Prevalence of child sexual abuse among adolescents in Geneva: results of a cross sectional survey

Authors:
  • RMRoger-Luc Mounoud
    Roger-Luc Mounoud
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Abstract
Objective : To measure the cumulative prevalence of child sexual abuse in a representative sample of the adolescent population of Geneva. Design : Cross sectional survey with an anonymous self administered questionnaire centred on a factual description of sexual activities. Setting : 68 classes (17 schools) randomly selected from the 201 ninth grade classes of the public school system in Geneva. Subjects : 1193 adolescents aged 13-17 years, of whom 1116 (93.5%; 568 girls, 548 boys) consented to the study and returned completed questionnaires. Results : 192 (33.8%) girls and 60 (10.9%) boys reported having experienced at least one sexually abusive event. The prevalence of abuse involving physical contact was 20.4% (116 cases) among girls and 3.3% (18) among boys. The prevalence of abuse involving some form of penetration was 5.6% (32 cases) among girls and 1.1% (six) among boys. One third of the abused adolescents had experienced more than one abusive event and 46.5% (92/198) had experienced the first event before age 12. Abuse by a family member was reported by 20.5% (36/176) of abused girls and 6.3% (3/48) of abused boys. Abusers were known to victims in two thirds of cases. Ninety per cent of abusers were male and 35.3% (71/201) came from the victims' peer group. Over 80% of participants found the questionnaire interesting, clearly formulated, and useful. Conclusions : Child sexual abuse is a universal social phenomenon. Adolescents themselves can contribute to research and so help in the search for more efficient prevention and intervention strategies. Key messages: The prevalence of sexual abuse involving physical contact was 20.4% among girls and 3.3% among boys; the prevalence of abuse involving some form of penetration was 5.6% among girls and 1.1% among boys Half of the children reporting sexual abuse expe- rienced the first event before the age of 12; in one third of cases the abuser was an adolescent Lengthy preparation resulting in ethical approval, firm political and administrative backing, and a complex operational partnership with schools were prerequisites for a study that confronted adolescents with a sensitive topic The responsible participation of the adolescents indicated that they could provide useful collabora- tion in epidemiological research in a topic of con- cern to them

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