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首页> 美国卫生研究院文献>British Medical Journal >Risk factors for development of sexually abusive behaviour in sexually victimised adolescent boys: cross sectional study
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Risk factors for development of sexually abusive behaviour in sexually victimised adolescent boys: cross sectional study

机译：性受害青少年男孩发展性虐待行为的危险因素：横断面研究

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>Objective: To identify factors that may increase the risk of a sexually victimised adolescent boy developing sexually abusive behaviour. >Design: Sexually victimised boys who had sexually abused other children were compared with sexually victimised boys who had not done so. >Setting: Social services departments in south east England were invited to refer sexually abused and sexually abusing boys to a London postgraduate teaching hospital. >Subjects: 25 adolescent boys aged between 11 years and 15 years and 11 months. >Main outcome measures: Adjusted odds ratios estimated from unconditional logistic regression. >Results: Unadjusted odds rations for witnessing (8.1) as well as experiencing (18.0) intrafamilial violence and discontinuity of care (7.2) discriminated boys who had sexually abused from others who were solely victims of sexual abuse. Only the adjusted odds ratios for witnessing intrafamilial violence (39.7) discriminated the two groups. >Conclusions: The risk of adolescent boys who have been victims of sexual abuse engaging in sexually abusive behaviour towards other children is increased by life circumstances which may be unrelated directly to the original abusive experience, in particular exposure to a climate of intrafamilial violence. Our findings have implications for the management of boys found to have been sexually abused and raise important questions about the possibility of secondary prevention of subsequent abusive behaviour in those at greatest risk. Key messages class="unordered" style="list-style-type:disc">The risk of sexually abused boys in early adolescence abusing other children may be associated with experiences in early life that are independent of sexual victimisation Exposure to persistent violence within the family may be a particularly important risk factor Management of sexually abused boys should take into account the impact of early life experiences that may be associated with increased risk with a view to the secondary prevention of sexually abusive behaviour
机译：>目标：确定可能会增加遭受性侵的青少年男孩发展性虐待行为的风险的因素。 >设计：将遭受过性虐待的其他孩子所遭受的性侵犯的男孩与未遭受过性虐待的性受害的男孩进行了比较。 >背景：英格兰东南部的社会服务部门应邀将性虐待和性虐待的男孩转介到伦敦的研究生教学医院。 >主题：25名年龄在11岁至15岁零11个月之间的男孩。 >主要结果指标：根据无条件逻辑回归估算的调整后的优势比。 >结果：目击（8.1）以及经历（18.0）家族内暴力和护理中断（7.2）的未调整赔率比将遭受性虐待的男孩与其他遭受性虐待的男孩区分开。只有见证家庭暴力的调整比值比（39.7）才区分了这两组。 >结论：生活情境增加了遭受性虐待的成年男孩对其他儿童进行性虐待的风险，这可能与最初的虐待经历没有直接关系，尤其是暴露于家庭暴力的气候。我们的发现对被发现遭受性虐待的男孩的管理产生了影响，并提出了有关对那些处于最大风险中的人进行后续预防其后虐待行为的可能性的重要问题。关键消息 class =“ unordered” style =“ list-style-type：disc”> <！-list-behavior = unordered prefix-word = mark-type = disc max-label-size = 0-> < li>在青春期早期遭受性虐待的男孩虐待其他儿童的风险可能与早年经历有关，而不受性侵害的影响 在家庭中持续遭受暴力侵害可能是一个特别重要的危险因素< / li> 对性虐待男孩的管理应考虑到早期生活经历的影响，这些影响可能与风险增加有关，以便对性虐待行为进行二级预防

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