Factors Influencing the Disclosure of Sexual Abuse Among Minors in Morocco: A Study of 40 Cases

Background: Sexual abuse of minors is a major public health issue in Morocco, with severe consequences on children’s development. This study aims to identify the factors influencing the disclosure of sexual abuse among minors in Morocco.

Materials and Methods: A prospective study was conducted on 40 children who were victims of sexual abuse, received at the Department of Forensic Medicine at Ibn Rochd University Hospital in Casablanca between December 2017 and February 2019. Data were collected using a detailed questionnaire. Statistical analysis was performed to identify factors influencing disclosure, using the Chi-square test with a significance level of p < 0.05.

Results: The majority of victims were girls (70%), with an average age of 12.75 years. Obstacles to disclosure included fear of retaliation (55%), shame (45%), and feelings of guilt (37.5%). Statistical analysis showed that the number of abuses (p = 0.005), the relationship with the abuser (p = 0.01), and the mode of disclosure (p = 0.04) were significantly associated with the likelihood of the child disclosing the abuse. Fear of negative consequences was also a significant factor (p = 0.007).

Conclusion: The results highlight the difficulty for children to disclose sexual abuse, influenced by various social and psychological factors. It is essential to raise awareness among families and professionals to create an environment conducive to disclosure and to improve victim care.

Keywords: sexual abuse, disclosure factors, minors, reporting, incest

Highlights

  1. This study identifies key factors influencing the disclosure of sexual abuse among minors in Morocco.
  2. It highlights that fear of retaliation, shame, and guilt are the main obstacles to disclosure.
  3. Statistical analysis reveals that the number of abuses and the relationship with the abuser significantly impact the likelihood of disclosure.
  4. Findings show that spontaneous disclosures are associated with fewer obstacles to disclosure.
  5. Recommendations are proposed to improve victim detection and care by creating an environment conducive to disclosure.