Childhood sexual abuse : the Red Cross War Memorial Children's Hospital experience, 1986-1988

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dc.contributor.advisorLachman, Peter Irwinen_ZA
dc.contributor.advisorJacobs, Marianen_ZA
dc.contributor.authorMcKerrow, Neil Hughen_ZA
dc.date.accessioned2018-01-31T13:51:45Z
dc.date.available2018-01-31T13:51:45Z
dc.date.issued1990en_ZA
dc.description.abstractThis retrospective descriptive study reviews sexually abused children who presented to the Child Abuse Team at the Red Cross War Memorial Children's Hospital (RCWMCH) between 1 January 1986 and 31 June 1988. During this period 365 children were referred to the Child Abuse Team, of whom 357 were entered into this study. 297 of these were cases of confirmed sexual abuse. There were 48 male children and 123 children under 6 years of age. Most children were victims of a single episode of sexual abuse with only 13, 7% presenting following repeated abuse. More serious forms of sexual abuse, rape or sodomy, were common, accounting for 60% of the cases. Over 70% of the children had physical signs to substantiate their claims of having been sexually abused. Sexually transmitted disease was a common finding, being present in 15,6 % at presentation. All children were accompanied to hospital by an adult, usually a parent. 60% of the children presented directly to RCWMCH. A delay between abuse and presentation was common, only 42% of the children presenting within 48 hours of having been abused. Physical problems frequently required management. Very few children received more than crisis intervention for their emotional state and only 20% needed any form of intervention to ensure their safety. Only 1% of cases involved a female abuser. In general, the age of the abuser was older than previously reported with 18, 6% being under 20 years of age. The relationship between abused and abuser was similar to that described in the literature, as was the reaction of the family against the abuser. 27,4% were prosecuted and of those that appeared in court 7 4, 5% were convicted. Further comparison of the following sub-groups of abused children are presented: male and female, young and old, intrafamilial and extrafamilial abuse, a single episode of abuse and repeated abuse.en_ZA
dc.identifier.apacitationMcKerrow, N. H. (1990). <i>Childhood sexual abuse : the Red Cross War Memorial Children's Hospital experience, 1986-1988</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Department of Paediatrics and Child Health. Retrieved from http://hdl.handle.net/11427/27189en_ZA
dc.identifier.chicagocitationMcKerrow, Neil Hugh. <i>"Childhood sexual abuse : the Red Cross War Memorial Children's Hospital experience, 1986-1988."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Department of Paediatrics and Child Health, 1990. http://hdl.handle.net/11427/27189en_ZA
dc.identifier.citationMcKerrow, N. 1990. Childhood sexual abuse : the Red Cross War Memorial Children's Hospital experience, 1986-1988. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - McKerrow, Neil Hugh AB - This retrospective descriptive study reviews sexually abused children who presented to the Child Abuse Team at the Red Cross War Memorial Children's Hospital (RCWMCH) between 1 January 1986 and 31 June 1988. During this period 365 children were referred to the Child Abuse Team, of whom 357 were entered into this study. 297 of these were cases of confirmed sexual abuse. There were 48 male children and 123 children under 6 years of age. Most children were victims of a single episode of sexual abuse with only 13, 7% presenting following repeated abuse. More serious forms of sexual abuse, rape or sodomy, were common, accounting for 60% of the cases. Over 70% of the children had physical signs to substantiate their claims of having been sexually abused. Sexually transmitted disease was a common finding, being present in 15,6 % at presentation. All children were accompanied to hospital by an adult, usually a parent. 60% of the children presented directly to RCWMCH. A delay between abuse and presentation was common, only 42% of the children presenting within 48 hours of having been abused. Physical problems frequently required management. Very few children received more than crisis intervention for their emotional state and only 20% needed any form of intervention to ensure their safety. Only 1% of cases involved a female abuser. In general, the age of the abuser was older than previously reported with 18, 6% being under 20 years of age. The relationship between abused and abuser was similar to that described in the literature, as was the reaction of the family against the abuser. 27,4% were prosecuted and of those that appeared in court 7 4, 5% were convicted. Further comparison of the following sub-groups of abused children are presented: male and female, young and old, intrafamilial and extrafamilial abuse, a single episode of abuse and repeated abuse. DA - 1990 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 1990 T1 - Childhood sexual abuse : the Red Cross War Memorial Children's Hospital experience, 1986-1988 TI - Childhood sexual abuse : the Red Cross War Memorial Children's Hospital experience, 1986-1988 UR - http://hdl.handle.net/11427/27189 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/27189
dc.identifier.vancouvercitationMcKerrow NH. Childhood sexual abuse : the Red Cross War Memorial Children's Hospital experience, 1986-1988. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Department of Paediatrics and Child Health, 1990 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/27189en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentDepartment of Paediatrics and Child Healthen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherPaediatricsen_ZA
dc.subject.otherChild sexual abuse - South Africa.en_ZA
dc.subject.otherChild abuse, Sexual - South Africaen_ZA
dc.titleChildhood sexual abuse : the Red Cross War Memorial Children's Hospital experience, 1986-1988en_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMMeden_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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