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CV267

HaveSexualAbuseandPhysicalAbuseDeclinedSincethe1990s?
DavidFinkelhor&LisaJones
November2012

This bulletin summarizes statistics on trends for sexual and over150,000to63,000cases.Thesenumbersprimarilycount


physicalabuse.Adeclineinsexualabusesincetheearly1990sis casesinvolvingabusebyfamilymemberandothercaregivers.
aconclusionsupportedby3independentsourcesofagencydata Cases known to professionals The National Incidence Study.
and4separatelargevictimsurveys.Thetrendforphysicalabuse Becauseofconcernthatchildprotectionagencydatamaynot
is less clear, since several of the data sources show conflicting beafullyreliablecountofchildmaltreatment,roughlyevery
patterns. decade the federal government has conducted a more rigor
ous National Incidence Study (NIS) of Child Abuse and Ne
Informationfromseveralsourceshasshowndecliningratesof glect.TheNISgetsreportsdirectlyfromasystematicsample
bothsexualandphysicalabusefromtheearly1990sthrough ofchildservingprofessionals(whorepresentthewholepopu
2010. But other data and a variety of opinion have disputed lation of professionals in the country). The NIS also uses de
whether these trends indicate a true decline in prevalence. tailed and consistent criteria to evaluate the validity of the
This brief is an effort to assess what the current evidence is reports they receive. This is to address issues like changes in
aboutthesetrends. standardsorscreeningoutcriteriainchildprotectionpractice.
SEXUALABUSE7INDEPENDENTSOURCESSHOWDECLINES Between 1993 and 2005, the study documented a significant
Thecasethattherehasbeenatruedeclineinsexualabuseis 47%declineinsexualabusemeasuredbywhattheycalltheir
stronger than the case about physical abuse, and it comes endangermentstandard(Figure2).Thisfindingalmostcom
from a variety of sources. Three independent sets of agency pletelyconfirmedwhattheNCANDSdatashows.
data show substantial declines in sexual abuse over this pe
riod. At least 4 victim selfreport surveys also show declines. Figure 2. National Incidence Study (NIS) Change in Rate of Sexual Abuse and
A variety of related child welfare outcome indicators sup Physical Abuse (1993-2005) (Endangerment Standard)
porttheideaofatruedecline.Finally,effortstosubstantiate
alternative explanations for the decline, due to changed Sexual Abuse Phys. Abuse
policesorpractices,havenotbeensupported. 0
Agencydata
10
Child protection system substantiations. The National Child
Percent Change

Abuse and Neglect Data System (NCANDS) aggregates data 20


from state child protective agencies. That data show a 62% -% 29
30
declineinratesofsubstantiatedsexualabusestartingin1992
andcontinuingthrough2010,withthelargestdropoccurring 40
inthelate1990s(Figure1).Therawnumbersdeclinedfrom -% 47
50
Figure 1. NCANDS National Estimate Substantiated Sexual Abuse (1990-2010)
*Change in rate not statistically significant

TheNISfindingofa47%dropstronglysuggeststhatdeclinesin
Rate per 10,000 Children (<18)

23
the CPS data are not due primarily to changed screening stan
dardsortheimplementationofalternativeresponsesystems.
62% Decline (1992-2010)
18 Cases known to police. The FBI collects and publishes data
3% Decline from local law enforcementfor several major crime types in
(2009-2010) cludingrape.WhiletheFBIcannotbreakdowntherapesta
13
tisticsbyageofvictim,over50%ofFBIreportedrapeoccurs
topersonsunderage18.1ThustheFBIrapestatisticisagood
8 proxyofsexcrimesagainstminors.

Source: National Child Abuse and Neglect Data System


SexualAbuse&PhysicalAbuseDecline? Page 2

The FBI rape data show a sharp decline that, like the NCANDS TheMinnesotaStudentSurvey.Thisstudyisconductedevery
data,startedin1992andcontinuedthrough2010.Thetotaldrop 3 years with all 6th, 9th and 12th graders enrolled in public
was 35%, and the trend line is remarkably parallel to the schools inselected school districts.This survey asks specific
NCANDStrendline(Figure3). questions about lifetime sexual abuse by family members
andnonfamilymembers.
Figure 3. FBI Forcible Rape (1990-2010)
The Minnesota Student Survey has shown between 1992 and
45
2010 a 29% decline in sexual abuse by nonfamily and a 28%
Forcible Rape
Rate per 100,000 Inhabitants

declineinabusebyfamilymembers(Figure5).

