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important study: most 'sexual abuse' is wanted

Posted by Filip30 on 2017-August-31 00:27:03, Thursday

Some weeks ago I found a study from 2002 which has two VERY important results:

Michael King et al. (2002): Sexual molestation of males: associations with psychological disturbance. British Journal of Psychiatry, 181 (2) 153-157

"Abstract

Method We recruited men attending general practice and genitourinary medicine services. Participants took part in a computerised interview about sexual molestation as children or adults. We ranked reported sexual experiences into three categories of decreasing severity. Each category was treated as an independent predictor in a multivariate analysis predicting different types of psychological disturbance.

Results Men who reported child sexual abuse were more likely to report any type of psychological disturbance. Men who reported sexual molestation in adulthood were 1.7 (1.0-2.8) times more likely to have experienced a psychological disorder, but self-harm was the single most likely problem to occur (odds ratio=2.6, range=1.3-5.2). Men reporting ‘ consenting’ sexual experiences when aged under 16 years also were more likely to report acts of self-harm (odds ratio=1.7, range=0-2.8)."

This study asked men 1) if there were any unwanted sexual contacts before the age of 16 years in their life and 2) if there were any wanted sexual contacts with persons at least five years older before the age of 16 years in their life.

Of the 2.698 men 150 men reported unwanted sexual contacts and 191 men reported wanted sexual contacts with older persons.

So according to this study the majority of the sexual contacts of minors that are typically labeled as "sexual abuse" of minors are wanted by the minors.

Second and maybe even more important result: The odd ratio for the men with unwanted contacts for "Psychological disturbance" ("Anxiety, depression and/or sleep disturbance") was 2,0. So these men really showed much more psychological disturbances. But: The odd ratio for the men with the wanted sexual contacts with older persons was just 1,1. So these men were nearly as healthy as the other persons without such contacts and the little difference 1,1 can have many reasons as the Rind-Bauserman-Tromovitch-study showed. For example probably families who do not prevent sexual contacts of their children with older persons often neglect their children in other areas and this neglect impairs lots of these children.

The differences of the odd ratios between the two groups were:

(as described) Psychological disturbance 2,0/1,1
Sexual problems 3,2/1,5
Self-harm 3,7/1,7
Substance misuse 2,7/1,3
Any of these problems 2,4/0,9

Page 154 about the method of the study:

"Thus a priori we derived three categories of sexual abuse of decreasing severity:

(a) child sexual abuse (irrespective of other experiences);
(b) sexual molestation as an adult (irrespective of ‘consensual’ experiences);
(c) ‘consensual’ sexual experiences as a child aged less than 16 years.

Each category was treated as an independent predictor in a series of one-step, multivariate, logistic regressions predicting different types of psychological disturbance. We included in the regression other risk factors and confounders of the potential association between sexual molestation and psychological disturbance. These were: age in years; social class (non-manual v. manual); ethnicity (White v. non-White); interview site (GUM v. GP) and sexual behaviour (reporting/non-reporting of consensual sex with men). There is evidence that people who report same-sex partners are more likely to report psychiatric disorders than those who report oppositesex partners (Sandfort et al, 2001).Our data had also already shown that men who reported male sexual partners were significantly more likely to report sexual molestation in adulthood (Coxell et al, 1999, 2000). Thus, we decided to include same-sex behaviour in the regressions."

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