{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T14:22:19Z","timestamp":1756995739584},"reference-count":39,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Arch Dis Child"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Police-recorded sexual offences against children and young people (CYP) increased 85% in the UK between 2010\/2011 and 2014\/2015. Many children delay disclosure, but little data are available regarding characteristics of CYP presenting with<jats:italic>historic<\/jats:italic>child sexual abuse (CSA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To identify the clinical and CSA-related characteristics of CYP presenting with a suspicion or allegation of<jats:italic>historic<\/jats:italic>CSA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Data were collected on all CYP&lt;17 years presenting with suspected or alleged<jats:italic>historic<\/jats:italic>CSA (ie, &gt;3 days since last sexual assault in prepubertal children, &gt;7 days pubertal girls) between October 2009 and November 2014. Data collected: source and indication for referral, alleged perpetrator, physical findings. Findings supportive of CSA were peer reviewed for consensus agreement. Analysis: \u03c7<jats:sup>2<\/jats:sup>test, Fisher\u2019s exact test and logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 249 CYP, presentation with physical\/behavioural symptoms was associated with age &lt;13 years (p&lt;0.01), and alleged penetration with ages 13\u201317 years (p&lt;0.01). Where known, time since alleged CSA ranged from 1\u2009week to 13 months. Anogenital findings supportive of CSA were present in 7% of examined children (16\/233), significantly associated with alleged penetration (p&lt;0.01) and more likely with increasing age (OR 1.46, 95%\u2009CI 1.23 to 1.72). Additionally, where tested, sexually transmitted infections (STI) were detected in 2.6% CYP (3\/116). Alleged perpetrators were intrafamilial in 66% (126\/190). No associations were identified between perpetrator type and gender (p=1.0), age (p=0.7) or indication for referral (p=0.35).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Despite significant time delay since the alleged CSA, this study highlights the persistence of anogenital findings supportive of CSA in 7% and STIs in 2.6% of CYP.<\/jats:p><\/jats:sec>","DOI":"10.1136\/archdischild-2017-313676","type":"journal-article","created":{"date-parts":[[2017,11,7]],"date-time":"2017-11-07T17:15:21Z","timestamp":1510074921000},"page":"533-539","update-policy":"http:\/\/dx.doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Clinical characteristics of children presenting with a suspicion or allegation of historic sexual abuse"],"prefix":"10.1136","volume":"103","author":[{"given":"Sarah","family":"Al-Jilaihawi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Borg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katharine","family":"Jamieson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabine","family":"Maguire","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah","family":"Hodes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,11,7]]},"reference":[{"key":"2020050712443557000_103.6.533.1","unstructured":"Bentley H , O\u2019Hagan O , Raff A , et al . 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