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Medicolegal Study of Child Sexual Abuse in Greater Cairo, Egypt, During a 7-Year Period: 2005–2011

Elgendy, Ibrahim Sadik MD; Hassan, Nermeen Adly MD

The American Journal of Forensic Medicine and Pathology: December 2013 - Volume 34 - Issue 4 - p 335–341
doi: 10.1097/PAF.0000000000000043
Original Articles

Child sexual abuse has gained public attention and has become 1 of the most high-profile crimes. This study aimed to determine the demographic and medicolegal aspects of child sexual abuse in greater Cairo, Egypt. This is a retrospective study from January 1, 2005, to December 31, 2011. Data were collected from a Cairo medicolegal department and were statistically analyzed. The total number of cases was 1832 victims; 57.9% were males and 42.1% were females. Most assaults occurred in 2010 (16.2%) and 2011 (17.5%). The age group 6 to 12 years accounted for higher rate (49%), mostly in males (71.8%). A total of 83.3% of the victims belonged to low social class, and 72.3% of the victims were out of school. Only 1.9% of the victims had a mental disability. The crime scene was an unknown place in 78.1%. All offenders were males; most cases had 1 offender (82.5 %); and most offenders were extrafamilial (94.2%), of low social level, illiterate, unemployed, and between 18 and 30 years old. The unmarried offenders assaulted the females more than the males, whereas the married assaulted the males more than the females. A total of 5.8% were intrafamilial offenders; 62.7% of these cases were incest against girls and 37.3% were sodomy against boys. Clothes were normal in 48.8%. Anal assault (52.3%) and incomplete vaginal penetration (32%) were the commonest types. There was no significant relation between findings, investigations, and time. In conclusion, child sexual abuse in greater Cairo represents a problem. Therefore,forensic medicine should be a part of a multidisciplinary approach to prevent, investigate, and treat the problem.

From the Faculty of Medicine, Benha University, Cairo, Egypt.

Manuscript received February 26, 2013; accepted May 17, 2013.

The authors report no conflicts of interest.

Reprints: Ibrahim Sadik Elgendy, MD, Faculty of Medicine, Benha University, Cairo, Egypt. E-mail: elgndy2003@hotmail.com.

© 2013 by Lippincott Williams & Wilkins.