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Child sexual abuse among medical school students: experiences and perceptions

A Correction to this article was published on 07 April 2020

This article has been updated


Given that 5–25% of the adult population report child sexual abuse (CSA), most clinicians will care for victims. Data regarding CSA experiences among medical students are limited and the association of medical students’ own history of CSA with relevant perceptions has not been previously examined. The aim of this study was to assess CSA perceptions and exposure of medical students, while exploring their associations. For this purpose, a link was created and made available on a site accessed solely by the Athens medical school undergraduates from February 20 to March 20 2019, comprising a 12-item questionnaire to assess the knowledge and past experience of CSA. This was based on a larger published questionnaire, which was translated and adapted. The questionnaire was then transcripted online, and after pilot testing, was disseminated using the Google documents® platform. Out of 261 responses, CSA was reported by 48 participants (18%), of which 39 were women. Thirty five reported contact CSA. Thirty seven victims (77%) reported previous disclosure of the event, but 18 of them were not protected post disclosure. CSA victims were less likely to agree with the perception that most perpetrators are mentally ill or disabled (p = 0.043), and more likely to strongly disagree with the statement that reputable families are protected from sexual abuse (p = 0.019). In agreement with existing data in general populations globally, about one in five medical students had exposure to CSA. In addition, a potential association of their own experiences with shaping perceptions regarding the identity of CSA perpetrators and affected families for medical students is highlighted.

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  1. 1.

    Gallion HR, Milam LJ, Littrell LL. Genital findings in cases of child sexual abuse: genital vs vaginal penetration. J Pediatr Adolesc Gynecol. 2016;29:604–11.

    CAS  Article  Google Scholar 

  2. 2.

    Smith DW, Letourneau EJ, Saunders BE, Kilpatrick DG, Resnick HS, Best CL. Delay in disclosure of childhood rape: results from a national survey. Child Abus Negl. 2000;24:273–87.

    CAS  Article  Google Scholar 

  3. 3.

    Jenny C, Crawford-Jakubiak JE, Neglect CoCAa, Pediatrics AAo. The evaluation of children in the primary care setting when sexual abuse is suspected. Pediatrics 2013;132:e558–67.

    Article  Google Scholar 

  4. 4.

    Nikolaidis G, Petroulaki K, Zarokosta F, Tsirigoti A, Hazizaj A, Cenko E, et al. Lifetime and past-year prevalence of children’s exposure to violence in 9 Balkan countries: the BECAN study. Child Adolesc Psychiatry Ment Health. 2018;12:1.

    Article  Google Scholar 

  5. 5.

    King E, Steenson C, Shannon C, Mulholland C. Prevalence rates of childhood trauma in medical students: a systematic review. BMC Med Educ. 2017;17:159.

    Article  Google Scholar 

  6. 6.

    Halpérin DS, Bouvier P, Jaffé PD, Mounoud RL, Pawlak CH, Laederach J, et al. Prevalence of child sexual abuse among adolescents in Geneva: results of a cross sectional survey. BMJ. 1996;312:1326–9.

    Article  Google Scholar 

  7. 7.

    Orley J, Kuyken W. World Health Organization. Fondation IPSEN pour la recherche thérapeutique. Quality of life assessment: international perspectives. In: Proceedings of the Joint-Meeting Organized by the World Health Organization and the Fondation IPSEN in Paris, July 2–3, 1993. Berlin: Springer-Verlag; 1994. p. 200.

  8. 8.

    Pereda N, Guilera G, Forns M, Gómez-Benito J. The international epidemiology of child sexual abuse: a continuation of Finkelhor (1994). Child Abus Negl. 2009;33:331–42.

    Article  Google Scholar 

  9. 9.

    Stoltenborgh M, van Ijzendoorn MH, Euser EM, Bakermans-Kranenburg MJ. A global perspective on child sexual abuse: meta-analysis of prevalence around the world. Child Maltreat. 2011;16:79–101.

    Article  Google Scholar 

  10. 10.

    Karayianni E, Fanti KA, Diakidoy IA, Hadjicharalambous MZ, Katsimicha E. Prevalence, contexts, and correlates of child sexual abuse in Cyprus. Child Abus Negl. 2017;66:41–52.

