ABSTRACT
This chapter provides specific focus on the impacts on male adult survivors of child sexual abuse (CSA). Physical abuse and neglect co-occur at higher frequencies in individuals with CSA than among those who did not experience. The chapter considers the longer term adverse effects of CSA. It shows that the adverse effects of CSA are broad-ranging and may affect psychiatric, psychological, social, sexual, and physical domains of functioning. CSA is a risk factor for increased risky sexual behaviour for both sexes, although males are more likely to engage in risky sex than females. Sexual victimization in childhood is also linked with later sexual offending against children. The chapter examines the relationship between sexual and physical abuse in childhood and later educational outcomes in a birth cohort of 1,000 children studied to the age of 25 years. The impacts of institutional CSA share many commonalities with the outcomes of abuse perpetrated by individuals, both familial and extra-familial.
