Ecological factors associated with child sexual abuse among 15- to 17-year-old adolescents in mainland China: implications for intervention

BackgroundChild sexual abuse is a major public health problem with adverse consequences for victims' physical, mental, and reproductive health. This cross-sectional study aimed to determine the prevalence of child sexual abuse and its associated factors among 15- to 17-year-old adolescents in m...

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Главные авторы: Guochen Fu (Автор), Yao Xu (Автор), Mingliang Pan (Автор), Ziyuan Zhang (Автор), Hudie Zhang (Автор), Youxiong Zhao (Автор), Lu Lin (Автор), Zijie Ye (Автор), Jiajun Liu (Автор), Fangjun Lan (Автор), Dongsheng Luo (Автор), Siyi Wang (Автор), Bangzheng Zhu (Автор), Xinyu Liao (Автор), Mengsi Hong (Автор), Jilun Chen (Автор), Zihao Li (Автор), Gaoming Yang (Автор), Ziyuan Zhao (Автор), Yusi Liu (Автор), Fang Ruan (Автор), Chunyan Yang (Автор), Junfang Wang (Автор)
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Опубликовано: Frontiers Media S.A., 2023-10-01T00:00:00Z.
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100 1 0 |a Guochen Fu  |e author 
700 1 0 |a Yao Xu  |e author 
700 1 0 |a Mingliang Pan  |e author 
700 1 0 |a Ziyuan Zhang  |e author 
700 1 0 |a Hudie Zhang  |e author 
700 1 0 |a Youxiong Zhao  |e author 
700 1 0 |a Lu Lin  |e author 
700 1 0 |a Zijie Ye  |e author 
700 1 0 |a Jiajun Liu  |e author 
700 1 0 |a Fangjun Lan  |e author 
700 1 0 |a Dongsheng Luo  |e author 
700 1 0 |a Siyi Wang  |e author 
700 1 0 |a Bangzheng Zhu  |e author 
700 1 0 |a Xinyu Liao  |e author 
700 1 0 |a Mengsi Hong  |e author 
700 1 0 |a Jilun Chen  |e author 
700 1 0 |a Zihao Li  |e author 
700 1 0 |a Gaoming Yang  |e author 
700 1 0 |a Ziyuan Zhao  |e author 
700 1 0 |a Yusi Liu  |e author 
700 1 0 |a Fang Ruan  |e author 
700 1 0 |a Chunyan Yang  |e author 
700 1 0 |a Junfang Wang  |e author 
245 0 0 |a Ecological factors associated with child sexual abuse among 15- to 17-year-old adolescents in mainland China: implications for intervention 
260 |b Frontiers Media S.A.,   |c 2023-10-01T00:00:00Z. 
500 |a 2296-2565 
500 |a 10.3389/fpubh.2023.1169669 
520 |a BackgroundChild sexual abuse is a major public health problem with adverse consequences for victims' physical, mental, and reproductive health. This cross-sectional study aimed to determine the prevalence of child sexual abuse and its associated factors among 15- to 17-year-old adolescents in mainland China.MethodsFrom September 8, 2019 to January 17, 2020, a total of 48,660 participants were recruited by 58 colleges and universities across the whole country to complete the self-administered, structured, online questionnaire. This analysis was restricted to 3,215 adolescents aged between 15 and 17 years in mainland China. Chi-square tests and multivariate Logistic regression analyses were performed to identify individual, relationship, and community factors associated with child sexual abuse.ResultsThe overall prevalence of child sexual abuse was 12.0%. More specifically, 13.0% of girls and 10.6% of boys reported that they were sexually abused prior to 18 years of age. At the individual level, being female, sexual minority identity, younger age, and higher levels of knowledge, skills and self-efficacy regarding condom use were significantly related to increased odds of reporting sexual abuse. At the relationship and community level, adolescents from disrupted families and those entering into a marriage, having casual sexual partners, and having first intercourse at a younger age were more likely to report sexual abuse. On the contrary, those who had never discussed sex-related topics with their family members at home and were offered school-based sexuality education later (vs. earlier) were less likely to report sexual abuse.ConclusionMultilevel prevention programs and strategies, including targeting adolescents with high-risk characteristics, educating young children and their parents about child sexual abuse prevention and optimizing the involvement of parents, school, community, society and government in comprehensive sexuality education, should be taken to reduce child sexual abuse among 15- to 17-year-old adolescents. 
546 |a EN 
690 |a child sexual abuse 
690 |a adolescents 
690 |a gender 
690 |a sexual minority 
690 |a ecological model 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n Frontiers in Public Health, Vol 11 (2023) 
787 0 |n https://www.frontiersin.org/articles/10.3389/fpubh.2023.1169669/full 
787 0 |n https://doaj.org/toc/2296-2565 
856 4 1 |u https://doaj.org/article/90281443c20c47a5802e5be64cda7dab  |z Connect to this object online.