Biochemical aspect of crime: a case study of testosterone levels among rapists in Enugu State

Testosterone concentration is a contributing factor to rape tendency. Our research aimed to determine the plasma testosterone concentrations in male rapists. Subjects (100) recruited from Enugu state prison grouped viz: Violent-rapist (VR), nonviolent-rapist (NVR), violent child-molester (VCM), nonviolent child-molester (NCM), and none rapist (NR). The blood sample was collected in the morning (8-9) for four months by veno-puncture and used in the determination. The testosterone levels determination was by the enzyme-linked immunosorbent assay method. The results indicated the mean age of 33 (VR), 34 (NVR), 46 (VCM), 47 (NCM), and 32 (NR). The age at first intercourse was highest in NCM (18) and lowest in VR (13). Heterosexuals were highest in VR (14) and lowest in NCM (6). Homosexuals were highest in NCM (4) and non in VM, NVR, and NR (0). In bisexuals, NVR and NCM were the highest (4), the NR (1) was the lowest. The concentrations of testosterone (in ng/100ml) were 8.65 (VR), 9.23 (NVR), 9.63 (VCM), 7.73 (NCM) and 7.95 (NR). The testosterone concentration of the VR, NVR, and VCM is higher than NR. The NCM was lower than the NR. This result suggests that VR, NVR, and VCM are associated with higher testosterone concentrations in males. The modest associations indicate that there might be other influencing factors. The relationship between testosterone levels in rapists and child molestation is, at best, tentative. In some people, hormonal factors might influence the likelihood of rape and child molestation.

The magnitude of sexual abuse and its physical effects among female children seen at Gandhi Memorial Hospital in Addis Ababa, Ethiopia

Background: Child sexual abuse is a form of abuse that involves sexual activity with a minor. A child does not possess the ability to consent to any form of sexual activity. Therefore, perpetrators who engage in sexual activity with a minor are committing the crime of sexual abuse. The definition of child sexual abuse does not need to include physical contact between a perpetrator and a child. The objective of this study was to assess the magnitude and associated physical consequences of sexual abuse among female children seen at Gandhi Memorial Hospital in Addis Ababa, Ethiopia. Method and Materials: This cross-sectional study identified and reviewed 1,500 reported cases of sexual abuse through hospital records at Gandhi Memorial Hospital (Addis Ababa, Ethiopia) between March 2016 and February 2017. These cases were all perpetrated against females and included both adults and children. From a total of 1,500 cases reviewed, 1,100 involved victims in the pediatric age group (under 18 years) who first presented to the hospital following sexual abuse. Of these 1,100 cases, 292 female children were selected. One study participant was selected for every three victims of child sexual abuse, until the required sample size was met. Data were collected from these 292 cases, and descriptive analysis was used to describe study findings. This analysis included frequencies, percentages, and standard deviations. The socio-demographic and educational status of study participants, as well as the physical findings of the victims on presentation, were analyzed, and presented numerically and as percentages of the total study population. Results: The majority of the victims were referred from Addis Ababa. Among the 292 selected cases, 221 (75.7%) were from Addis Ababa and the rest were from the surrounding areas. The majority of respondents (64.7%) were between 12 and 18 years of age, with a small percentage of respondents (5.8%) between 2 and 3 years of age. Most respondents (242 cases, 82.9%) had no previous history of sexual abuse, but the remaining 50 cases (17.1%) had a previous history of sexual abuse by the same or a different perpetuator. Conclusions: This study provides data, and thus evidence for policymakers and other stakeholders, to strive for an improvement in the security and protection of children, as well as education on the matter of child sexual abuse for parents and guardians. Those who could be involved in the implementation of intervention strategies may include parents, health professionals and pertinent personnel from the Ministry of Health and Ministry of Education. Above all, the data suggest a need for the victims to receive training on how to protect themselves from victimization

Forms and determinants of sexual abuse among female child hawkers in Uyo, Nigeria

Background: Female hawkers are exposed to numerous hazards including sexual abuse. This study aimed at assessing the prevalence, forms and determinants of sexual abuse among female child hawkers in Uyo, Nigeria. Methods: This was a cross-sectional descriptive study carried out among female child hawkers in Uyo, Nigeria. Data was collected using an interviewer-administered structured questionnaire and was analyzed with IBM SPSS Statistics 20.0 software. Level of significance was set at 0.05. Result: A total of 172 respondents participated in the study. The mean age was 12.9±2.3 years. School dropout rate was 11.6% among respondents. Commonest reasons for hawking included family support (66.8%), feeding (22.1%) and generating school fees (11.1%). Prevalence of any form of sexual abuse was 76.2%. Forms of sexual abuse reported included verbal abuse (54.1%), inappropriate touching (56.4%), kissing (14.5%), intercourse due to enticement (18.0%) and rape (12.2%). The commonest reason for sexual act among those enticed was monetary gains, (64.5%). Consequences of sexual abuse included STI (13.5%), pregnancy (5.8%) and abortion (5.8%) respectively. Predictors of any form of sexual abuse included being aged 14-17 years (OR =14.70, 95%CI=2.05-105.14, p=0.007), being a dropout (OR=7.37, 95%CI=2.21-24.59, p=0.001) and being from social class V (OR=23.44, 95%CI=1.13-401.67, p=0.031). Conclusion: There was high prevalence of sexual abuse ranging from inappropriate touching to rape. Predictors of sexual abuse included age, being a dropout and of low socio economic class. Enlightenment campaigns on risks of female child hawking, establishment of skill acquisition centres and free education to secondary level are advocated

Unpacking the 2-year age-gap provision in relation to the decriminalisation of underage consensual sex in South Africa

