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Children Should Be Seen and Heard

A Qualitative Analysis of Abuse Histories Provided by Children with Ano-Genital Injury Consistent with Sexual Contact

Bibliographic Data

ID22010345
AuthorsMarcella M Donaruma-Kwoh, Marcella Donaruma‐Kwoh (0000-0002-3482-3190, Baylor College of Medicine), Kimberly Lopez (0000-0002-5934-7696, Baylor College of Medicine), K K Lopez, A N Bachim, Angela Bachim (0000-0002-8295-4152, Baylor College of Medicine), Andrea T Cruz (0000-0002-6153-8440, Baylor College of Medicine), Christopher S Greeley (0000-0002-4180-684X, Baylor College of Medicine)
Year2021
Volume11
Issue12
Pages724-734
Publication date2021-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAdvances in Applied Sociology (JOURNAL)
Journal identifiersISSN: 2165-4328 • E-ISSN: 2165-4336
PublisherScientific Research Publishing, Inc. (PUBLISHER)
DOI10.4236/aasoci.2021.1112059
OpenAlexW4206819189
LanguageEN
References cited25

Study Objective: To describe histories provided by sexually abused children whose ano-genital examinations demonstrated injury consistent with abuse. Design: This was a nested cohort study within a larger epidemiologic study of child sexual abuse. Setting: A large urban children’s assessment center (CAC) medical clinic population seen in a single calendar year. Participants: Children aged 6 to 16 years who provided a medical history directly to a pediatric medical care provider. Main Outcome Measures: The elements of a history provided by abused children in the context of a corroborative physical exam were described through qualitative analysis. Results and Conclusions: Both school-aged children and adolescents identify their perpetrators, outline the mechanics of abusive contact, and can provide relevant details for medical and forensic evaluation. This was also true in the subgroup of children with learning disabilities and psychiatric comorbidities. Children shared an array of troubled emotions provoked by their abuse experience; narratives of resistance were more common in younger children, while older adolescents focused most on their fear. In this study, we demonstrate that abused children are able to share details of their sexual abuse experiences clearly, with abnormal exams supporting their disclosure narratives

Child abuse · Child sexual abuse · Cohort · Injury prevention · Medical emergency · Narrative · Physical abuse · Poison control · Population · Psychiatry · Qualitative research · Sexual abuse · Child Abuse and Trauma · Clinical Psychology · Intimate Partner and Family Violence · Medicine · Psychology · Sexual Assault and Victimization Studies

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Citation velocityhistorical
Highly citedNo
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