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Risk Factors for the Development of Sexually Abusive Behaviour in Sexually Victimised Males: A Catch-up Longitudinal Design

McMillan, Dean; (2004) Risk Factors for the Development of Sexually Abusive Behaviour in Sexually Victimised Males: A Catch-up Longitudinal Design. Doctoral thesis (Ph.D), UCL (University College London). Green open access

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Abstract

Male children who are sexually abused may be at heightened risk of sexually abusing others. However, by no means every victim becomes a perpetrator, which suggests that other risk factors must be involved. The first aim of the study was to identify the additional risk factors that may be causally related to subsequent abusive behaviour. A second aim was to establish whether these risk factors could be used to predict which sexually victimised males were at increased risk of perpetration before the onset of this behaviour. The sample consisted of sexually victimised males referred to Great Ormond Street Hospital (N = 104). Participants were divided into those who had gone on to sexually perpetrate (N = 21) and those who had not done so (N = 83). The study used a catch-up longitudinal design. Each participant’s experience of the key risk factors was assessed using contemporaneous case material. Evidence of subsequent sexual perpetration was gathered from the case material and police records. Three risk factors differentiated between the two groups: sexual victimisation by a female, neglect (failure to provide) and neglect (lack of supervision). Witnessing intrafamilial physical abuse fell just short of significance. A logistic regression examined the independent contribution of these risk factors to sexual perpetration. In this regression, only neglect (failure to provide) remained a significant predictor of sexual perpetration (Adjusted OR = 3.73; 95% Cl 1.12 to 12.42). Four risk indexes were generated to assess the predictive capacity of the risk factors. The area under the curve in a series of ROC-curve analyses indicated that all of the indexes successfully discriminated between sexually victimised males who had gone on to perpetrate and those who had not done so. The methodological, theoretical, and policy and practice implications of these findings are discussed.

Type: Thesis (Doctoral)
Qualification: Ph.D
Title: Risk Factors for the Development of Sexually Abusive Behaviour in Sexually Victimised Males: A Catch-up Longitudinal Design
Open access status: An open access version is available from UCL Discovery
Language: English
Additional information: Thesis digitised by ProQuest
URI: https://discovery.ucl.ac.uk/id/eprint/10097667
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