Assessment of knowledge on child sexual abuse among school going adolescent girls (age 14-17 years) in urban slums of Kakinada, Andhra Pradesh
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20243664Keywords:
Child sexual abuse, Knowledge, Adolescent girlsAbstract
Background: Child sexual abuse (CSA) is a hidden, psychologically complex, and socially sensitive issue. The Protection of Children from Sexual Offences (POCSO) Act, 2012 defines different forms of sexual abuse. Child sexual abuse can result in both short-term and long-term consequences including physical, mental, and behavioural among victims. It is very important to understand and improve public awareness of sexual abuse prevention. Objectives were to study the awareness on child sexual abuse among adolescent girls between 14 to 17 years of age and to identify the socio-demographic factors related to their awareness on child sexual abuse.
Methods: A cross-sectional study was conducted among adolescent girls in 3 urban slums in Kakinada, Andhra Pradesh during September to November 2019 using a semi-structured questionnaire. A total of 343 children participated in the study. Data analysis was done with statistical package for the social sciences (SPSS) version 16.
Results: Mean age of the study population was15.82±1.08 years. Half (53.9%) of them belong to BC, 73.8% Hindu, 87.4% of the participants have parents and 70.6% belong to nuclear family. Overall knowledge on child sexual abuse was 60.3%, majority (67.1%) do not know where sexual abuse can take place. Knowledge on getting physical, mental, and behavioural problems due to abuse was 72.0%, 69.1% and 46.1% respectively and none of them were aware of POCSO act.
Conclusions: Knowledge gaps and misperceptions about child sexual abuse are widespread. Children, Parents, caregivers, professionals in health and education and law enforcement should be prime targets for awareness-building and empathy-building for disclosure and appropriate response.
References
Freyd JJ, Putnam FW, Lyon TD, Becker-Blease KA, Cheit RE, Siegel NB, et al. The science of child sexual abuse. Science. 2005;308(5721):501.
Medline Plus. U.S. National Library of Medicine. Child Sexual Abuse. Available at: https://medline plus.gov/childsexualabuse.html. Accessed on 12 August 2024.
Guidelines for psychological evaluations in child protection matters. Committee on Professional Practice and Standards, APA Board of Professional Affairs. The American Psychologist. 1999;54(8):586-93.
Pereda N, Guilera G, Forns M, Gómez-Benito J. The prevalence of child sexual abuse in community and student samples: a meta-analysis. Clin Psychol Rev. 2009;29(4):328-38.
Martin J, Anderson J, Romans S, Mullen P, O'Shea M. Asking about child sexual abuse: methodological implications of a two stage survey. Child Abuse Neglect. 1993;17(3):383-92.
NSPCC. What is sexual abuse? Available at: https://www.nspcc.org.uk/what-is-child-abuse/typ es-of-abuse/child-sexual-abuse/. Accessed on 12 August 2024.
India Code. The protection of children from sexual offences act, No.32 of 2012, The Gazette of India, New Delhi, 2012. Available at: https://www.india code.nic.in/handle/123456789/2079. Accessed on 12 August 2024.
Stoltenborgh M, van Ijzendoorn M, Euser E, Bakermans-Kranenburg M. A global perspective on child sexual abuse: Meta-analysis of prevalence around the world. Child Maltreatment. 2011;16(2):79-101.
Chen LP, Murad MH, Paras ML, Colbenson KM, Sattler AL, Goranson EN, et al. Sexual abuse and lifetime diagnosis of psychiatric disorders: systematic review and meta-analysis. Mayo Clin Proc. 2010;85(7):618-29.
Sumner SA, Mercy AA, Saul J, Motsa-Nzuza N, Kwesigabo G, Buluma R, et al; Centers for Disease Control and Prevention (CDC). Prevalence of sexual violence against children and use of social services - seven countries, 2007-2013. MMWR Morb Mortal Wkly Rep. 2015;64(21):565-9.
Whealin J, Barnett E. Child Sexual Abuse. National Center for Post-Traumatic Stress Disorder. US Department of Veterans Affairs. Available at: https://www.ptsd.va.gov/professional/treat/type/sexual_abuse_child.asp. Accessed on 12 August 2024.