Figure 5. Minnesota Study Survey Sexual Abuse (1992 2010)


35

% Reporting Abuse
7
29% Decline
35% Decline 6
1992 - 2010 By Non-Family
25
5 Adult

4 By Family
28% Decline
Member
3
Source: FBI, Crime in the United States Reports
2

VictimSelfreportSurveys
Itisalwayspossiblethatagencydatacouldshowdeclinesbe Note: respondents are 6th, 9th, and 12th grade students enrolled in public schools in selected Minnesota school districts.
Source: Minnesota Student Survey, 1992-2010
causevictimizationswerenotbeingreported.Sosurveydata
from victims themselves are useful to confirm that less vic
The National Survey of Family Growth. This study gathers
timization is occurring. Four surveys show declines in sex
information every few years from national samples of
crimesagainstjuvenilesduringthistimeperiod.
womenbetweentheagesof15and44aboutsexualandre
The National Crime Victimization Survey (NCVS). This study productive activity. It asks a question about whether their
collects crime victimization information annually from a na first experience with sexual intercourse was prior to age 15
tionally representative sample of tens of thousands of US and occurred with a personwho was 3 or more years older.
householdsevery6months,andoneofthecrimesitmeasures Thisisameasureofsexualabuseatthehandsofadultsand
issexualassault.Whilethereisnoinformationonvictimsun
der12,selfreportsofsexualassaultaregatheredfromthe12
to17yearolds. Between 1995 and 2008, NSFG found a 39% decline in the
womenage1525whoreportedthattheirfirstexperiencewith
intercoursewasbeforeage15withanolderpartner(Figure6).
The NCVS shows a decline of 69% in the annual rate of sexual
assaultsagainstteensfrom1993through2008(Figure4).
Figure 6. Statutory Rape (1995-2008) Percentage of Females, Ages 15-24,
Whose First Sexual Intercourse Occurred at Age 15 or Younger with an Indi-
Figure 4. National Crime Victimization Survey (NCVS) Sexual Assault vidual 3+ Years Older
(1993 2008)
15%

100
Rate per 1,000 Juveniles

80
10%
60
69% decline 39% decline
40

5%
20
1995 2002 2008

0
Source: National Survey of Family Growth, analyzed by Child Trends

Note: Age 12 17 years; 3 year averages except 2008 which is a 2 year average. 2006 data excluded.
Source: National Crime Victimization Survey
SexualAbuse&PhysicalAbuseDecline? Page 3

The National Survey of Children Exposed to Violence Toalargedegree,theNISfindingsdoaddressthisissuebecause


(NatSCEV). This study was conducted in 2008 and could be thatstudylookedatcasesusingtheidenticalcriteriaandstan
compared to a prior survey using the same methods and dards at different points in time. But other studies have also
questionnaireusedin2003.Thecomparisonfoundthatsex testedthealternativeexplanationswithvariousdata.Onestudy
ual assault in the past year, including sex offenses at the looked at whether worker caseload could account for some of
handsofadults,declinedfrom3.3%forallchildrenages217 the decline, but found it could not.5 Another study6 found evi
in2003to2.0%in20082(Table1). dencethatsexualabusecasesinvolvingveryyoungvictimsand
teenage perpetrators had disproportionately declined in some
Table 1. Sexual Victimization (2003 and 2008) statesinwaysconsistentwithmoreconservativestandards,but
National Surveys Using Juvenile Victimization Questionnaire that these changes were not substantial enough or consistent
enoughacrossstatestoexplainmostofthedecline.
% of Children
2003 2008 P

(n=2030) (n=4046) Value SexualAbuse:Summary
Any sexual victimization 8.0 6.7 0.06 Thereisfairlyconsistentandconvergentevidencefrom avari
Any sexual assault 3.3 2.0 <0.001a
ety of sources pointing to large declines in sexual abuse from
By a known adult 0.3 0.2 0.45
1992 to 2010. The idea that child protection system data is a
By a nonspecified adult 0.3 0.3 0.99
By a peer 1.2 0.6 0.01a
misleading indicator on this trend is contradicted by the fact
Rape, completed/attempted 2.1 1.3 0.02a that the decline shows up in other sources that do not rely on
Sexual exposure/flashed 3.2 3.0 0.67 CPS.TheNISstudyisparticularlyimportantbecauseitusescon
Sexual harassment 3.8 2.9 0.06 sistent criteria across time, and confirms the child protection
Sexual misconduct/statutory rape 2.9 1.5 <0.001a system trends. The selfreport surveys are also very important
a
P .05 becausetheyrepresentvictimtestimonyitself.Itseemsunlikely
Source: Finkelhor, D., Turner, H.A., Ormrod, R.K., & Hamby, S.L. (2010). Trends in childhood violence and abuse exposure:
Evidence from two national surveys. Archives of Pediatrics & Adolescent Medicine 164(3): 238-242. that, in the face of more public attention to sexual abuse and
decreasingstigma,youthwouldbemorereluctanttodisclosein
surveys. In fact one study shows greater reporting of sexual
National Survey of Adolescents. There is, however, at least abuse to the authorities.7 Some have raised the question of
onenationalsurveythatdidnotfindasignificantdeclinedur whethersexualabusehasbecomemorenormalandthusless
ing this interval. The National Survey of Adolescents con disclosedinsurveysbyyouth.Butthesurveysshowingdeclines
ducted two national studies 10 years apart3 and reported a do not use terms like sexual abuse or assault, but simply ask
nonsignificantdeclineinlifetimesexualassaultforgirlsfrom about sexual behaviors and categorize them as assault when
13.2%in1995to11.5%in2005andanonsignificantrisefor certainbehaviorsoccur.
boysfrom3.5%to3.8%.

