Sexual and Sexualized Behavior in Children : References

The present study sought to examine features of sexual abuse cases among a U.S. nationally representative sample of 13,052 children and adolescents, ages 0-17 years. The National Survey of Children's Exposure to Violence was collected in three different years (2008, 2011, and 2014) via telephone interviews. Information about sexual abuse and assault was obtained from youth themselves (ages 10-17) or caregivers (for children ages 0-9) using the Juvenile Victimization Questionnaire. Results indicate most offenses are at the hands of other juveniles (76.7% for males and 70.1% for females), primarily acquaintances, and occurring more frequently for adolescents aged 14-17. Whereas girls are mostly abused by males (88.4%), boys are abused by both males (45.6%) and females (54.4%). In 15% of cases, penetration is part of the abuse. Victims report being very afraid in 37.5% of episodes but not at all afraid in 19.8%. Among 10- to 17-year-olds, 66.3% of episodes are not reported to parents or any adult. Police reports occur for 19.1% of all cases. The results in the present study indicate that children and youth are exposed to sexual abuse and assault in varied ways, which require moving beyond conventional stereotypes of the problem.

Sexual behaviors in children are common, occurring in 42 to 73 percent of children by the time they reach 13 years of age. Developmentally appropriate behavior that is common and frequently observed in children includes trying to view another person's genitals or breasts, standing too close to other persons, and touching their own genitals. Sexual behaviors become less common, less frequent, or more covert after five years of age. Sexual behavior problems are defined as developmentally inappropriate or intrusive sexual acts that typically involve coercion or distress. Such behaviors should be evaluated within the context of other emotional and behavior disorders, socialization difficulties, and family dysfunction, including violence, abuse, and neglect. Although many children with sexual behavior problems have a history of sexual abuse, most children who have been sexually abused do not develop sexual behavior problems. Children who have been sexually abused at a younger age, who have been abused by a family member, or whose abuse involved penetration are at greater risk of developing sexual behavior problems. Although age-appropriate behaviors are managed primarily through reassurance and education of the parent about appropriate behavior redirection, sexual behavior problems often require further assessment and may necessitate a referral to child protective services for suspected abuse or neglect.

PURPOSE: The objective of this meta-analysis was to provide a synthesis of studies examining the prevalence of unwanted online exposure and solicitation of a sexual nature among youth, and to determine if prevalence varies by youth age, gender, year of study data collection, or study geographical location. METHOD: Eligible studies from January 1990 to January 2016 were identified utilizing a comprehensive search strategy. Included studies examined the prevalence of unwanted online exposure and solicitation in youth who ranged from 12 to 16.5 years. Two independent coders extracted all relevant data. Random-effects meta-analyses were used to derive mean prevalence rates. RESULTS: Thirty-one (37,649 participants) and nine (18,272 participants) samples were included in the syntheses on unwanted online sexual exposure and solicitation, respectively. For online exposure, the mean prevalence rate was 20.3% (95% confidence interval: 17.1-23.4). For online solicitation, the mean prevalence rate was 11.5% (95% confidence interval: 9.4-13.6). Moderator analyses indicated that prevalence rates for unwanted online exposure and solicitation have decreased over time. Prevalence varied as a function of gender (solicitations were higher for males), but not age or geographical location. CONCLUSIONS: Approximately one in five youth experience unwanted online exposure to sexually explicit material and one in nine youth experience online sexual solicitation. Educational campaigns to raise awareness of Internet risks and safety strategies are warranted.