title: The psychosocial consequences of child sexual abuse in Ethiopia: a case-control comparative analysis.
abstract: Child sexual abuse (CSA) continues to be a pressing public health concern around the globe. Few existing reports, however, indicate the alarming rate at which the problem is increasing in sub-Saharan Africa. The present study is designed to investigate the psychosocial consequences of sexual abuse among child survivors in Ethiopia who were abused mainly through early marriage, rape, and child prostitution. Data are collected from 318 such CSA survivors-and 318 matched, non-sexually abused, normal controls- using the Children's Impact of Traumatic Events Scale-Revised and the Rosenberg Self-Esteem Scale. The results reveal the CSA survivors to be significantly more symptomatic than the control group: They demonstrated a lower degree of social support, a lower degree of empowerment, as well as a higher degree of guilt and increased likelihood of viewing the world as dangerous. Finally, these CSA survivors show a lower degree of positive self-worth than their non-sexually abused counterparts. These findings have important implications for the formulation of appropriate preventions and interventions to be undertaken by various stakeholders ranging from family to policy makers.
authors.affiliation: Institute of Psychology, Clinical and Health Psychology, University of Leipzig, Germany. yematawondie@yahoo.com
authors.forename: Yemataw
authors.initials: Y
authors.lastname: Wondie
authors.forename: Workie
authors.initials: W
authors.lastname: Zemene
authors.forename: Biruk
authors.initials: B
authors.lastname: Tafesse
authors.forename: Konrad
authors.initials: K
authors.lastname: Reschke
authors.forename: Harry
authors.initials: H
authors.lastname: Schröder
mesh_terms: D000293:Adolescent; D054523:Adult Survivors of Child Abuse / Q000523:psychology*; D000704:Analysis of Variance; D016022:Case-Control Studies; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology*; D005002:Ethiopia; D006801:Humans; D008016:Life Change Events; D008393:Marriage; D011902:Rape; D012649:Self Concept; D011477:Sex Work; D012931:Social Environment; D012944:Social Support; D011795:Surveys and Questionnaires; D017741:Survivors; D055815:Young Adult