Volume 19, Issue 2 (9-2022)                   J Res Dev Nurs Midw 2022, 19(2): 31-36 | Back to browse issues page


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Hokmabadi A, Khoori E, Tatari M, Wurtele S K. Preventing Child Sexual Abuse in Iran: Mothers Teaching Body Safety to Their Sons. J Res Dev Nurs Midw 2022; 19 (2) :31-36
URL: http://nmj.goums.ac.ir/article-1-1185-en.html
1- 1.Counseling and Reproductive Health Research Centre, Golestan University of Medical Sciences, Gorgan, Iran
2- 1. Counseling and Reproductive Health Research Centre, Golestan University of Medical Sciences, Gorgan, Iran , elhamkhoori@yahoo.com
3- 1. Counseling and Reproductive Health Research Centre, Golestan University of Medical Sciences, Gorgan, Iran
4- Department of Psychology, University of Colorado, Colorado Springs CO, USA
Abstract:   (3493 Views)
Abstract:
Background: Parents play important roles in protecting their children from child sexual abuse (CSA). In Iran, mothers have been shown to effectively improve and maintain female children’s protective behaviors and knowledge regarding CSA. This study aimed to determine the effect of personal safety education for mothers in Gorgan (northeastern Iran) on their sons’ knowledge and skills for the prevention of CSA.
Methods: This clinical trial was conducted in 2019 on 46 preschool-aged boys and their mothers. Eligible subjects were recruited by systematic random sampling from two health centers in Gorgan. Boys were pretested using Persian versions of the Personal Safety Questionnaire and ’What If’ Situations Test and then randomly assigned to either an education group (mother-taught program) or a control group. Mothers assigned to the education group participated in a 2-hour training session and were given the Body Safety Training workbook to teach their sons during the following week. Two days after the training by their mothers, boys in both groups were post tested and also followed up one month later. Data were analyzed in SPSS software (version 16) by using repeated-measures ANOVA, general estimation equation, Mann-Whitney U test, and Fisher’s exact test.
Results: Children taught by their mothers demonstrated significant increases in the mean scores of knowledge (P=0.001), total safety skills (P<0.001), and appropriate-touch recognition (P=0.005). These increases were maintained at the one-month follow-up. Children in both groups recognized almost all inappropriate-touch requests correctly at all three time periods (P=0.99).
Conclusion: Educated mothers effectively taught their young sons skills and knowledge to protect from CSA, and these gains were maintained for one month. Although all participants were able to recognize inappropriate-touch requests, boys did not recognize that requests to touch the genitals are appropriate for health or hygiene purposes until they were educated by their mothers. In Iran, parents teach children that any touching or looking at their private parts by anyone is forbidden.
 
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References
1. World Health Organization. Responding to children and adolescents who have been sexually abused. WHO clinical guidelines. Geneva: WHO; 2017. [View at paplisher] [Google Scholar]
2. Kamiya Y, Timonen V, Kenny RA. The impact of childhood sexual abuse on the mental and physical health, and healthcare utilization of older adults. International Psychogeriatrics. 2016;28(3):415-22. [View at paplisher] [DOI] [Google Scholar]
3. Bonvanie IJ, van Gils A, Janssens KA, Rosmalen JG. Sexual abuse predicts functional somatic symptoms: An adolescent population study. Child Abuse & Neglect. 2015;46:1-7. [View at paplisher] [DOI] [Google Scholar]
4. Lalor K, McElvaney R. Child sexual abuse, links to later sexual exploitation/high-risk sexual behavior, and prevention/treatment programs. Trauma Violence & Abuse. 2010;11(4):77-159. [View at paplisher] [DOI] [Google Scholar]
5. Irish L, Kobayashi I, Delahanty DL. Long-term physical health consequences of childhood sexual abuse: A meta-analytic review. Journal of Pediatric Psychology. 2009;35(5):450-461. [View at paplisher] [DOI] [Google Scholar]
