Anal abuse 18

Metrics details. There is uncertainty about the nature and specificity of physical signs following anal child sexual abuse. The study investigates the extent to which physical findings discriminate between children with and without a history of anal abuse. Controls: all children examined anally from to with possible physical abuse or neglect with no identified concern regarding sexual abuse. To explore the potential role of confounding, logistic regression was used to produce odds ratios adjusted for age and gender. A total of cases boys, 79 girls , average age

These were all children who had had their genitalia examined at the time of their referral. In 81 children Group A who had no history or evidence of sexual abuse, two fissures were found, both with medical explanations for their presence. The significance of the findings was discussed with a view to clarifying the relative importance of anal fissures in children with a strong history of anal abuse. This is a preview of subscription content, access via your institution.

Dermatologic, traumatic, infectious, and congenital disorders may be confused with sexual abuse. Seven children referred to us are representative of such confusion. Bays J, Jenny C. Am J Dis Child.

Related Editorial. Child victims of sexual abuse may present with physical findings that can include anogenital problems, enuresis or encopresis. Behavioral changes may involve sexual acting out, aggression, depression, eating disturbances and regression.