{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:54:29Z","timestamp":1791852869459,"version":"4.3.4"},"reference-count":38,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2019,7,12]],"date-time":"2019-07-12T00:00:00Z","timestamp":1562889600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000029","name":"Institute of Gender and Health","doi-asserted-by":"publisher","award":["103944"],"award-info":[{"award-number":["103944"]}],"id":[{"id":"10.13039\/501100000029","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Psychiatry"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The objective of this study was to estimate the prevalence of child sexual abuse in a representative sample of Quebec high school youths and document its associations with mental health problems and health-risk behaviors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>Data were drawn from the Quebec Youths\u2019 Romantic Relationships Survey, which involved a one-stage stratified cluster sampling of 34 Quebec high schools from Grades 10 to 12. A total of 8,194 youths (mean age = 15.35) were recruited. The survey assessed child sexual abuse, mental health problems (psychological distress, post-traumatic stress symptoms, suicidality), health services utilization, and health-risk behaviors (alcohol, drug, and cannabis use). Gender-stratified multivariate analyses were used to assess associations between child sexual abuse and mental health problems and health-risk behaviors while controlling for confounding demographic variables and other forms of child maltreatment experienced in childhood.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 14.9% of girls and 3.9% of boys reported having experienced child sexual abuse. Child sexual abuse was independently associated with an increased risk of psychological distress, greater health services utilization, and increased health-risk behaviors, after controlling for other forms of childhood maltreatment experienced.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Child sexual abuse is prevalent among youths in Quebec and is associated with an increased risk of a host of negative consequences. Continued efforts in the development of early detection strategies as well as prevention and intervention programs are warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0706743719861387","type":"journal-article","created":{"date-parts":[[2019,7,12]],"date-time":"2019-07-12T18:18:53Z","timestamp":1562955533000},"page":"846-854","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":57,"title":["Child Sexual Abuse among a Representative Sample of Quebec High School Students: Prevalence and Association with Mental Health Problems and Health-Risk Behaviors"],"prefix":"10.1177","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4531-5124","authenticated-orcid":false,"given":"Martine","family":"H\u00e9bert","sequence":"first","affiliation":[{"name":"D\u00e9partement de sexologie, Universit\u00e9 du Qu\u00e9bec \u00e0 Montr\u00e9al, Montr\u00e9al, Qu\u00e9bec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laetitia M\u00e9lissande","family":"Am\u00e9d\u00e9e","sequence":"additional","affiliation":[{"name":"D\u00e9partement de psychologie, Universit\u00e9 du Qu\u00e9bec \u00e0 Montr\u00e9al, Montr\u00e9al, Qu\u00e9bec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Blais","sequence":"additional","affiliation":[{"name":"D\u00e9partement de sexologie, Universit\u00e9 du Qu\u00e9bec \u00e0 Montr\u00e9al, Montr\u00e9al, Qu\u00e9bec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Am\u00e9lie","family":"Gauthier-Duchesne","sequence":"additional","affiliation":[{"name":"D\u00e9partement de sexologie, Universit\u00e9 du Qu\u00e9bec \u00e0 Montr\u00e9al, Montr\u00e9al, Qu\u00e9bec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,7,12]]},"reference":[{"key":"bibr1-0706743719861387","doi-asserted-by":"publisher","DOI":"10.1007\/s00038-012-0426-1"},{"key":"bibr2-0706743719861387","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2009.08.003"},{"key":"bibr3-0706743719861387","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.131792"},{"issue":"3","key":"bibr4-0706743719861387","first-page":"11","volume":"27","author":"Afifi TO","year":"2016","journal-title":"Rapports Sur la Sant\u00e9 [Heatlh Reports]"},{"key":"bibr5-0706743719861387","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.158.11.1878"},{"key":"bibr6-0706743719861387","doi-asserted-by":"publisher","DOI":"10.1007\/s10964-017-0752-y"},{"key":"bibr7-0706743719861387","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2009.11.012"},{"key":"bibr8-0706743719861387","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2015.11.016"},{"key":"bibr9-0706743719861387","doi-asserted-by":"publisher","DOI":"10.1080\/10538712.2018.1474412"},{"key":"bibr10-0706743719861387","unstructured":"Tabachnick BG, Fidell LS. 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