Child Sexual Abuse in Zimbabwe

Although child sexual abuse is a significant public health problem globally, its incidence, prevention, and management is less well described in resource-poor settings. In poorer settings prevention initiatives assume even more importance since resources for managing abused children are severely limited. This article examines the current status of policy and practice related to the prevention of child sexual abuse in Zimbabwe. It identifies implementation challenges and highlights opportunities that could be embraced to reduce CSA in Zimbabwe, based on evidence synthesized from recent work. Although Zimbabwe has a well-established legal and regulatory framework to protect children from child sexual abuse, implementation of existing policies is weak. Financial, human, and material resource constraints are frequently cited to explain limited prevention activity. Effective strategies for the prevention of child sexual abuse should focus on implementing existing legislation, targeting schoolchildren, and getting community involvement. A dedicated budget would help entrench these strategies, but gains can be achieved even in the absence of this.     

Hiding and seeking: Children's lived experiences during COVID-19

A qualitative study explored the perspectives and lived experiences of school-age children during COVID-19 using a child rights lens. Twenty children between the ages of 7 and 12 participated in open-ended, virtual interviews. Our hermeneutic analysis found children's right to play and education were severely compromised leaving children to navigate between two worlds: the adult world of public health restrictions and that of their childhood. Despite challenges and lost childhood opportunities, children emerged as competent social agents and responsible citizens. Planning for future pandemics should include policies and practices that balance public health needs with the protection of children's rights.     

For adults only?:Confronting the implications of AIDS for children and young people

SUMMARY. Over the past year, Acquired Immune Deficiency Syndrome (AIDS) has gripped the public imagination and challenged both individuals and the ‘caring’ professions in terms of prevention and treatment. This article addresses some specific issues relating to children and our need to perceive AIDS as a legitimate concern for child health, education and social services in partnership with the voluntary sector and individual families. The author looks at caring for children with AIDS, the implications for those agencies and families and the need for accurate and honest health education for children     

Parents’ Reports of Sexual Communication With Children in Kindergarten to Grade 8

We examined factors associated with parents’ reports of three aspects of parent‐child sexual communication, quality, frequency with which parents encouraged questions, and extent of communication, on each of 10 sexual health topics. Participants were 3,413 mothers and 426 fathers with children in kindergarten to grade 8. Parents’ demographic characteristics, own sexual health education, knowledge and comfort talking about sexuality with their children, and ratings of the importance of comprehensive school‐based sex education plus child gender and grade level were uniquely related to their self‐reported sexual communication with their children, although different predictors were associated with various topics. These results highlight the need to include characteristics of parents, their children, and the communication itself in research on parent‐child sexual communication.     

Child Sexual Abuse and Intimate Partner Violence Victimization in Adulthood: Sex-Differences in the Mediating Influence of Age of Sexual Initiation

Child sexual abuse is a major public health concern in the United States with devastating sequelae. Although the relationship between child sexual abuse and intimate partner violence victimization in adulthood is known, little is known about the mediating influence of the age of sexual initiation on the association, or whether sex differences exist. Using data from waves I, III, and IV of the National Longitudinal Study of Adolescent to Adult Health (N = 1,163), we aimed to examine the mediating influence of age of sexual initiation on the association between child sexual abuse and intimate partner violence victimization in adulthood and identify sex differences. Findings reveal that in female survivors, age of sexual initiation partially mediated the association between child sexual abuse and physical intimate partner violence victimization in adulthood. In male survivors, no mediational effect was observed. Public health practitioners should be aware of sex differences in the effect of early sexual initiation on intimate partner violence victimization in adulthood among child sexual abuse survivors.     

Increasing Child Serving Professionals’ Awareness and Understanding of the Commercial Sexual Exploitation of Children

ABSTRACT

Child serving professionals need increased understanding of the identification and therapeutic needs of child victims of commercial sexual exploitation. This study evaluated the effectiveness of a training program aimed to increase awareness of commercial sexual exploitation of children (CSEC) among professionals likely to encounter victims in their work. Professionals’ (N = 227) knowledge level was examined prior to the training, immediately thereafter, and in a 6–12 month follow-up. Despite professional position or years of experience, participants had similar levels of CSEC knowledge before the training and all showed a significant improvement in their knowledge after the training. However, follow-up testing on a smaller subsample demonstrated that knowledge gains were not maintained. The analysis of the participants’ responses to how their behavior would change subsequent to the training revealed important themes including: (1) greater ability to identify/assess or recognize CSEC victims, (2) greater understanding and knowledge of CSEC, (3) increased ability to communicate, interact, and engage with CSEC victims, and (4) heightened desire to educate others and raise awareness about CSEC. Results also indicated that participants were very satisfied with the training and found it highly relevant to their work.     

