Development of sexually abusive behaviour in sexually victimised males: a longitudinal study.
BACKGROUND
Sexual maltreatment is one of the most common forms of child abuse. To identify risk factors for sexually abusive behaviour by adults, we prospectively assessed childhood experiences and personal characteristics of male child victims who became abusers in later life.


METHODS
In a longitudinal study (7-19 years duration), we included 224 former male victims of sexual abuse. Risk factors contemporaneous with the abuse, and putative protective influences, were identified from social service and clinical records. Evidence of later criminal acts was obtained from a nationwide search of official records.


RESULTS
Of the 224 former victims, 26 had subsequently committed sexual offences (victim-abusers), in almost all cases with children, mainly outside their families. Risk factors during childhood for later offending included material neglect (odds ratio 3.4, 95% CI 1.2-9.7), lack of supervision (3.0, 1.1-8.3), and sexual abuse by a female person (3.0, 1.1-8.7). Victim-abusers had more frequently witnessed serious intrafamilial violence (3.1, 1.0-10.0). Six (29%) of 21 victim-abusers on whom we had relevant data had been cruel to animals (7.9, 2.0-31.4). No single putative protective factor, nor a composite protective index, significantly reduced the risk of paedophilic behaviour.


CONCLUSIONS
Most male victims of child sexual abuse do not become paedophiles, but particular experiences and patterns of childhood behaviour are associated with an increased risk of victims becoming abusers in later life. Our findings have implications for the design of selective interventions with a vulnerable subgroup of male victims, aimed at reducing the risk of paedophilic behaviour in later life.
Salter
Daniel
D
Behavioural and Brain Sciences Unit, Institute of Child Health, London, UK.
McMillan
Dean
D
Richards
Mark
M
Talbot
Tiffany
T
Hodges
Jill
J
Bentovim
Arnon
A
Hastings
Richard
R
Stevenson
Jim
J
Skuse
David
D
D000293:Adolescent; D000328:Adult; D002648:Child; D002650:Child Abuse, Sexual / Q000517:prevention & control* / Q000706:statistics & numerical data; D019548:Crime Victims / Q000706:statistics & numerical data; D004739:England / Q000453:epidemiology; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D010378:Pedophilia / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control; D011606:Psychosexual Development; D012307:Risk Factors