A longitudinal perspective on boys as victims of childhood sexual abuse in South Africa: Consequences for adult mental health |
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| Institution: | 1. DST-NRF Centre of Excellence in Human Development, First Floor East Wing, School of Public Health, Education Campus, York Road, University of the Witwatersrand, Johannesburg, 2193, South Africa;2. The Children’s Institute, University of Cape Town, University of Cape Town, 46 Sawkins Road, Rondebosch, 7700, South Africa;1. Department of Medicine, University of Chicago, United States;2. Department of Public Health Sciences, University of Chicago, United States;3. Chicago Center for HIV Elimination, University of Chicago, United States;1. Faculty of Business, Justice, and Behavioural Sciences, Charles Sturt University, Manly, Australia;2. Centre for Investigative Interviewing, Griffith Criminology Institute, Griffith University, Brisbane, Australia;1. Clinic of Psychiatry and Psychotherapy, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany;2. Institute of Systems Neuroscience, Center of Experimental Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany;3. Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa;1. Yale School of Public Health, 60 College Street, New Haven, CT, 06510, USA;2. The Fenway Institute, Fenway Health, 1340 Boylston Street, Boston, MA, 02215, USA;3. Departments of Behavioral and Social Health Sciences and Epidemiology, Brown University School of Public Health, 121 South Main Street, Providence, RI, 02912, USA;4. Department of Psychiatry, Harvard Medical School/Massachusetts General Hospital, 1 Bowdoin Square, Boston, MA, 02114, USA;5. Division of Infectious Disease, Department of Medicine, Harvard Medical School/Beth Israel Deaconess Medical Center, 110 Francis Street, Boston, MA, 02215, USA;6. Department of Biobehavioral Health, Penn State University, 114 Biobehavioral Health Building University Park, PA, 16802, USA;7. OLB Research Institute, Online Buddies, Inc., 215 First Street, Cambridge, MA, 02142, USA;8. Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, 121 South Main Street, Providence, RI, 02912, USA |
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| Abstract: | Childhood sexual abuse of boys was examined in a longitudinal cohort in South Africa, with data on abuse collected at six age points between 11 and 18 years. Potential personal and social vulnerability of male sexual abuse victims was explored and mental health outcomes of sexually abused boys were examined at age 22–23 years. Reports of all sexual activity – touching, oral and penetrative sex – increased with age and sexual coercion decreased with age. Almost all sexual activity at 11 years of age was coerced, with the highest rates of coercion occurring between 13 and14 years of age; 45% of reports of coerced touching were reported at age 14, 41 percent of coerced oral sex at age 13, and 31% of coerced penetrative sex at age 14. Sexual coercion was perpetrated most frequently by similar aged peers, and although gender of the assailant was less often reported, it can be presumed that perpetration is by males. Boys who experienced childhood sexual abuse tended to be smaller (shorter) and from poorer families. No relationships to measured childhood intelligence, pubertal stage, marital status of mother or presence of the father were found. There was no significant association between reports of childhood sexual abuse and mental health in adulthood and when personal and social vulnerabilities were taken into account. |
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| Keywords: | Child abuse Males Mental health Longitudinal South Africa |
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