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Sexual abuse and mental ill health in boys and men: what we do and don't know

The spectrum of adverse mental health trajectories caused by sexual abuse, broadly defined as exposure to rape and unwanted physical sexual contact, is well-known. Few studies have systematically appraised the epidemiology and impact of sexual abuse among boys and men. New meta-analytic insights (k...

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Autores principales: Rice, Simon M., Easton, Scott D., Seidler, Zac E., Oliffe, John L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9230611/
https://www.ncbi.nlm.nih.gov/pubmed/35678473
http://dx.doi.org/10.1192/bjo.2022.508
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author Rice, Simon M.
Easton, Scott D.
Seidler, Zac E.
Oliffe, John L.
author_facet Rice, Simon M.
Easton, Scott D.
Seidler, Zac E.
Oliffe, John L.
author_sort Rice, Simon M.
collection PubMed
description The spectrum of adverse mental health trajectories caused by sexual abuse, broadly defined as exposure to rape and unwanted physical sexual contact, is well-known. Few studies have systematically appraised the epidemiology and impact of sexual abuse among boys and men. New meta-analytic insights (k = 44; n = 45 172) reported by Zarchev and colleagues challenge assumptions that men experiencing mental ill health rarely report sexual abuse exposure. Adult-onset sexual abuse rates of 1–7% are observed in the general population, but for men experiencing mental ill health, adult lifetime prevalence was 14.1% (95% CI 7.3–22.4%), with past-year exposure 5.3% (95% CI 1.6–12.8%). We note that these rates are certainly underestimates, as childhood sexual abuse exposures were excluded. Boys and men with a sexual abuse history experience substantial disclosure and treatment barriers. We draw attention to population health gains that could be achieved via implementation of gender-sensitive assessment and intervention approaches for this at-risk population.
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spelling pubmed-92306112022-07-08 Sexual abuse and mental ill health in boys and men: what we do and don't know Rice, Simon M. Easton, Scott D. Seidler, Zac E. Oliffe, John L. BJPsych Open Editorial The spectrum of adverse mental health trajectories caused by sexual abuse, broadly defined as exposure to rape and unwanted physical sexual contact, is well-known. Few studies have systematically appraised the epidemiology and impact of sexual abuse among boys and men. New meta-analytic insights (k = 44; n = 45 172) reported by Zarchev and colleagues challenge assumptions that men experiencing mental ill health rarely report sexual abuse exposure. Adult-onset sexual abuse rates of 1–7% are observed in the general population, but for men experiencing mental ill health, adult lifetime prevalence was 14.1% (95% CI 7.3–22.4%), with past-year exposure 5.3% (95% CI 1.6–12.8%). We note that these rates are certainly underestimates, as childhood sexual abuse exposures were excluded. Boys and men with a sexual abuse history experience substantial disclosure and treatment barriers. We draw attention to population health gains that could be achieved via implementation of gender-sensitive assessment and intervention approaches for this at-risk population. Cambridge University Press 2022-06-09 /pmc/articles/PMC9230611/ /pubmed/35678473 http://dx.doi.org/10.1192/bjo.2022.508 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
spellingShingle Editorial
Rice, Simon M.
Easton, Scott D.
Seidler, Zac E.
Oliffe, John L.
Sexual abuse and mental ill health in boys and men: what we do and don't know
title Sexual abuse and mental ill health in boys and men: what we do and don't know
title_full Sexual abuse and mental ill health in boys and men: what we do and don't know
title_fullStr Sexual abuse and mental ill health in boys and men: what we do and don't know
title_full_unstemmed Sexual abuse and mental ill health in boys and men: what we do and don't know
title_short Sexual abuse and mental ill health in boys and men: what we do and don't know
title_sort sexual abuse and mental ill health in boys and men: what we do and don't know
topic Editorial
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9230611/
https://www.ncbi.nlm.nih.gov/pubmed/35678473
http://dx.doi.org/10.1192/bjo.2022.508
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