Child sexual abuse and its outcomes among high school students in southwest Ethiopia.

Child sexual abuse (CSA) is a major contributing factor to the burden of disease among children and adolescents. The aim of this study is to determine the prevalence of CSA and its outcomes among female high school students in Ethiopia. A cross-sectional study was conducted among Jirren high school female students in April 2005. A total of 323 female students from grade 9 were selected by systematic random sampling and they completed a self-administered questionnaire on experiences of sexual abuse. Data were cleaned and analysed by SPSS/PC statistical package. The results revealed that the prevalence of CSA was 68.7%. Among the different forms of sexual abuses, verbal harassment was the most common (51.4%) followed by sexual intercourse, 18.0% and unwelcome kissing, 17.1%. The commonly indicated abusers in this study were unknown persons (36%) followed by school-mates (31.5%). Among victims of sexual abuse, 7.2% had an unwanted pregnancy and 5.9% had sexually transmitted diseases. The rate of other psychological effects of CSA, such as suicide ideation, suicide attempt, and sexual dysfunction, was high. The overwhelming majority (86.4%) considered sexual abuse to be a major social problem. The study revealed that the prevalence of CSA is high. Reproductive health education should be provided to students. Parents, police, and the public in general should be made aware of the problem before it endangers the lives of children and adolescents.