Factors related to disclosure time in sexually abused children

Öz

Objective: The aim of this study is to investigate the factors affecting the disclosure time of child sexual abuse cases. Methods: This study was designed retrospectively and the reports of child sexual abuse cases evaluated between January 1, 2018 and December 31, 2019 were examined. Results: 75% of the cases were girls. The mean age of the victims at the time they were abused was found to be 12.5±3.5. 68.9% of crime was committed in the city. There is no Intellectual Disability in 81.5% of the victims. 51.4% of the victims disclosed the abuse after at least 6 months. It was determined that the disclosure period was longer in girls, preschool children and children without intellectual disability (p<0.001; p<0.001; p<0.05, respectively). Conclusion: In our country standardization of child sexual abuse prevention programs, increasing the rate of implementation, ensuring the evaluation and providing follow-up, raising awareness of professional occupational groups, especially students, teachers and health workers can be effective in early detection of sexual abuse and other types of abuse and in accelerating the next steps to be taken.

Anahtar Kelimeler

• Child
• Sexual Abuse
• Disclosure Delay
• Intellectual Disability

Cinsel istismar mağduru çocuklarda olayın ortaya çıkış süresini etkileyen faktörler

Öz

Amaç: Bu çalışmada çocuk cinsel istismar olgularının ortaya çıkış süresini etkileyen faktörlerin araştırılması amaçlanmıştır. Yöntemler: Bu çalışma retrospektif olarak tasarlanmış olup 1 Ocak 2018 ile 31 Aralık 2019 tarihleri arasında değerlendirilen çocuk cinsel istismar vakalarına ait raporlar incelenmiştir. Bulgular: Olguların; %75’i kızdı. Mağdurların istismara maruz kaldıkları tarihteki ortalama yaşı 12,5±3,5 bulunmuştur. Eylemlerin %68,9’u kentte meydana gelmiştir. Mağdurların %81,5’inde Zihinsel Yetersizlik yoktur. Mağdurların %51,4’ü üzerinden en az 6 ay geçtikten sonra olayı açıklamıştır. Kızlarda, okul öncesi dönem çocuklarında ve zihinsel yetersizliği olmayan çocuklarda olayın ortaya çıkma süresinin daha uzun olduğu saptanmıştır (sırasıyla p<0,001; p<0,001; p<0,05). Sonuç: Ülkemizde çocuğun cinsel istismarını önleme programlarına standardizasyon kazandırılması, uygulama oranlarının arttırılması, değerlendirme ve takibin sağlanması ile birlikte başta öğrenciler, öğretmenler ve sağlık görevlileri olmak üzere profesyonel meslek gruplarının farkındalığı artırmak cinsel istismar ve diğer istismar türlerini erken saptama ve atılacak sonraki adımları hızlandırma konusunda etkili olabilir.

Anahtar Kelimeler

• Çocuk
• cinsel istismar
• ifşanın gecikmesi
• zihinsel yetersizlik

Kaynakça

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