title: Child Sexual Abuse and Continuous Influence of Cultural Practices: A Review.
abstract: OBJECTIVE
  To provide information on the possible influence of cultural practices in perpetuating child sexual abuse and to examine documented examples of these cultural influences.
  
  
  METHODS
  A computer literature search was done of Medline, Science Direct, PSYCInfo, Embase and PubMed for keywords. There were also manual searches in the library of journals that are not accessible online. Keywords for searches included: sexual abuse, child abuse, psychopathology, name of countries (eg Jordan, China and Morocco), culture and cultural practices.
  
  
  RESULTS
  There is documented evidence of cultural practices that continue to fuel the persistently high level of child sexual abuse across the globe. The definition has evolved to now include simple genital-genital and non-genital contact such as oral-genital contacts, exhibitionism and pornography.
  
  
  CONCLUSIONS
  Cultural practices are no longer restricted to one geographical collection of people due to migratory influence, as these practices may also spread to different groups who intermingle. There are few empirical studies of child sexual abuse in the Caribbean, but one factor that could be used as a proxy is age of first sexual activity. The World Bank reports that this age is youngest in the Caribbean and is likely to be significantly influenced by child sexual abuse.
authors: Psychiatry Unit, Department of Clinical Medical Sciences, Faculty of Medical Sciences, Eric Williams Medical Sciences Complex, The University of the West Indies, Mount Hope, Trinidad and Tobago. samuel.shafe@sta.uwi.edu.
authors: S
authors: S
authors: Shafe
authors: Psychiatry Unit, Department of Clinical Medical Sciences, Faculty of Medical Sciences, The University of the West Indies, Mount Hope, Trinidad and Tobago.
authors: G
authors: G
authors: Hutchinson