The objectives of the study
were to assess the prevalence of child sexual abuse (CSA) in a nation-wide
representative sample of 14-17 year old Israeli adolescents, and to examine the
associations between CSA, socio-demographic correlates and various measures of
physical and mental health.
The study population consisted of 906
mother-adolescent dyads, belonging to a community based, representative sample
of Israeli 14-17 year olds, interviewed in 2004-5. Response rate was 68%.
Subjects provided demographic data, and information about CSA, physical
symptoms, body image, well-being and use of mental health services.
DAWBA was
used to obtain information regarding mental disorders and suicidality. SDQ was
used to obtain data on bullying. Statistical analyses were conducted using an
SPSS-17 complex sample analysis module and multivariate analyses were conducted
to assess the associations between CSA and risk factors and social and health
related correlates.
Findings show that CSA was reported by 3.3% of adolescents.
Higher risk of exposure to CSA was found among girls, among adolescents living
in a one-parent household and among adolescents with a chronic disability.
In
multivariate models adjusting for gender, learning disabilities and depression,
CSA was associated with suicidal attempts, stomach ache, dizziness, sleep
problems, well being at home and bullying behaviors. No association was found
with suicidal ideation or other physical symptoms.
Our findings confirm that
the associations between CSA and different outcomes vary depending on the
socio-psychological context, and underline the importance of addressing the
complexity of variables associated with CSA.
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By:
- 1Mental Health Services, Ministry of Health, Jerusalem, Israel.
- 2The Israel Center for Disease Control, Ministry of Health, Tel Hashomer, Ramat Gan, Israel.
- 3Department of Child and Adolescent Psychiatry, Schneider Medical Center for Children in Israel, Petach Tikvah, Israel.
- 4Department of Child and Adolescent Psychiatry, Ziv Hospital, Zfat, Israel.
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