title: Prevalence of child sexual abuse among adolescents in Geneva: results of a cross sectional survey.
abstract: OBJECTIVE
  To measure the cumulative prevalence of child sexual abuse in a representative sample of the adolescent population of Geneva.
  
  
  METHODS
  Cross sectional survey with an anonymous self administered questionnaire centred on a factual description of sexual activities.
  
  
  METHODS
  68 classes (17 schools) randomly selected from the 201 ninth grade classes of the public school system in Geneva.
  
  
  METHODS
  1193 adolescents aged 13-17 years, of whom 1116 (93.5%; 568 girls, 548 boys) consented to the study and returned completed questionnaires.
  
  
  RESULTS
  192 (33.8%) girls and 60 (10.9%) boys reported having experienced at least one sexually abusive event. The prevalence of abuse involving physical contact was 20.4% (116 cases) among girls and 3.3% (18) among boys. The prevalence of abuse involving some form of penetration was 5.6% (32 cases) among girls and 1.1% (six) among boys. One third of the abused adolescents had experienced more than one abusive event and 46.5% (92/198) had experienced the first event before age 12. Abuse by a family member was reported by 20.5% (36/176) of abused girls and 6.3% (3/48) of abused boys. Abusers were known to victims in two thirds of cases. Ninety per cent of abusers were male and 35.3% (71/201) came from the victim's peer group. Over 80% of participants found the questionnaire interesting, clearly formulated, and useful.
  
  
  CONCLUSIONS
  Child sexual abuse is a universal social phenomenon. Adolescents themselves can contribute to research and so help in the search for more efficient prevention and intervention strategies.
authors.affiliation: Faculty of Medicine, Paediatric Emergency Unit, Hôpital des Enfants, Geneva 14, Switzerland.
authors.forename: D S
authors.initials: DS
authors.lastname: Halpérin
authors.forename: P
authors.initials: P
authors.lastname: Bouvier
authors.forename: P D
authors.initials: PD
authors.lastname: Jaffé
authors.forename: R L
authors.initials: RL
authors.lastname: Mounoud
authors.forename: C H
authors.initials: CH
authors.lastname: Pawlak
authors.forename: J
authors.initials: J
authors.lastname: Laederach
authors.forename: H R
authors.initials: HR
authors.lastname: Wicky
authors.forename: F
authors.initials: F
authors.lastname: Astié
mesh_terms: D000293:Adolescent; D002648:Child; D002650:Child Abuse, Sexual; D005260:Female; D006801:Humans; D008297:Male; D015995:Prevalence; D012737:Sex Factors; D013557:Switzerland / Q000453:epidemiology; D014342:Truth Disclosure