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Apr 17

Be Human Stop Child Abuse : Vol 12, 17th April, 2013

  Editorial

The relationship between sexual abuse and risky sexual behavior among adolescent boys: a meta-analysis

Childhood and adolescent sexual abuse can substantially influence sexual behavior in adolescence among male survivors. To improve sexual health for all adolescents, even young men, we should strengthen sexual abuse prevention initiatives, raise awareness about male sexual abuse survivors’ existence and sexual health issues, improve sexual health promotion for abused young men, and screen all people, regardless of gender, for a history of sexual abuse.

Study

Childhood and adolescent sexual abuse has been shown to lead to increased odds of sexual behaviors that lead to sexually transmitted infections and early pregnancy involvement. Research, meta-analyses, and interventions, however, have focused primarily on girls and young women who have experienced abuse, yet some adolescent boys are also sexually abused. We performed a meta-analysis of the existing studies to assess the magnitudes of the link between a history of sexual abuse and each of the three risky sexual behaviors among adolescent boys in North America.

The three outcomes were (a) unprotected sexual intercourse, (b) multiple sexual partners, and (c) pregnancy involvement. Weighted mean effect sizes were computed from ten independent samples, from nine studies published between 1990 and 2011.

Sexually abused boys were significantly more likely than nonabused boys to report all three risky sexual behaviors. Weighted mean odds ratios were 1.91 for unprotected intercourse, 2.91 for multiple sexual partners, and 4.81 for pregnancy involvement.

Source: Homma Y, Wang N, Saewyc E, Kishor N. J Adolesc Health. 2012 Jul;51(1):18-24. doi: 10.1016/j.jadohealth.2011.12.032. Epub 2012 Mar 5.

cammo

CMAAO

IMA

IMA

eMedinewS

Dr Vinay Aggarwal, President, Elect CMAAO

Dr K Vijayakumar (National President) IMA

Dr N Saini (Secretary General) IMA

Dr M Pillai (Chairman Organising Committee)

Dr D R Rai (Organising Secretary)

Dr S Arulrhaj (Chairman Scientific Committee)

Dr KK Aggarwal (Co-Chairman & Editor)

News

Yield of radiographic skeletal surveys for detection of hand, foot, and spine fractures in suspected child abuse.

Data, acquired during the film-screen era, suggest that fractures of the spine, hands, and feet may not be rare in infants and toddlers in cases of suspected child abuse. The benefits of eliminating views of these regions from the initial skeletal survey should be carefully weighed against the cost of missing these potentially important injuries in at-risk pediatric populations.

Previous studies have found that fractures involving the spine, hands, and feet are rare on skeletal surveys in cases of suspected child abuse, leading some authors to suggest eliminating these regions from the initial skeletal survey protocol. We assessed this recommendation by performing a historical review of these injuries in a pediatric population undergoing film screen-based radiographic skeletal surveys for suspected child abuse.

This cross-sectional retrospective study reviewed reports of initial skeletal surveys of all children younger than 2 years with suspected abuse imaged between April 1988 and December 2001. Radiographic skeletal survey imaging was performed according to American College of Radiology standards. Sixty-two percent (225/365) of all skeletal surveys had positive findings, and 44% (98/225) showed more than one fracture. Surveys with fractures involving the spine, hands, or feet were identified, and the data were tabulated and analyzed.

Twenty of 365 studies (5.5%) yielded fractures involving the spine, hands, or feet. Of all positive skeletal surveys, 8.9% (20/225) had fractures involving the spine, hands, or feet. Of all patients with more than one fracture on skeletal survey, 20.4% (20/98) had fractures involving these regions.

Source: Kleinman PK, Morris NB, Makris J, Moles RL, Kleinman PL: AJR Am J Roentgenol. 2013 Mar;200(3):641-4. doi: 10.2214/AJR.12.8878.

Screening for risk of child abuse and neglect. A practicable method?

Selective primary prevention programs for child abuse and neglect depend on risk screening instruments that have the goal of systematically identifying families who can profit most from early help. Based on a systematic review of longitudinal studies, a set of established risk factors for earlychild abuse and neglect is presented. Nearly half of the items included in screening instruments can be seen as validated. Available studies indicate a high sensitivity of risk screening instruments. Positive predictive values, however, are low. Overall, the use of risk screening instruments in the area of primary prevention for families at risk represents a feasible method, as long as stigmatizing effects can be avoided and participating families also benefit beyond preventing endangerment.

Kindler H<: Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2010 Oct;53(10):1073-9. doi: 10.1007/s00103-010-1132-x.

The effect of intimate partner violence against women on under-five children mortality: a systematic review and meta-analysis

Interventions aimed at improving child health and survival should focus to protect women from all forms of violence. Comprehensive and longitudinal studies are encouraged to address the issues of intimate partner violence against women and under five children mortality in more depth.

Intimate partner violence against women is one of the most common and widely occurring forms of violence against women that had consequences on the health of women and children. However, studies of the impact on children mortality reported controversial results.

To determine the overall magnitude, association directions of intimate partner violence against women and mortality among under five children, online databases were systematically searched for subject heading intimate partner violence against women and under five children mortality. On the final search 11 studies from developing countries were inputted into Metaesy add-in for MS Excel version 1.0.4 software for meta-analysis. Random effect model using DerSimonian and Laird’s (DL) estimator was used to calculate the pooled estimates of the studies.

Mother who reported past experiences of intimate partner violence were more likely to have under-five children mortality. Mean effect size, 95% CI; 0.23 (0.16 to 0.32) was observed which is significantly different from Zero. The value of pooled Odds Ratio corresponds to 95% CI is: 1.34 (1.12 to 1.46).

Source: Garoma S, Fantahun M, Worku A: Ethiop Med J. 2011 Oct;49(4):331-9.

IMA CMAAO MEETING

Readers Response
  1. This message is too good. Keep it up. Regards: Dr Priya

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