Journal of the Korean Academy of Child and Adolescent Psychiatry
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v.9
no.2
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pp.127-137
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1998
The authors surveyed extrafamilial sexual abuse in the children under 15years old by the physician's reports. We sent the semi-structured child sexual abuse questionnaires to 7055 board certified pediatrics, obstetrics and gynecology, family medicine and emergency medicine. Total respondents were 1205. The results from these respondents were as followings. 1) The number of respondents who have had the experience of treating victims of extraf/amilial child sexual abuse were 641(53.2% of total respondents). 2) 338(52.7%) of the perpetrators were known persons and 277(43.2%) were strangers, the most common age bracket were 20s, 30s and 10s, and almost all(99.8%) of the perpetrators were male. 3) The mean age of victims was $9.7{\pm}3.5$ years old, and almost all(98.6%) of the victims were female. 4) The ways by which extrafamilial child sexual abuses were found were victim’s own reports:273(62.6%), pain complaint, 156(24.3%) and abnormal behavior 96(15.0%), other person’s report 72(11.2%), detection during examination 19(3.0%), and pregnancy 4(0.6%). 5) Time lags between extrafamilial child sexual abuses and hospital visits were within 24 hours 332 (51.8%) and from 1 day to 1 week 232(36.2%), victims were rather quickly 6) Physical complications were perineal wound 571(89.1%), hymen rupture 349(54.4%), wound of other part of body 124(19.3%), pregnancy 37(5.8%), and sexually transmitted disease 18(2.8%), and other serious complications such as vaginal-rectal lacerations 8, intastinal bleeding 7, death 2, hypotensive shock 1. These results suggest considerable numbers of physicians have had the experience of treating victims of extrafamilial child sexual abuses, and extrafamilial child sexual abuses are the major medical as well as social issue in children in Korea.
Jeong, Yeseul;Jang, Sang-Youn;Song, Min Kyung;Kum, Da Jeong;Park, Sae Eun;Bang, Kyung-Sook
The Journal of Korean Academic Society of Nursing Education
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v.25
no.2
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pp.216-226
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2019
Purpose: This study aimed to investigate child abuse awareness and reporting intention among nursing and education students and correlations among the variables involved. Methods: A cross-sectional study was conducted by administering an online questionnaire to 70 nursing college students and 70 education college students. Data were analyzed using descriptive statistics, t-test, chi-squared test, the Mann-Whitney U test, and Pearson's correlation in SPSS 21.0 (IBM, Armonk, NY). Results: The mean score of child abuse awareness was $3.61{\pm}0.32$ for nursing students and $3.60{\pm}0.36$ for education students. The mean score of reporting intention was $5.65{\pm}0.90$ for nursing students and $5.38{\pm}1.03$ for education students. Females presented higher scores than males in the awareness of sexual abuse. The awareness of emotional abuse was higher in students who knew of reporting obligations or who had experienced abuse. Child abuse awareness and reporting intention were significantly positively correlated. Also, the number of times having received child abuse education was correlated with reporting intention in both mild and severe cases of abuse. Conclusion: Reporting intention is not only related to having received education, but also to the frequency of that education. Child abuse education is important to increase reporting intention and should be delivered repeatedly.
Journal of the korean academy of Pediatric Dentistry
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v.43
no.3
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pp.334-339
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2016
Child abuse often interferes with the normal and healthy development of a child, bringing about various complications and problematic behaviors. Furthermore, such physical, mental abuse or neglect, and sexual abuse on a developing child may have serious effects even until after adolescence. The types of injuries caused by physical abuse vary, but some types of injuries are common. A great number of them can be detected during a routine dental examination because many of these injuries are present in the facial and dental region. Accordingly, in the case of abused children, it is important to find the signs of abuse through regular dental checkups, as many suffer injuries to the face, head and neck area including the oral and perioral area. As a pediatric dentist, it is the legal and social obligation to contribute to preventing and assisting the struggle against child abuse. The authors contemplate ways for all pediatric dental related personnel to find some clinical signs and symptoms of child abuse to help early detection, and to manage the situation properly.
