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Likewise, an international review of 55 studies carried out in 24 countries revealed that the estimated prevalence of CSA ranges from 8% to 31% in girls, and from 3% to 17% in boys. In 2011, a global meta-analysis of the prevalence of CSA showed that the average prevalence of sexual violence against girls was 18%, while the average prevalence of sexual violence against boys was 7.6%. While the literature on CSA frequently features males in the role of offenders, ample evidence shows that males can also be victims of sexual assault. , this high prevalence of sexual violence in Colombia could be the result of a cluster of risk factors for CSA that are common in this country, including intrafamilial violence, lack of family cohesion, poor living conditions, low socioeconomic status of the population, low literacy, individual and social stress, drug addiction, and a lack of child protection due to armed conflict. In Colombia, a recent national survey on violence against children and youth revealed that more than one-quarter of children and adolescents between 13 and 17 years had experienced some type of sexual violence within the previous year. According to UNICEF statistics, in Latin American countries, CSA is a major threat, as evidenced by the 228 children that are sexually abused hourly. The prevalence and severity of CSA is even greater in non-Western low- and middle-income countries due to the high incidence of several risk factors, such as violence, poverty, disintegration of family structures, and social strain, as reported by Al-Mahroos, Oyemade, and Ross et al. Further research is also required to gain a more fine-grained understanding of the cultural and social context of CSA in the Caribbean Latin American countries.
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Evidence-based and culturally grounded preventative actions, such as training-based programs for teachers and parents among other public health initiatives are needed to address this type of CSA. Most of these cases were allegedly perpetrated by offenders known to the victim and involved high levels of violence. Our findings indicated a high prevalence of cases of alleged male-on-male CSA among young minors. We analyzed the contents of forensic interviews with the alleged victims, conducted by professionals working at the Colombian Institute of Legal Medicine and Forensic Sciences. We carried out a qualitative and quantitative secondary analysis of 680 cases of alleged male-on-male CSA that occurred between the years 20 in the Caribbean Region of Colombia. However, research on this topic is seriously lacking, and more specifically, on male-on-male CSA.
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A number of studies have indicated that, in Latin American countries, male CSA is phenomenon of great concern.
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Child and adolescent sexual abuse (CSA) is an important global health problem, especially in non-Western low- and middle-income countries.