title: The Prevalence of Child Sexual Abuse in Out-of-home Care: Increased Risk for Children with a Mild Intellectual Disability.
abstract: BACKGROUND
  Children without disabilities in out-of-home care have a higher risk of child sexual abuse [CSA (Euser et al. 2013)]. In this study, we examined the year prevalence of CSA in out-of-home care for children with a mild intellectual disability, and compared it with the prevalence in out-of-home care for non-disabled children and children in the general population.
  
  
  METHODS
  Professionals (N = 104) from out-of-home care facilities reported cases of CSA that occurred in 2010 for the children they worked with (N = 1650).
  
  
  RESULTS
  In out-of-home care for children with a mild intellectual disability, 9.8 per 1000 children were victims of CSA. This prevalence was significantly higher than in regular out-of-home care and in the general population.
  
  
  CONCLUSIONS
  Children with a mild intellectual disability in out-of-home care have an increased risk of CSA. Adequate education and support for both children and caregivers is necessary to recognize and prevent further sexual abuse.
authors.affiliation: Centre for Child and Family Studies, Leiden University, Leiden, the Netherlands.
authors.forename: Saskia
authors.initials: S
authors.lastname: Euser
authors.affiliation: Centre for Child and Family Studies, Leiden University, Leiden, the Netherlands.
authors.forename: Lenneke R A
authors.initials: LR
authors.lastname: Alink
authors.affiliation: Centre for Child and Family Studies, Leiden University, Leiden, the Netherlands.
authors.forename: Anne
authors.initials: A
authors.lastname: Tharner
authors.affiliation: Centre for Child and Family Studies, Leiden University, Leiden, the Netherlands.
authors.forename: Marinus H
authors.initials: MH
authors.lastname: van IJzendoorn
authors.affiliation: Centre for Child and Family Studies, Leiden University, Leiden, the Netherlands.
authors.forename: Marian J
authors.initials: MJ
authors.lastname: Bakermans-Kranenburg
mesh_terms: D000293:Adolescent; D017028:Caregivers; D002648:Child; D002650:Child Abuse, Sexual / Q000706:statistics & numerical data*; D019988:Children with Disabilities; D005260:Female; D006801:Humans; D008607:Intellectual Disability; D008297:Male; D015995:Prevalence; D012307:Risk Factors
keywords: child sexual abuse; intellectual disability; out-of-home care; prevalence