Over the past 24 years, the South African criminal justice system has undergone major transformations in relation to sexual offences,including sexual violence against children. More recently, there have been a number of developments to certain provisions in the law relating to sexual offences involving children. In response to the Teddy Bear Clinic Court Case and Constitutional Court ruling, sexual offences legislation related to underage consensual sex amended.In this regard, the legislation now decriminalises underage consensual sexual activity between adolescent peers aged 12 - 15-year-olds. In addition, the law provides broader definitions for consensual sexual activity including decriminalising consensual sex and sexual activity between older adolescents (above age of consent for sex, i.e. 16 - 17-year-olds)and younger adolescents (below the age of consent for sex, i.e. 12 - 15-year-olds), granted that there is no more than a 2-year age gap between them. One of the reasons for decriminalising consensual sexual activities between adolescent peers was because the expanded legislation cast the net for sexual offences so wide that the effects had far-reaching harmful impacts, particularly for girls, who would then be exposed to the criminal justice system. This paper focuses on unpacking the 2-year age-gap provision in SA legislation relative to selected better-resourced countries, including the rationale and the potential implications for adolescents (outside of the 2-year age gap provisions),for researchers, service providers and policy-makers. It concludes with recommendations for law reform and further research

A critical review of child abuse and its management in Africa

Introduction: Child abuse in Africa is a major threat to the achievement of the sustainable development goals on the continent and has become increasingly topical with a dramatic increase in recognition and an appreciation of the long term harmful effects on the affected population. The aim of this review was to outline current management of child abuse (especially sexual abuse) and highlight current preventive practice that could be beneficial in a resource-limited environment. Methods: A search of Medline and reference lists of the literature on child abuse in African countries and relevant world literature was conducted in December 2016. The review was written narratively, rather than systematically as a general overview was desired, instead of a focused view of individual aspects of child abuse. Recommendations: Opportunities for early identification of child abuse, as well as research into preventative strategies should be prioritised. Establishing strong institutions and guidance to tackle abuse when it occurs is both beneficial to the survivors and the continent at large

Guidelines for support to mothers of sexually abused children in North-West province

Background: South Africa is reported to have the highest rate of sexual assault in the world with over 40% of cases occurring among children. Children who are sexually abused have support programmes and policies to assist them in coping, but there are no support programmes for mothers or caretakers. Caretakers need support for themselves and assisting them will incrementally benefit children under their care. Often mothers of these children experience shock, anger, disbelief and suffer secondary trauma such as depression and post-traumatic stress disorder (PTSD) following their children's sexual abuse disclosure and yet there are no guidelines for support to these mothers within North-West province (NWP)Objectives: The study seeks to develop guidelines for support to mothers of sexually abused children in NWP.Methods: Concurrent convergence triangulation mixed method design was employed in this study. The population consisted of mothers of sexually abused children (SAC) (n = 17 participants for the qualitative component and n = 180 participants for the quantitative component). A sample of mothers of SAC was purposely selected.Results: The participants indicated significant levels of depression because of lack of support by stakeholders. Guidelines for support to assist mothers cope with their secondary trauma were developed based on the literature review, study findings as well as an ecological model of the impact of sexual assault on women's mental health. The results also showed extreme PTSD (47.8%), little support (38.8%), not coping (76.1%) and depression (36.1%).Conclusion: The stakeholders should consider a positive approach to support mothers whose children are sexually abused

Risk factors associated with sexual violence towards girls in Swaziland

Objective:To explore risk factors for sexual violence in childhood in a nationally representative sample of females aged 13 to 24 years in Swaziland. Methods During a household survey respondents were asked to report any experiences of sexual violence before the age of 18 years. The association between childhood sexual violence and several potential demographic and social risk factors was explored through bivariate and multivariate logistic regression. Findings Participants totalled 1244. Compared with respondents who had been close to their biological mothers as children; those who had not been close to her had higher odds of having experienced sexual violence (crude odds ratio; COR: 1.89; 95CI: 1.14-3.14); as did those who had had no relationship with her at all (COR: 1.93; 95CI: 1.34-2.80). In addition; greater odds of childhood sexual violence were noted among respondents who were not attending school at the time of the survey (COR: 2.26; 95CI: 1.70-3.01); who were emotionally abused as children (COR: 2.04; 95CI: 1.50-2.79); and who knew of another child who had been sexually assaulted (COR: 1.77; 95CI: 1.31-2.40) or was having sex with a teacher (COR: 2.07; 95CI: 1.59-2.69). Childhood sexual violence was positively associated with the number of people the respondent had lived with at any one time (COR: 1.03; 95CI: 1.01-1.06). Conclusion Inadequate supervision or guidance and an unstable environment put girls at risk of sexual violence. Greater educational opportunities and an improved mother-daughter relationship could help prevent it

Child sexual abuse, harmful alcohol use and age as determinants of risky sexual behaviours among freshmen in a Nigerian University

In Nigeria, freshmen constitute a risk group of adolescents and young adults capable of engaging in unsafe sexual practices. This study documents the associated factors to sexual risk behaviours practices of University of Ibadan, Nigeria freshmen. Eight hundred and forty one (841), freshmen who attended a routine orientation program were asked to respond to a questionnaire. Results showed that 30.8% were sexually active and 47% did not use condom in their last sexual episode. Associated with sexual risk behaviours include: being a male freshman increasing age; lower tendency for violence; increase sexual compulsivity; alcohol abuse; history of rape and a history of Child Sexual Abuse (CSA). Three variables: alcohol abuse; history of CSA and increasing age remained significant in a multiple regression analysis. The paper presents the first evidence of vulnerability of freshmen to sexual risk practices in a Nigerian University. (Afr J Reprod Health 2008; 12[2]:75-88)