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Identifying teenage sexual abuse victims by questions on their daily lives.

Identifieur interne : 000915 ( Main/Exploration ); précédent : 000914; suivant : 000916

Identifying teenage sexual abuse victims by questions on their daily lives.

Auteurs : Stéphanie Mignot [France] ; Xavier Fritel [France] ; Marie Loreal [France] ; Philippe Binder [France] ; Marie-Thérèse Roux [France] ; Ludovic Gicquel [France] ; Pierre Ingrand [France]

Source :

RBID : pubmed:30172412

Descripteurs français

English descriptors

Abstract

Child sexual abuse (CSA) is an international public health problem. While general practitioners are perhaps ideally positioned to detect CSA, a lack of simple tools and their discomfort in bringing up such a sensitive subject reduce the likelihood of its being brought up and flagged in primary care. However, it may be possible to identify victims of CSA by observing its consequences on student well-being, overall well-being and risk behavior. This study investigate the predictive value of daily life events possibly associated with CSA: relationship difficulties with peers and teachers, autolytic attempts, self-mutilation, low self-esteem, addiction, poor body image, physical and psychological violence, low quality of sleep. We carried out a crosssectional survey involving a representative sample of 1719 15 year-old adolescents enrolled in 192 randomly drawn schools from two French regions. In their classrooms, they filled out a version of the Health Behavior in School-Aged Children international (HBSC) self-questionnaire. Compared to their coevals, these youth were more likely to regularly consume cannabis, OR 4.40 [1.85; 10.48] and to express fear of violence, OR 2.05 [1.28; 3,28]. They were less likely to feel satisfied about their weight, OR 2.24 [1.13; 4.40] and more likely to feel unaccepted by others, OR 1.65 [1.03; 2.65]. The C-index (concordance statistic) taking into account gender, regular cannabis consumption, fear of violence, not having the right weight and not being accepted by others, was 0.79. The C-index also including self mutilation and autolytic attempts was 0.83. Indirect thematic could likewise facilitate detection and identification of CSA.

DOI: 10.1016/j.chiabu.2018.07.027
PubMed: 30172412


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<div type="abstract" xml:lang="en">Child sexual abuse (CSA) is an international public health problem. While general practitioners are perhaps ideally positioned to detect CSA, a lack of simple tools and their discomfort in bringing up such a sensitive subject reduce the likelihood of its being brought up and flagged in primary care. However, it may be possible to identify victims of CSA by observing its consequences on student well-being, overall well-being and risk behavior. This study investigate the predictive value of daily life events possibly associated with CSA: relationship difficulties with peers and teachers, autolytic attempts, self-mutilation, low self-esteem, addiction, poor body image, physical and psychological violence, low quality of sleep. We carried out a crosssectional survey involving a representative sample of 1719 15 year-old adolescents enrolled in 192 randomly drawn schools from two French regions. In their classrooms, they filled out a version of the Health Behavior in School-Aged Children international (HBSC) self-questionnaire. Compared to their coevals, these youth were more likely to regularly consume cannabis, OR 4.40 [1.85; 10.48] and to express fear of violence, OR 2.05 [1.28; 3,28]. They were less likely to feel satisfied about their weight, OR 2.24 [1.13; 4.40] and more likely to feel unaccepted by others, OR 1.65 [1.03; 2.65]. The C-index (concordance statistic) taking into account gender, regular cannabis consumption, fear of violence, not having the right weight and not being accepted by others, was 0.79. The C-index also including self mutilation and autolytic attempts was 0.83. Indirect thematic could likewise facilitate detection and identification of CSA.</div>
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<DescriptorName UI="D016728" MajorTopicYN="N">Self-Injurious Behavior</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
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<MeshHeading>
<DescriptorName UI="D019966" MajorTopicYN="N">Substance-Related Disorders</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D013406" MajorTopicYN="N">Suicide, Attempted</DescriptorName>
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<DescriptorName UI="D014754" MajorTopicYN="N">Violence</DescriptorName>
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<Keyword MajorTopicYN="Y">General practitioner</Keyword>
<Keyword MajorTopicYN="Y">Screening</Keyword>
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<Year>2018</Year>
<Month>03</Month>
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<PubMedPubDate PubStatus="revised">
<Year>2018</Year>
<Month>07</Month>
<Day>11</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2018</Year>
<Month>07</Month>
<Day>22</Day>
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<Month>9</Month>
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<li>France</li>
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<region>
<li>Nouvelle-Aquitaine</li>
<li>Poitou-Charentes</li>
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<settlement>
<li>Poitiers</li>
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<tree>
<country name="France">
<region name="Nouvelle-Aquitaine">
<name sortKey="Mignot, Stephanie" sort="Mignot, Stephanie" uniqKey="Mignot S" first="Stéphanie" last="Mignot">Stéphanie Mignot</name>
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<name sortKey="Binder, Philippe" sort="Binder, Philippe" uniqKey="Binder P" first="Philippe" last="Binder">Philippe Binder</name>
<name sortKey="Fritel, Xavier" sort="Fritel, Xavier" uniqKey="Fritel X" first="Xavier" last="Fritel">Xavier Fritel</name>
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<name sortKey="Ingrand, Pierre" sort="Ingrand, Pierre" uniqKey="Ingrand P" first="Pierre" last="Ingrand">Pierre Ingrand</name>
<name sortKey="Loreal, Marie" sort="Loreal, Marie" uniqKey="Loreal M" first="Marie" last="Loreal">Marie Loreal</name>
<name sortKey="Roux, Marie Therese" sort="Roux, Marie Therese" uniqKey="Roux M" first="Marie-Thérèse" last="Roux">Marie-Thérèse Roux</name>
</country>
</tree>
</affiliations>
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