Prevalence and associated mental health outcomes of child sexual abuse in youth in France: Observations from a convenience sample
| Autor: | Jude Mary Cénat, Kevin Smith, Amira Karray, Anne Valéry Mazoyer, Daniel Derivois, Nathalie Cartierre, Justine Caouette, Martine Hébert, Claudine Veuillet-Combier |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent media_common.quotation_subject Context (language use) Young Adult 03 medical and health sciences 0302 clinical medicine Outcome Assessment Health Care Prevalence medicine Humans Generalizability theory Child Abuse Child media_common biology business.industry Public health Avoidance coping Child Abuse Sexual biology.organism_classification Mental health 030227 psychiatry Psychiatry and Mental health Clinical Psychology Cross-Sectional Studies Child sexual abuse North America Female France Cannabis Psychological resilience business 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Journal of Affective Disorders. 282:820-828 |
| ISSN: | 0165-0327 |
| DOI: | 10.1016/j.jad.2020.12.100 |
| Popis: | Context Child sexual abuse (CSA) is an important public health problem associated with an array of negative consequences. Although prevalence rates are well established from North America, few studies have focused on the extent of CSA and associated outcomes in youth from France. Objectives This study aimed to: 1) estimate the prevalence of CSA, 2) assess the associations between CSA and health outcomes while exploring possible gender specificities and 3) document the contribution of revictimization on symptom complexity. Method The sample involved 2309 participants aged between 14 and 23 years old (M = 19.55). Measures assessing CSA, other forms of child maltreatment and mental health problems were administered. Sexual revictimization and a host of protective factors (resilience, coping strategies, parental support) were also assessed. Results CSA was reported by 13.1% of girls and 4.2% of boys. Regression analyses revealed that CSA was associated with all mental health outcomes except alcohol and drug use (other than cannabis) after controlling for sociodemographics and other forms of child maltreatment. Sexual revictimization was associated with symptom complexity. Emotion-centered and avoidance coping predicted symptom complexity while resilience and paternal support acted as protective factors. Limitations The study relied on a cross-sectional design with a convenience sample, which limits the generalizability of results. The small number of boys reporting CSA precludes drawing firm conclusions as to the gender specificities in the outcomes associated with CSA. Conclusions Findings underscore the relevance of developing efficient prevention programs as CSA is linked to a host of negative outcomes. |
| Databáze: | OpenAIRE |
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