    Article  Google Scholar 

  11. 11.

    Simsek E, Guney SA, Baysal SU. A retrospective study with ICAST-R (ispcan child abuse screening tools-retrospective) questionnaire for determination of child abuse in first year medical students in Turkish population. Child Abus Negl. 2017;69:125–33.

    Article  Google Scholar 

  12. 12.

    Chen JQ, Han P, Dunne MP. [Child sexual abuse: a study among 892 female students of a medical school]. Zhonghua Er Ke Za Zhi. 2004;42:39–43.

    PubMed  Google Scholar 

  13. 13.

    Sun YP, Zhang B, Dong ZJ, Yi MJ, Sun DF, Shi SS. Psychiatric state of college students with a history of childhood sexual abuse. World J Pediatr. 2008;4:289–94.

    Article  Google Scholar 

  14. 14.

    Tang K, Qu X, Li C, Tan S. Childhood sexual abuse, risky sexual behaviors and adverse reproductive health outcomes among Chinese college students. Child Abus Negl. 2018;84:123–30.

    Article  Google Scholar 

  15. 15.

    Bhilwar M, Upadhyay RP, Rajavel S, Singh SK, Vasudevan K, Chinnakali P. Childhood experiences of physical, emotional and sexual abuse among college students in South India. J Trop Pediatr. 2015;61:329–38.

    Article  Google Scholar 

  16. 16.

    Wolak J, Finkelhor D, Walsh W, Treitman L. Sextortion of minors: characteristics and dynamics. J Adolesc Health. 2018;62:72–9.

    Article  Google Scholar 

  17. 17.

    Quayle E, Cariola L. Management of non-consensually shared youth-produced sexual images: a Delphi study with adolescents as experts. Child Abus Negl. 2019;95:104064.

    Article  Google Scholar 

  18. 18.

    Devries K, Knight L, Petzold M, Merrill KG, Maxwell L, Williams A, et al. Who perpetrates violence against children? A systematic analysis of age-specific and sex-specific data. BMJ Paediatr Open. 2018;2:e000180.

    Article  Google Scholar 

  19. 19.

    Turner D, Nieder TO, Dekker A, Martyniuk U, Herrmann L, Briken P. Are medical students interested in sexual health education? A nationwide survey. Int J Impot Res. 2016;28:172–5.

    CAS  Article  Google Scholar 

  20. 20.

    Botash AS, Galloway AE, Booth T, Ploutz-Snyder R, Hoffman-Rosenfeld J, Cahill L. Continuing medical education in child sexual abuse: cognitive gains but not expertise. Arch Pediatr Adolesc Med. 2005;159:561–6.

    Article  Google Scholar 

  21. 21.

    Adams JA, Starling SP, Frasier LD, Palusci VJ, Shapiro RA, Finkel MA, et al. Diagnostic accuracy in child sexual abuse medical evaluation: role of experience, training, and expert case review. Child Abus Negl. 2012;36:383–92.

    Article  Google Scholar 

  22. 22.

    Adams JA. Understanding medical findings in child sexual abuse: an update for 2018. Acad Forensic Pathol. 2018;8:924–37.

    Article  Google Scholar 

  23. 23.

    Dhaliwal G, Ilgen J. Clinical reasoning: talk the talk or just walk the walk? J Grad Med Educ. 2016;8:274–6.

    Article  Google Scholar 

  24. 24.

    Ricanati E. A night to remember. Ann Intern Med. 2017;167:517–8.

    Article  Google Scholar 

  25. 25.

    Volkmann ER. Silent survivors. Ann Fam Med. 2017;15:77–9.

    Article  Google Scholar 

  26. 26.

    Europe Co. One in five: Council of Europe campaign to stop sexual violence against children and among school communities. 2002.

  27. 27.

    Pulido ML. Safe touches: creating a school community to prevent child sexual abuse. In: Panlilio C, editor. Trauma-informed schools child maltreatment solutions network. Cham: Springer; 2019.

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Correspondence to Lina Michala.

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Soldatou, A., Pantzios, S.I., Panagiotou, MR. et al. Child sexual abuse among medical school students: experiences and perceptions. Int J Impot Res 33, 364–368 (2021).

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