6. Moore EE, Romaniuk H, Olsson CA, Jayasinghe Y, Carlin JB, Patton GC. The prevalence of childhood sexual abuse and adolescent unwanted sexual contact among boys and girls living in Victoria, Australia. Child Abuse & Neglect. 2010;34(5):379-85. [View at paplisher] [DOI] [Google Scholar]
7. Moore SE, Scott JG, Ferrari AJ, Mills R, Dunne MP, Erskine HE, et al. Burden attributable to child maltreatment in Australia. Child Abuse & Neglect. 2015;48:208-15. [View at paplisher] [DOI] [Google Scholar]
8. Dunne MP, Purdie DM, Cook MD, Boyle FM, Najman JM. Is child sexual abuse declining? Evidence from a population-based survey of men and women in Australia. Child Abuse & Neglect. 2003;27(2):141-52. [View at paplisher] [DOI] [Google Scholar]
9. Holmes WC, Slap GB. Sexual abuse of boys: Definition, prevalence, correlates, sequelae, and management. Journal of the American Medical Association. 1998;280(21):1855-62. [View at paplisher] [DOI] [Google Scholar]
10. Valente SM. Sexual abuse of boys. Journal of Child and Adolescent Psychiatric Nursing. 2005;18(1):10-16. [View at paplisher] [DOI] [Google Scholar]
11. Easton S. D., Renner L. M., O’Leary P. Suicide attempts among men with histories of child sexual abuse: Examining abuse severity, mental health, and masculine norms. Child Abuse & Neglect, 2013;37(6):380-387. [View at paplisher] [DOI] [Google Scholar]
12. Turner S., Taillieu T., Cheung K., Afifi T. O. The relationship between childhood sexual abuse and mental health outcomes among males: Results from a nationally representative United States sample. Child Abuse & Neglect. 2017;66:64-72. [View at paplisher] [DOI] [Google Scholar]
13. Homma Y., Wang N., Saewyc E., Kishor N. The relationship between sexual abuse and risky sexual behavior among adolescent boys: A meta-analysis. Journal of Adolescent Health. 2012;51(1):18-24. [View at paplisher] [DOI] [Google Scholar]
14. Schafer ES. Adverse childhood experiences and risky behaviors in male college students. Journal of American college health. 2021;2:1-9. [View at paplisher] [DOI] [Google Scholar]
15. Russell D, Higgins D, Posso A. Preventing child sexual abuse: A systematic review of interventions and their efficacy in developing countries. Child Abuse & Neglect. 2020;102:104395. [View at paplisher] [DOI] [Google Scholar]
16. Rouhparvar Z, Javadnoori M, Shahali S. Parents’ approaches to sexuality education of their adolescent boys: a qualitative study in Ahvaz, Iran. Reproductive Health. 2022;19(1):1-0. [View at paplisher] [DOI] [Google Scholar]
17. Hassani Moghadam S, Ganji J. The role of parents in nurturing and sexuality education for children from Islamic and scientific perspective. Journal of Nursing and Midwifery Sciences. 2019;6(3):149-155. [View at paplisher] [DOI] [Google Scholar]
18. Navaei M, Akbari-Kamrani M, Esmaelzadeh-Saeieh S, Farid M, Tehranizadeh M. Effect of Group Counseling on Parents’ Self-Efficacy, Knowledge, Attitude, and Communication Practice in Preventing Sexual Abuse of Children Aged 2-6 Years: A Randomized Controlled Clinical Trial. IJCBNM. 2018;6(4):285-292. [View at paplisher] [Google Scholar]
19. Merghati-Khoei E., Abolghasemi N., Smith T.G. “Children are sexually innocent”: Iranian parents’ understanding of children’s sexuality. Archives of Sexual Behavior. 2013;43(3):587–595. [View at paplisher] [DOI] [Google Scholar]
20. Babatsikos G. Parents' knowledge, attitudes and practices about preventing child sexual abuse: a literature review. Child Abuse Review. 2010;19(2):107-29. [View at paplisher] [DOI] [Google Scholar]
21. Rudolph J, Zimmer-Gembeck MJ, Shanley DC, Hawkins R. Child sexual abuse prevention opportunities: Parenting, programs, and the reduction of risk. Child maltreatment. 2018;23(1):96-106. [View at paplisher] [DOI] [Google Scholar]
22. Walsh K, Brandon L. Their children’s first educators: Parents’ views about child sexual abuse prevention education. Journal of Child and Family Studies. 2012;21(5):734-46. [View at paplisher] [DOI] [Google Scholar]
23. Wurtele S. K., Kenny M. C. Partnering with parents to prevent childhood sexual abuse. Child Abuse Review. 2010;19(2):130–152. [View at paplisher] [DOI] [Google Scholar]
