Female child sexual abuse within the family in a Hungarian County

Roland Csorba, László Lampé, Antal Borsos, Lajos Balla, Róbert Póka, E. Oláh

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background: The aim of the study was to analyze the characteristics of intrafamiliar female child sexual abuse and to explore common features that may be utilized as targets for possible methods of prevention. We also described the medical and legal approaches to handling child neglect. Methods: This was a descriptive, cross-sectional study on 52 sexually abused girls underthe age of 18 at the Department of Obstetrics and Gynecology, Medical and Health Science Center of Debrecen. We prospectively recorded the data of all cases. Intrafamiliar events were defined if the victim and perpetrator belonged to the same family. Legal outcomes were also recorded. Results: During the 16-year period, 209 cases of sexual abuse were seen in our clinic, 52 of them had been involved in child sexual abuse within the family. This accounts for 25% of adolescent cases. Eighty-six percent of the victims were pupils, 50% of them were between 11 and 14 years of age. The perpetrator was the victim's father in 44%, and the stepfather in 40%. There was a slight difference between the type of abuse among the pre- and postpubertal group of victims, but statistically it was not significant. The abuse occurred on multiple occasions in 52%. The occurrence rate of assault was the highest in the summer season (58%), mostly in the afternoon (42%) and it took place almost exclusively at home (98%). The mother accompanied the victim in 38% of the cases and the police in 40%. Vaginal penetration was the type of abuse in 75%, and sexual perversion in 25%. Six victims were physically injured, the presence of sperm could be confirmed on vulvovaginal smears in 2 cases. One pregnancy conceived. Nine cases were reported to the police and as a result of legal proceedings, 5 perpetrators have been sentenced. Conclusion: The majority of crimes take place within the family and are disclosed after multiple episodes. The small proportion of reported sexual assaults is the consequence of the lack of harmony between the Hungarian conditions of emergency care and the criminal law. Prevention calls for attention at all levels of child education, observation at off-school times, early involvement of health professionals, applying standardized medical guidelines and the modification of jurisdiction.

Original languageEnglish
Pages (from-to)188-193
Number of pages6
JournalGynecologic and Obstetric Investigation
Volume61
Issue number4
DOIs
Publication statusPublished - May 2006

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Sexual Child Abuse
Police
Criminal Law
Hospital Obstetrics and Gynecology Department
Child Abuse
Sex Offenses
Health
Emergency Medical Services
Crime
Pupil
Gynecology
Fathers
Spermatozoa
Cross-Sectional Studies
Mothers
Observation
Guidelines
Education
Pregnancy

Keywords

  • Child sexual abuse
  • Child sexual abuse, medical and legal approaches
  • Female child sexual abuse

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Female child sexual abuse within the family in a Hungarian County. / Csorba, Roland; Lampé, László; Borsos, Antal; Balla, Lajos; Póka, Róbert; Oláh, E.

In: Gynecologic and Obstetric Investigation, Vol. 61, No. 4, 05.2006, p. 188-193.

Research output: Contribution to journalArticle

Csorba, Roland ; Lampé, László ; Borsos, Antal ; Balla, Lajos ; Póka, Róbert ; Oláh, E. / Female child sexual abuse within the family in a Hungarian County. In: Gynecologic and Obstetric Investigation. 2006 ; Vol. 61, No. 4. pp. 188-193.
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