Genitourinary Health of Sexually Abused Girls and Boys: A Matched-Cohort Study - 23/02/18
Abstract |
Objective |
To compare genitourinary health problems of children and adolescents with a substantiated report of sexual abuse with those of the general pediatric population.
Study design |
Via a prospective matched-cohort design, administrative databases between January 1996 and March 2013 were used to document genitourinary problems of 882 sexually abused children and those of 882 matched controls. Generalized linear mixed models determined the association between a substantiated sexual abuse and diagnoses for sexually transmitted infections and urinary and genital health problems.
Results |
Adjusted results revealed that up to 12 years after a sexual abuse was substantiated, abused girls had, respectively, 2.1 and 1.4 times more diagnoses for urinary and genital health problems compared with girls from the general population, whereas no difference was found for sexually transmitted infections. Sexually abused boys had an equivalent number of diagnoses as those from the general population for all 3 outcomes. Depending on the genitourinary health problem, abused girls and those from the general population had between 2.5 and 11 times more diagnoses than abused boys or those from the general population.
Conclusions |
This study showed that substantiated childhood sexual abuse is associated with more urinary and genital health problems among girls but not boys. Early prevention and intervention efforts may mitigate the problems such that they do not persist or worsen over time and into adulthood.
Le texte complet de cet article est disponible en PDF.Keywords : child sexual abuse, genitourinary health, sexually transmitted infections, children, adolescents, prospective study
Abbreviations : CPA, CSA, STI
Plan
Funded by the Ministry of Justice of Quebec (126489 [to I.D.]). P.V.-G. is supported by a scholarship from the Fonds de recherche du Québec—Santé (FRQS). The authors declare no conflicts of interest. |
Vol 194
P. 171-176 - mars 2018 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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