Risk Factors and Predictors of Penetrative Online Child Sexual Abuse.

IF 2.5 4区医学 Q2 HEALTH POLICY & SERVICES Journal of Pediatric Health Care Pub Date : 2024-11-13 DOI:10.1016/j.pedhc.2024.10.002

Mustafa Tolga Tunagur, Hatice Oksal, Ömer Büber, Elif Merve Kurt Tunagur, Enes Sarıgedik

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Abstract

Introduction: Online child sexual abuse (CSA) involves sharing abusive images, sexual communications, and forming pedophilic networks, leading to both short- and long-term psychiatric issues for victims. The present study aimed to identify risk factors for penetrative online CSA.

Method: Analysis of medical records from 1,501 cases at a child advocacy center in Turkey identified 221 cases of online CSA, categorized into penetrative and nonpenetrative groups.

Results: Among 1,501 cases, 19.2% involved online CSA. Victims' mean age was 14.50 ± 1.65 years; perpetrators averaged 23.00 ± 9.60 years. Most victims were girls (92.3%) and had dropped out of school (79.2%). Instagram was the most common platform (71.5%). Higher rates of sexting, risky behaviors, and threats of exposure were seen in the penetrative group. Predictors included the victim's age, sexting, running away, and threats of exposure.

Discussion: Key differences between penetrative and nonpenetrative online CSA underscore the need for targeted prevention and intervention.

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渗透式网络儿童性虐待的危险因素和预测因素。

导言：网上儿童性虐待（CSA）包括分享虐待图像、性交流和形成恋童癖网络，从而导致受害者短期和长期的精神问题。本研究旨在确定穿透性在线 CSA 的风险因素：方法：对土耳其一家儿童权益保护中心的 1501 个病例的医疗记录进行分析，确定了 221 个在线 CSA 病例，并将其分为渗透型和非渗透型两类：在 1,501 个案例中，19.2% 涉及在线 CSA。受害者的平均年龄为（14.50 ± 1.65）岁；施暴者的平均年龄为（23.00 ± 9.60）岁。大多数受害者是女孩（92.3%），并且已经辍学（79.2%）。Instagram 是最常见的平台（71.5%）。在插入组中，sexting、危险行为和暴露威胁的发生率较高。预测因素包括受害者的年龄、sexting、离家出走和暴露威胁：讨论：插入式和非插入式在线 CSA 之间的主要差异强调了有针对性预防和干预的必要性。

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来源期刊

Journal of Pediatric Health Care NURSING-PEDIATRICS

CiteScore

3.40

自引率

10.70%

发文量

140

审稿时长

24 days

期刊介绍： The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.