Finkelhor D. Current information on the scope and nature of child sexual abuse. Future Child. 1994;4(2):31-53.
Dube SR, Anda RF, Whitfield CL, Brown DW, Felitti VJ, Dong M, et al. Long-term consequences of childhood sexual abuse by gender of victim. Am J Prev Med. 2005;28(5):430-8.
Pinheiro PS. Independent Expert for the United Nations Secretary-General’s Study on Violence against Children, World Report on Violence against Children. 2006;121. Available at: https://violence againstchildren.un.org/sites/violenceagainstchildren.un.org/files/document_files/world_report_on_violence_against_children. Accessed on 12 August 2024.
Census of India Website: Office of the Registrar General & Census Commissioner, India. Available at: www.census india.gov.in. Accessed on 12 August 2024.
Punj S. Human trafficking for sex: Thousands of girls live in slavery while society remains silent. India Today. 2017. Available at: https://censusindia.gov. in.usitestat.com/#google_vignette. Accessed on 12 August 2024.
Ministry of Women and Child Development; Government of India. Study on child abuse India 2007. Available at: http://www.wcd.nic.in/ child abuse.pdf. Accessed on 12 August 2024.
Constitution of India, CLPR. Article 21, Protection of Life and Personal Liberty. Available at: https://www.constitutionofindia.net/articles/article-21-protection-of-life-and-personal-liberty/. Accessed on 12 August 2024.
Article 21 in the Constitution of India 1949. Available at: indiankanoon.org. Accessed on 12 August 2024.
Bajpai A. Child Sexual abuse and law. Child Line India. Available at: https://www.childlineindia. org/a/issues/abuse-and-violence. Accessed on 12 August 2024.
NDTV. Parliament passes bill to protect children from sexual abuse. NDTV. 2012. Available at: https://www.ndtv.com/india-news/parliament-passes-bill-to-protect-children-from-sexual-abuse-484204. Accessed on 12 August 2024.
Kerala Medico-legal Society. The Protection of Children from Sexual Offences Act, 2012. Available at: https://sites.google.com/site/keralamedicolegalso ciety. Accessed on 12 August 2024.
Collin-Vézina D, De La Sablonnière-Griffin M, Palmer AM, Milne L. A preliminary mapping of individual, relational, and social factors that impede disclosure of childhood sexual abuse. Child Abuse Negl. 2015;43:123-34.
Cromer LD, Goldsmith RE. Child sexual abuse myths: attitudes, beliefs, and individual differences. J Child Sex Abus. 2010;19(6):618-47.
Fontes LA, Plummer C. Cultural issues in disclosures of child sexual abuse. J Child Sex Abus. 2010;19(5):491-518.
Sumanpreet K. A Pre-experimental Study to Assess the Effectiveness of Structured Teaching Programme on Knowledge regarding Awareness about Sexual Abuse among the Adolescents studying in selected School of District Gurdaspur, Punjab. Int J Nursing Educ Res. 2017;5(1).
Masters NT, Norris J, Stoner SA, George WH. How does it End? Women Project the Outcome of a Sexual Assault Scenario. Psychol Women Quarterly. 2006;30(3):291-302.
Das P, Pal R, Pal S. Awareness on psychosomatic health among adolescent girls of three schools in North Kolkata. Indian J Psychiatry. 2010;52:355-9.
Jose UK, Arjunan. A study on the level of awareness on child sexual abuse among students. Int J Analytical Experimental Modal Analysis. 2020;1167-74.
NSOPW. Raising Awareness About Sexual Abuse: Facts and Statistics. Available at: https://www. nsopw.gov/safety-and-education/questions-and-answers. Accessed on 12 August 2024.
Adams J, McClellan J, Douglass D, McCurry C, Storck M. Sexually inappropriate behaviors in seriously mentally ill children and adolescents. Child Abuse Negl. 1995;19(5):555-68.
Mathew M, Iswarya S, Paul AV. Effectiveness of health education on awareness of child sex abuse among school children Department of Community Medicine, Government Medical College and ESI Hospital, Coimbatore, Tamil Nadu, India. J Family Med Prim Care. 2021;10(12):4509-13.
