 12. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025.

2. Valdez-Santiago R, Villalobos A, Arenas-Monreal L, Flores-Celis K, Ramos-Lira L. Abuso sexual infantil en México: conductas de riesgo e indicadores de salud mental en adolescentes. Salud Publica Mex. 2020;62(6):661-671.

3. Stoltenborgh M, van Ijzendoorn MH, Euser EM, Bakermans-Kranenburg MJ. A global perspective on child sexual abuse: meta-analysis of prevalence around the world. Child Maltreat. 2011;16(2):79-101. doi: 10.1177/1077559511403920.

4. Miranda MHH, Fernandes FECV, Melo RA, Meireles RC. Sexual violence against children and adolescents: an analysis of prevalence and associated factors. Rev Esc Enferm USP. 2020;54:e03633. doi: 10.1590/S1980-220X2019013303633.

5. Chae H. Factors associated with body image perception of adolescents. Acta Psychol (Amst). 2022;227:103620. doi: 10.1016/j.actpsy.2022.103620.

6. Dubowitz H, Finkel M, Feigelman S, Lyon T. Initial medical assessment of possible child sexual abuse: history, history, history. Acad Pediatr. 2024;24(4):562-569. doi: 10.1016/j.acap.2023.11.013.

7. Cruz MAD, Gomes NP, Campos LM, Estrela FM, Whitaker MCO, Lírio JGDS. Impacts of sexual abuse in childhood and adolescence: an integrative review. Cien Saude Colet. 2021;26(4):1369-1380. doi: 10.1590/1413-81232021264.02862019.

8. Zeanah CH, Humphreys KL. Child abuse and neglect. J Am Acad Child Adolesc Psychiatry. 2018;57(9):637-644. doi: 10.1016/j.jaac.2018.06.007.

9. Abdul-Latiff M, Fang L, Goh DA, Tan LJ. A systematic review of factors associated with disclosure of child sexual abuse. Child Abuse Negl. 2024;147:106564. doi: 10.1016/j.chiabu.2023.106564.

10. Dai TT, Kissoon NN. Child sexual abuse. Pediatr Clin North Am. 2025;72(3):351-363. doi: 10.1016/j.pcl.2024.12.003.

11. Newman TB, Browner WS, Cummings SR, Hulley SB. Diseño de estudios de casos y testigos. En: Hulley SB, Cummings SR, Broener WS, Grady DG, Newman TB, editores. Diseño de investigaciones clínicas. 4a ed. Barcelona: Wolters Kluwer; 2014, pp. 97-116.

12. Pons-Salvador G, Martínez A, Pérez M, Borrás JJ. La evaluación del abuso sexual infantil: comparación entre informes periciales en función del diagnóstico de abuso. Psychosocial Intervention. 2006;15(3):317-330.

13. Euser S, Alink LR, Tharner A, van IJzendoorn MH, Bakermans-Kranenburg MJ. The prevalence of child sexual abuse in out-of-home care: increased risk for children with a mild intellectual disability. J Appl Res Intellect Disabil. 2016;29(1):83-92. doi: 10.1111/jar.12160.

14. Houseman B, Kopitnik NL, Semien G. Florida: domestic violence. In: StatPearls [Internet]. Treasure island (FL): StatPearls Publishing; 2025.

15. Kim SG, Weissman DG, Sheridan MA, McLaughlin KA. Child abuse and automatic emotion regulation in children and adolescents. Dev Psychopathol. 2023;35(1):157-167. doi: 10.1017/S0954579421000663.

16. Miranda JK, Domedel C, Crockett MA, Azócar E, Thatcher K. Growing up in the context of intimate partner violence: experiences and meanings for adolescents in Chile. Child Abuse Negl. 2021;120:105220. doi: 10.1016/j.chiabu.2021.105220.

17. Seto MC, Roche K, Rodrigues NC, Curry S, Letourneau E. Evaluating child sexual abuse perpetration prevention efforts: a systematic review. J Child Sex Abus. 2024;33(7):847-868. doi: 10.1080/10538712.2024.2356194.

18. Alonso VJ, Castellanos DJ. Por un enfoque integral de la violencia familiar. Intervención Psicosocial. 2006;15(3):253-274.