The purpose of this study is to examine the factors associated with reporting intention and behavior in relation to child abuse among elementary school teachers in Korea based on the Theory of Planned Behavior. The Scale, which includes demographics, preparation level of training, school characteristics, reporting-related behavior, reporting intention, knowledge, attitudes, subjective norms, and self-efficacy, was used to collect the data. A total of 292 teachers provided data. The result of this study is as follows. First, even though the teachers had suspected the child abuse, 16.3% of them reported, whilst 83.7% of them did not. In terms of teachers' reporting intention, the vignettes of very serious cases were higher than the vignettes of less serious cases. The teachers' reporting intention of sexual abuse was the highest among the types of child abuse, and it was followed by physical abuse, neglect and emotional abuse. Second, knowledge, attitudes, subjective norms, and self-efficacy, all of these variables had positive impacts on teachers' reporting intention. Meanwhile, self-efficacy, reporting intention, and the support level of specialists also had positive impacts on reporting behavior. Additionally, women or postgraduate teachers had a higher possibility to make a report than men or undergraduate teachers. These findings suggest that increasing self-efficacy through education and more thorough training about identifying and reporting on child abuse is more important than anything else for detecting abused children at an early stage.
Journal of the Korean Academy of Child and Adolescent Psychiatry
/
v.9
no.2
/
pp.138-147
/
1998
Authors surveyed intrafamilial child sexual abuse in the children under 15years old in clinical. We sent the semi-structured child sexual abuse questionnaires to 7055 board certified pediatrics, obstetrics and gynecology, family medicine and emergency medicine. Total respondents were 1205. The results from these respondents were as follows. 1) The numbers of respondents who have had the experience of treating victims of intrafamilial child sexual abuses were 157(13.0% of total respondents). 2) Among the perpetrators, 58(36.9%) were siblings and 32(20.4%) 26(16.6%) were step-fathers, and respectively. The most common age bracket was 10s(39.5%), and the next was 40s and 50s (33.7%) Almost all(98.7%) of the perpetrators were male. 3) The mean age of victims was $12.1{\pm}3.3$ years old, and all of the victims were female, and the number of victims who had previous mental or physical handicaps and behavior problems were 5(3.2%) and 8(5.1%) respectively. 4) The ways by which intrafamilial child sexual abuses were found were abnormal behaviors 45(28.7%), victim's own report 40(25.5%), pregnancy 18(11.5%), pain complaint 13(8.3%), other person's report 13(8.3%), and detection during examination 12(7.6%). 5) Time lags between intrafamilial child sexual abuses and hospital visits were after 1 month 97(61.8%), from 1 day to 1 week 29(18.5%), within 1 day 21(13.4%), and from 1 week to 1 month 10(6.4%). 6) Physical complications were perineal wound 93(59.2%), hymen rupture 90(57.3%), pregnancy 68(43.3%), wound of other part of body 11(7.0%), and sexually transmitted disease 4(4.5%). 7) Treatment for victims were discharge 92(58.6%), admission, operation or transfer to a bigger hospital 25(15.9%), psychiatry consult 19(12.1%), report to police(10.9%) and social work consult 3(1.9%). These results suggest that considerable numbers of physicians have had the experience of treating victims of intrafamilial child sexual abuses, and intrafamilial child sexual abuses are the major medical as well as social issue in children in Korea.
This paper examined gender differences in a rate, type, relevant variables of delinquent behavior, and a gender differences regarding the relative influence of family, personality, academic achievement, sexual abuse and alcohol .drug abuse on delinquent behavior among Korean adolescents. Method: Data were collected by self-report questionnaires. Subjects consisted of 2,100 adolescents (male 1,396, female 704) in Korea, using proportional stratified random sampling method. Statistical methods were Chi-square, t-test and path analysis. Result: Male adolescents had higher rate of delinquent behavior, and more all types of delinquent behavior (antisocial, aggressive, and psychopathic) than female. Male adolescents showed more dysfunctional family dynamic environments, higher antisocial personality and sociability than female adolescents. Female adolescents had higher depressive tendencies than male. The most powerful contributing variables on male delinquent behavior were age, antisocial personality, parent-child relationship, isolation feelings, and sexual abuse in this order named. Drug abuse, isolation feelings, antisocial personality and parent-child relationship tended to be contributing variables for female delinquent behaviors in this order named. Conclusion: This investigation will provides a foundation for theory that addresses the complexities of both gender-specific and gender influences on delinquent behavior and development of preventive strategies for female delinquency.
