A population-based study of childhood sexual contact in China: Prevalence and long-term consequences

• Published in: Child abuse & neglect 2008-07, Vol.32 (7), p.721-731
• Main Authors: Luo, Ye, Parish, William L, Laumann, Edward O
• Format: Article
• Language: English
• Subjects: Adjustment Disorders - diagnosis; Adjustment Disorders - epidemiology; Adjustment Disorders - ethnology; Adolescent; Adult; Adult Survivors of Child Abuse - psychology; Adult Survivors of Child Abuse - statistics & numerical data; Adults; Biological and medical sciences; Child; Child Abuse; Child abuse & neglect; Child Abuse, Sexual - ethnology; Child Abuse, Sexual - statistics & numerical data; Child Sexual Abuse; Childhood; Childhood sexual contact; China; Cross-Cultural Comparison; Cross-Sectional Studies; Data Collection; Emotional disorders; Female; Foreign Countries; Gender Differences; Humans; Incidence; Male; Medical sciences; Middle Aged; Pediatrics; Peoples Republic of China; Prevalence; Psychiatry; Psychological Distress; Psychological Patterns; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Sampling; Sex crimes; Sexual Abuse; Sexual Behavior; Sexual Dysfunction; Sexual Dysfunction, Physiological - epidemiology; Sexual Dysfunction, Physiological - ethnology; Sexual Dysfunction, Physiological - psychology; Sexual Dysfunctions, Psychological - epidemiology; Sexual Dysfunctions, Psychological - ethnology; Sexual Dysfunctions, Psychological - psychology; Sexual relationships; Sexual well-being; Sexuality; Statistics as Topic; Studies; Victimology; Well Being
• ISSN: 0145-2134; 1873-7757
• DOI: 10.1016/j.chiabu.2007.10.005

Abstract Objectives This study provides national estimates of the prevalence of childhood sexual contact and its association with sexual well-being and psychological distress among adults in China. Method A national stratified probability sample of 1,519 women and 1,475 men aged 20–64 years in urban China completed a computer-administered survey in 1999–2000. The data from this survey on both adult-to-child and peer-to-peer sexual contact before age 14 were subjected to descriptive and multivariate analyses that were adjusted for both sampling weights and sampling design. Results The overall prevalence of reported childhood sexual contact was 4.2%, with prevalence higher among men (5.1%) than among women (3.3%) and higher among those aged 20–29 years (8.3%). Childhood sexual contact was associated with multiplex consequences, including hyper-sexuality (high levels of masturbation, thoughts about sex, varieties of sexual practices, partner turnover), adult sexual victimization (unwanted sex, unwanted sexual acts, sexual harassment), sexual difficulties (genitor-urinary symptoms, sexually transmitted infections, sexual dysfunctions), and psychological distress. Psychological distress was largely mediated by adult sexual victimization, sexual difficulties, and hyper-sexuality. Conclusions Despite the relatively modest prevalence of childhood sexual contact among Chinese adults, the association with multiplex adult outcomes suggests that much as in the West early sexual contact is a significant issue. Practice implications The findings underscore the importance of public education about childhood sexual contact and abuse in China. The findings suggest a need for public health campaigns that tackle the stigma associated with being abused and encourage victims to report abusive behavior to proper sources. The findings are also consistent with new efforts to alleviate the negative long-term impact of childhood sexual abuse.