The Cognitive Impact of Sexual Abuse and PTSD in Children: A Neuropsychological Study

Sexual abuse is known to have an impact on both child and adult mental health, but the neuropsychological basis of this effect is still largely unknown. This study compared neuropsychological test results from a group of 76 children, 13 of them sexual abuse victims with symptoms of post-traumatic stress disorder, 26 victims of sexual abuse who showed no symptoms post-traumatic stress disorder, and 37 controls. The groups were matched by age, sex, socioeconomic status, and educational level. Child sexual abuse was associated with reduced ability to inhibit automatic responses measured by the Stroop test regardless of post-traumatic stress disorder status. These findings indicate possible attentional inhibition difficulties in child victims of sexual abuse, which may help explain psychopathology associated with the experience.     

Child Sexual Abuse Attributions Among Undergraduate Psychology Students in Singapore

ABSTRACT

Experimental vignettes were used to investigate attributions relating to child sexual abuse with a focus on the degree of blame allocated to the family and to society, factors thought to be particularly relevant in a collectivist society. One hundred and sixty-two undergraduates in Singapore evaluated media reports describing a case of child sexual abuse. A 2 x 2 x 2 between-subjects design manipulated victim sex, perpetrator sex, and victim–perpetrator relationship. Participants rated the vignettes on degree of blame and prevention potential and rated the abusiveness of the case. Individualism and collectivism attitudes of the participants were also measured. While the highest blame ratings were attributed to perpetrators, significantly more blame was attributed to the family and to society than to the victim. The demonstration of the present attributions of blame to family and to society is a timely finding given recent recommendations to broaden approaches to child abuse prevention by moving away from a reliance on school based child protection programs, which leave the onus on the child to prevent and report abuse, toward a public health approach, which is particularly inclusive of parent and community education approaches . Allocation of some blame to victims, in spite of their status as children, while not a unique finding in victimology research, emphasizes the challenges still to be faced in encouraging the reporting of child sexual abuse.     

The use of sexually explicit stimuli by rapists,child molesters,and nonoffenders

Retrospective recall provided the basis for estimating the use of sexually explicit materials by sex offenders (voluntary outpatients) and nonoffenders during pubescence, as well as currently. Offenders were also asked about their use of such materials as incitors to offend. The sexual materials of concern were restricted to magazines, films, or videotapes depicting very explicit consenting sex between adults, a man forcing sex upon a woman, and sex between an adult male and a child. Twenty‐three rapists and 51 men who molested children other than their own (i.e. child molesters) reported significantly greater use of materials than was indicated by either incest offenders or nonoffender controls. Rapists and child molesters reported frequent use of these materials while preparing themselves to commit an offense. Current use was significantly related to the chronicity of their sexual offending (as revealed by number of victims) amongst the child molesters and to laboratory‐assessed sexual preferences for children in the heterosexual child molesters.     

21st Century Parent–Child Sex Communication in the United States: A Process Review

Parent–child sex communication results in the transmission of family expectations, societal values, and role modeling of sexual health risk-reduction strategies. Parent–child sex communication’s potential to curb negative sexual health outcomes has sustained a multidisciplinary effort to better understand the process and its impact on the development of healthy sexual attitudes and behaviors among adolescents. This review advances what is known about the process of sex communication in the United States by reviewing studies published from 2003 to 2015. We used the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, SocINDEX, and PubMed, and the key terms “parent child” AND “sex education” for the initial query; we included 116 original articles for analysis. Our review underscores long-established factors that prevent parents from effectively broaching and sustaining talks about sex with their children and has also identified emerging concerns unique to today’s parenting landscape. Parental factors salient to sex communication are established long before individuals become parents and are acted upon by influences beyond the home. Child-focused communication factors likewise describe a maturing audience that is far from captive. The identification of both enduring and emerging factors that affect how sex communication occurs will inform subsequent work that will result in more positive sexual health outcomes for adolescents.     

University Students’ Perceptions of Child Sexual Offenders: Impact of Classroom Instruction

Research with the public suggests that knowledge about sexual offenders, especially child sexual offenders, is limited and often inaccurate. In general, the public tends to believe that adults who commit sex crimes against children are pedophiles or monstrous strangers who cannot be rehabilitated. However, there is some evidence to suggest that these perceptions can be changed through curricular intervention. The current study was designed to determine whether a course on sex crimes against children could influence college students’ knowledge and attitudes toward child sexual offenders. In a pretest–post-test design, students enrolled in the sex crimes course endorsed fewer stereotypes had more positive attitudes toward treatment and offender rehabilitation, along with reduced support for punitive sentencing compared with students enrolled in a general psychology class. Implications for improving public attitudes and suggestions for informing public policies are offered.     

