Obesity in girls and penetrative sexual abuse in childhood
Article first published online: 16 SEP 2008
©2008 The Author(s)/Journal Compilation ©2008 Foundation Acta Pædiatrica/Acta Pædiatrica
Volume 98, Issue 1, pages 144–147, January 2009
How to Cite
Pinhas-Hamiel, O., Modan-Moses, D., Herman-Raz, M. and Reichman, B. (2009), Obesity in girls and penetrative sexual abuse in childhood. Acta Paediatrica, 98: 144–147. doi: 10.1111/j.1651-2227.2008.01044.x
- Issue published online: 9 DEC 2008
- Article first published online: 16 SEP 2008
- Received 20 March 2008; revised 28 July 2008; accepted 27 August 2008
- Penetrative abuse complications;
- Sexual abuse
Aim: To assess the relationship between childhood obesity and penetrative sexual abuse in girls.
Methods: All obese girls referred to a hospital based pediatric endocrine unit were interviewed by a social worker or psychologist. Questions aimed to elicit any history of physical, emotional and sexual abuse are included. Overweight was defined as BM >95th percentile for age and gender. Body mass index (BMI) Z score (BMIZ) was calculated as measured BMI minus mean BMI for age and gender divided by standard deviation. Penetrative abuse was defined if a history was elicited of forced intercourse with any form of oral, vaginal or anal penetration.
Results: A history of penetrative abuse was elicited in 5 out of 145 (3.5%) obese girls, their mean ± SD age was 11.9 ± 3.1 years. Abused girls were significantly more obese than the remainder of the patients (BMIZ 4.76 ± 1.34 vs. 3.39 ± 1.28 p = 0.02). Forty-two of all girls had BMI Z scores ≥4, and of these four (9.5%) had been abused. All girls had changes in normal daily behaviour including seductive behaviour, seclusion, self-mutilation and new onset day enuresis.
Conclusion: In the evaluation of girls with marked obesity, particularly if associated with behavioural changes and failure to respond to therapy, the possible occurrence of penetrative sexual abuse should be considered.