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This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv aafp. Want to use this article elsewhere? Get Permissions. Read the Issue. Sign Up Now. Nov 15, Issue. Sexual Behaviors in Children: Evaluation and Management. C 6 Legal mandate Physicians should differentiate normative sexual behaviors from sexual behavior problems in children based on type s of behaviors exhibited and the age and development level of the child.
C 3 , 5 , 7 Expert opinions A detailed history, including family stressors and changes, the child's access to sexual materials or acts, violence between the parents, and risk factors for abuse and neglect, assists in determining management and safety strategies for children with sexual behavior problems.
Enlarge Print Table 1. Table 1. Enlarge Print Table 2. Examples of Sexual Behavior Problems in Children Behavior type Examples Solitary Behaviors that cause emotional distress, anxiety, or physical pain Repeated penetration of vagina or anus with an object or digit Behaviors that are persistent, and child becomes angry if distracted Behaviors associated with conduct disorders or aggression A variety of sexual behaviors displayed frequently or on a daily basis Involving other persons Sexual behaviors involving children four or more years apart in age One child coercing another into participating Explicit imitation of sexual intercourse Oral-genital contact Asking an adult to perform a specific sexual act Information from references 7 , 10 , 20 , and Table 2.
Enlarge Print Table 3. Does the behavior involve other persons? Most sexual behavior problems involve other persons. If the behavior involves another person, how old is the person? Is the activity disruptive, intrusive, coercive, or forceful? Disruptive, intrusive, coercive, or forceful behaviors are abnormal. Is there any violence among persons living in the home? Children may mimic what they see or hear. Has anyone ever spoken to the child about possible abuse? Table 3. Read the full article.
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School-age Problematic sexual behaviour in school-age children might include:. A child behaving in these ways needs immediate professional help. Contact a GP or child and family health nurse immediately if you see your child or another child doing any of these things. The GP can refer you to an appropriate health professional with experience in this area. Children might behave in problematic or harmful sexual ways for many reasons. Jump to navigation.
It can be hard to acknowledge that all of us, even children, are sexual beings, have sexual feelings and are curious about sex and sexuality. They may peek when family members are in the bathroom or changing clothes or try to listen outside the bedroom. They may look at magazines, books, videos, and on the internet. Sexual play that is more typical or expected in children will more often have the following traits:.
Hormonal changes and external influences, such as peers, media and Internet, will increase sexual awareness, feelings and interest at the onset of puberty. Adapted from Wurtele, S. Preventing Sexual Abuse. University of Nebraska Press. Lincoln, NE.
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