24. Wurtele SK, Miller‐Perrin C. What works to prevent the sexual exploitation of children and youth. The Wiley Handbook of What Works in Child Maltreatment: An Evidence‐Based Approach to Assessment and Intervention in Child Protection. 2017;176-97. [View at paplisher] [DOI] [Google Scholar]
25. Kashani-Sabet F.The politics of reproduction: Maternalism and women’s hygiene in Iran,1896–1941. International Journal of Middle East Studies. 2006;38(1):1–29. [View at paplisher] [DOI] [Google Scholar]
26. Shams M, Parhizkar SA, Mousavizadeh A, Majdpour M. Mothers’ views about sexual health education for their adolescent daughters: a qualitative study. Reproductive health. 2017;14(1):1-6. [View at paplisher] [DOI] [Google Scholar]
27. Ganji J, Emamian MH, Maasoumi R, Keramat A, Khoei EM. The existing approaches to sexuality education targeting children: a review article. .Iran J Public Health. 2017;46(7):890-898. [View at paplisher] [Google Scholar]
28. Moghadam SH, Ganji J. The role of parents in nurturing and sexuality education for children from Islamic and scientific perspective. Journal of Nursing and Midwifery Sciences. 2019;6(3):149-55. [View at paplisher] [DOI] [Google Scholar]
29. Khanjari S, Bastani F, Kamalinahad R, Hosseini AF. Prevention of Child Sexual Abuse: Parents’ Knowledge, Attitudes and Practices. IJN. 2014;27(89):12-20. [View at paplisher] [DOI] [Google Scholar]
30. Khanjari S, Modabber M, Rahmati M, Haghani H. Knowledge, Attitudes And Practices Among Parents Of School-Age Children After Child Sexual Abuse Prevention Education. IJN. 2017;29(104):17-27. [View at paplisher] [DOI] [Google Scholar]
31. Khoori E , Gholamfarkhani S, Tatari M, Wurtele SK. Parents as Teachers: Mothers’ Roles in Sexual Abuse Prevention Education in Gorgan, Iran. Child Abuse Negl. 2020; 109(104695). [View at paplisher] [DOI] [Google Scholar]
32. Ahari SB, Moghadam ZB, Azin SA, Maasoumi R. Concerns and educational needs of Iranian parents regarding the sexual health of their male adolescents: A qualitative study. Reproductive Health 2020;17:24. [View at publisher] [Google Scholar] [View at paplisher] [DOI] [Google Scholar]
33. Gholamfarkhani S, Khoori E, Derakhshanpour F, Aryaie M, Wurtele S. Psychometric Properties Of The Personal Safety Questionnaire And "What If" Situations Test: Persian Versions. Science and Education. 2018;1:14-21. [View at paplisher] [Google Scholar]
34. Khoori E , Gholamfarkhani S.In translation. The Body Safety Training Workbook, Wurtele SK,. Gorgan: Noroozi; 2018. 101 p. [In Persion] [View at paplisher] [Google Scholar]
35. Wurtele SK, Kast LC, Melzer AM. Sexual abuse prevention education for young children: a comparison of teachers and parents as instructors. Child Abuse Negl. 1992;16(6):865-76. [View at paplisher] [DOI] [Google Scholar]
36. Citak Tunc G, Gorak G, Ozyazicioglu N, Ak B, Isil O, Vural P. Preventing Child Sexual Abuse: Body Safety Training for Young Children in Turkey. J Child Sex Abus. 2018;27(4):347-64. [View at paplisher] [DOI] [Google Scholar]
37. Kim S-J, Kang K-A. Effects of the child sexual abuse prevention education (C-SAPE) program on south korean fifth-grade students’ competence in terms of knowledge and self-protective behaviors. J Sch Nurs.2017;33(2):123-32. [View at paplisher] [DOI] [Google Scholar]
38. Wurtele, S. K., & Owens, J. S. (1997). Teaching personal safety skills to young children: An investigation of age and gender across five studies. Child Abuse & Neglect. 1997;21(8), 805–814. [View at paplisher] [DOI] [Google Scholar]
39. Zhang W, Chen J, Feng Y, Li J, Liu C, Zhao X. Evaluation of a sexual abuse prevention education for Chinese preschoolers. Research on Social Work Practice. 2014;24(4):36_428. [View at paplisher] [DOI] [Google Scholar]
40. Wulandari MD, Hanurawan F, Chusniyah T, Sudjiono. Children’s Knowledge and Skills Related to Self-Protection from Sexual Abuse in Central Java Indonesia. Journal of child sexual abuse. 2020;29(5):499-512. [View at paplisher] [DOI] [Google Scholar]

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