Infant regulation during the pandemic: Associations with maternal response to the COVID-19 pandemic,well-being,and socio-emotional investment

In the transition to parenthood, the COVID-19 pandemic poses an additional strain on parental well-being. Confirmed infections or having to quarantine, as well as public health measures negatively affect parents and infants. Contrary to previous studies mainly focusing on the well-being of school-aged children and their parents during lockdown periods, the present study investigated how mothers of infants respond to the COVID-19 pandemic and whether this is related to maternal well-being, maternal socio-emotional investment, and infant regulation. Between April and June 2021, 206 mothers of infants (M_age = 7.14 months, SD_age = 3.75 months) reported on COVID-19 infections, their response to the COVID-19 pandemic, their well-being, socio-emotional investment, and their infant’s regulation. Exploratory factor analyses yielded five dimensions of maternal response to the COVID-19 pandemic: social distancing, worrying about the child, birth anxiety, distancing from the child, and information on COVID-19-related parenting behavior and support. These dimensions were related to mother-reported infant regulatory problems. Path analyses revealed paths via reduced maternal well-being and maternal socio-emotional investment. Maternal perceptions of infant regulatory problems are related to how the mothers respond to the COVID-19 pandemic. Better information about COVID-19-related parenting behavior and support might buffer against these effects.     

Betrayed and Broken: A Study of the Experiences of Victims of Child Sexual Abuse in the Ga Community in Accra,Ghana

ABSTRACT

Child sexual abuse is increasingly becoming an issue of concern in most societies across the globe, including Ghana. This is a phenomenological study that sought to describe the lived experiences of victims of child sexual abuse in Ghana, using the Ga community as a case study. Purposive and snowball sampling techniques were used to identify 17 sexually abused children in the Ga Community. Using the interpretative phenomenological analysis (IPA), four main themes described the experiences of the victims: (a) forced sex (b) incest (c) joleying and (d) transactional sex. The findings illustrate the different circumstances in which children were sexually abused in the community studied. It also presents socio-cultural factors that normalizes the sexual abuse of children in the Ga Community. These findings underline the need for effective preventive programs and community interventions to protect children and support victims of child sexual abuse.     

Children with serious emotional disturbance: the impact of poverty and receipt of public assistance on behavior, functioning, and service use

The present study examines the associations between poverty status, receipt of public assistance, service use, and children's mental health. Using a sample of children with serious emotional disturbances, findings from logistic regressions indicated that although no significant associations were found between poverty status and emotional or behavioral problems, families living below the poverty threshold were more likely to receive fewer services, even after controlling for receipt of Medicaid or SSI. Significant associations were also found for child's age, race/ethnicity, caregiver education, Medicaid and TANF receipt, child and family mental-health-risk factors. Poor families were more likely to have older children, be non-white, have fewer years of education, receive public assistance, and have more family mental-health-risk factors, but less child mental-health-risk factors. While a higher percentage of nonpoor families received medication management and residential treatment services, more poor families received support services such as transportation and flexible funds. Implications for the findings are discussed.     

Family Diversity and Child Health: Where Do Same‐Sex Couple Families Fit?

Increasing family diversity during the past half century has focused national attention on how children are faring in nontraditional family structures. Much of the limited evidence on children in same‐sex couple families suffers from several shortcomings, including a lack of representative data. We use the National Health Interview Survey (2004–2012) and the National Survey of Children's Health (2011–2012) to identify children in different‐sex married and cohabiting families, never and previously married single‐parent families, and same‐sex couple families. Considering important characteristics such as the child's race or ethnicity and adoption status, household socioeconomic standing, family stability, and parent health, we examine the relationship between family type and parent‐rated overall child health. The results suggest that poorer health among children in same‐sex couple as well as different‐sex cohabiting couple and single‐parent families appears to be largely the product of demographic and socioeconomic differences rather than exposure to nontraditional family forms.     

Heterosexually Married Men Who Have Sex With Men: Marital Separation and Psychological Adjustment

In order to provide an empirical base for generation of theory and the design of intervention and enrichment programs, relationships between youths' perceptions of parental values/behavior and their own sexual attitudes were tested, as well as the interactive effects of a formal course in sex education. Perceptions of parental sexual liberality, concern about nudity in the home during childhood, caring for each other, and sex‐role stereotyping were correlated to adolescents' sexual liberalism, as measured by the Athanasiou and Shaver scale (1969, 1970), and other categorical items which elicited views of homosexuality, access to abortion and sex manuals, sex‐love linkage, premarital sexual relationships, and persons from whom advice about sexual problems would be sought. Sixty males and 75 females, ranging in age from 11 to 19 years, participated. Parental liberality correlated with offspring liberalism and other attitudes. Interactive effects of sex education were found: Sexually educated youths who perceived their parents as moderate reported greater sexual liberalism than those without sex education. No difference related to sex education was found among youths who perceived their parents as conservative or liberal. Lack of parental concern about nudity related to greater adolescent liberalism. Few differences attributable to gender and age were found. The discussion cautions against causal interpretation of correlations and presents avenues for future research.     

Sex education from 1900 to 1920: A study of ideological social control

The emergence of a campaign during the first two decades of this century to provide public information on sexual matters is analyzed as a social issue. The creation of sex education programs in the public schools, the role of government in disseminating literature on venereal disease, the founding of professional organizations concerned with the field of sexuality, and the widespread discussion of social and sexual hygiene in journals and books are evidence of a transformation of the subject of sexuality from a private concern to a public issue.