Lee, Hyun Joo;Han, Hye Jung;Kim, Ji Hee;Lee, Hye Sun;Lee, In Sil
Clinical and Experimental Pediatrics
/
v.50
no.1
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pp.20-27
/
2007
Purpose : Child sexual abuse is a significant and serious problem that affects public health and society. Pediatricians are responsible for preventing and detecting sexual abuse of children. The aim of this study was to examine clinical findings of child sexual abuse. Methods : The authors retrospectively studied 292 patients between the ages of 0 and 18 who were referred for evaluation of sexual abuse to the Emergency Department of the National Police Hospital from Oct 1, 2001 to May 5, 2005. Results : Sixty three (21.6 percent) of sexual abuse victims were younger than 6 years of age; 89 (30.5 percent) were 6-12 years of age; and 104 (47.9 percent) were 12-18 years of age. Attack time was the most common between noon and 6 pm. Victims were attacked in their home or nearby (51.4 percent). One hundred fifty six (53.6 percent) offenders were accquaitances, thirty nine (13.4 percent) of whom were family members. The disclosure of attack by parents with abnormal physical symptoms was more common in younger children than in adolescence. Eighty nine (30.5 percent) victims had no specific physical findings, 51 percent had injury to the hymen, 37.3% had injury to external genitalia, and 4 percent had anal injury. One case of gonorrhea and thirteen cases of chlamydia were found. Sperm was found in 19 cases and acid phosphatase was positive in 28 cases. The absence of physical findings and laboratory findings was more common in younger children than in those in adolescence. The time interval from attacks to hospital visits had a significant negative correlation with age. Conclusion : For younger victims, the time interval from attack to hospital visitis was more prolonged. Victims may have no physical evidence of sexual abuse. Therefore, a careful history should be obtained and a through physical examination should be performed. Pediatricians must play a leading role in evaluation and treatment of sexually abused children, considering children,s growth and development. Coordination with other professionals is necessary to provide consultation, medical treatment, and legal assistance for the sexually abused children and families.
The purpose of this study is to explore in depth experience of child secondary victimization after sexual violence incident. In order to achieve this study goal, this study contact six child who experienced sexual abuse and acknowledged secondary victimization, and collected data by indepth interview about 2~4 times. collected data was analysed by Colaizzi's analysis method. The results of this study can draw six subcategories. Six subcategories are 'school to collapse protective device', 'family not to depend on' 'judicial authority to fester a wound' 'assailant to rub salt into a wound', and the people around him merely looked on. secondary victimization of child sex abuse victims signify experience to give menace such as huge blow after first victimization. Based on result of analysis, this study suggest and implication of social welfare to prevent Secondary Victimization of sexual violence victim child.
Journal of Korean Home Economics Education Association
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v.20
no.3
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pp.231-258
/
2008
The purpose of this study was to analyse the needs and recognitions of education to prevent children sexual abuse and to suggest the basic data for school prevent education program. For this purpose 1210 primary school teachers were suggested in Korea and finally 973 questionnaires were analysed. The results are as follows; First, fur the needs of education contents for children,'the reaction skills to crisis situation of sexual abuse' was most needed, and 'the types and cases of sexual abuse' and 'the legal regulations' were lowest. Second, for the recognitions of education forms for children, teachers thought the proper form that professional instructors outside school related sexual abuse in special education type, $1\sim2$ times per semester, to all years of children and parents. Third, the education contents and forms to prevent sexual abuse to children were significantly different by age, gender, carrier years, area for work, related training experience. Fourth, the retraining program chances for teachers and prevent education program for children using the National Common Basic Curriculum needs to be broad.
This study examines the extent to which mediator variables, including hostility, paranoid, and attitude toward wife abuse, help explain the relationship between exposure to violence in family of origin while growing up and subsequent abuse against wives. SPSS 10.0 for windows is used to examine data obtained through 223 married men who live in Kwanju. The findings indicates that (a) exposure to violence in family of origin while growing up is related to all mediator variables; (b) exposure to violence in family of origin while growing up and mediator variables are associated with abuse against wife; (c) experiencing of child abuse predict perpetration of sexual abuse against wife, and witnessing of father-to-mother abuse account for more strongly perpetration of psychological and physical abuse against wife: (d) in general, exposure to violence in family of origin has more strong indirect impact on wife abuse for adult male.
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