AssociatedOutcomeIndicators Ourjudgmentisthatthedeclineinsexualabuseisaboutaswell
Sexualabuseiswellknowntobeassociatedwithanumberof establishedascrimetrendscanbeincontemporarysocialscience.
otherchildwelfareproblems,suchasrunningaway,teen
pregnancyandsuicidalbehavior.Whiletheseindicatorscould PHYSICALABUSECONTRASTINGFINDINGSFROMDIFFERENT
changeformanyotherreasons,iftheyweretrendinginthe SOURCES
samewayassexualabuse,itcouldbeseenasindirectsupport Theevidenceforadeclineinphysicalabuseismoremixedthan
fortruedecline.Datafromnationalvitalstatisticsshowthat for sexual abuse, and varies perhaps by the type of physical
theteensuicideratehasdeclined30%from1990to2010,the abuse being considered. Both NCANDS data representing na
rateofteenagerunningawayasmeasuredbypolicearrests tionalCPScasesandNISdatarepresentingnationalchildserv
hasdeclined60%,andtherateofteenbirthsdeclined55% ingprofessionalsshowdeclinesincaregiverperpetratedphysi
from1991to2010.Otherindicatorsofriskyandearlysexual cal abuse. However, hospital data on young children admitted
behaviorhavealsodeclined.4Inaddition,sexoffenderre forinflictedinjuriesdonotshowadecline.Childmaltreatment
offenserateshavecomedownby41%.19 fatalitieshavealsonotdeclined,butFBIreportedhomicidesof
young children and older children have. Two national victim
TestsofAlternativeExplanations surveys of youth do not find decreases in caregiver abuse, but
Amajorconcernaboutthedeclineinsexualabuseshownby onestatesurveydid,andseveralothersurveysshowthatyouth
the NCANDS data is the possibility that the drop could be areexposedtoconsiderablylessinterpersonalviolenceingen
due,nottoarealdecline,buttochangedstandards,lessfund eralsincetheearly1990s.
ingforinvestigationsortheexclusionofcertaincategoriesof
offendersorvictims.
SexualAbuse&PhysicalAbuseDecline? Page 4

Agencydata Figure 8. National Child Abuse Deaths and Homicides (1990-2008)


Childprotectionsubstantiations.NCANDSdatafromchildpro 5.0 Percent Change 1993-2007
Vital Statistics 0-17 -41.4%
tectionagenciesshowa56%declineintherateofsubstanti
4.5 FBI 0-17 -43.0%
ated physical abuse from 1992 to 2010 with two periods of Vital Statistics 0-5 -13.6%
particularlysteepdropsbetween1997and2000andbetween 4.0 FBI 0-5 -26.8%

2003 and 2008 (Figure 7). The comparative numbers were 3.5 NCANDS 0-17 46.0%

from240,000casesin1992to118,700casesin2010. 3.0

2.5

Figure 7. NCANDS National Estimate Substantiated Physical Abuse (1990- 2.0


2009) 1.5

1.0
40 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010
Rate per 10,000 Children (<18)

35
56% Decline (1992-2010) Sotwosources,fromtheFBIandVitalStatistics,showdeclines
30
inthemostseveretypeofabuseresultingindeath,butoneother
25 sourcedoesnot.
0% Decline
(2009-2010)
20

15 Hospitaldata.Severalresearchershavealsolookedattrendsin
physical abuse with hospital data. Only a small fraction of
Year physicallyabusedchildren,particularlytheyoungestandmost
Source: National Child Abuse and Neglect Data System
severelyinjured,areadmittedtohospitals.Thesestudieshave
foundnolargedeclineandinsomecasesincreasesinthesechil
Cases known to professionals The National Incidence Study. dren. A large study of acute care hospitals8 found a 10.9% in
Thisstudywhichsamplescommunityprofessionalsanduses crease from 1997 to 2009 in children under 1 admitted for
consistent definitions of abuse, found that, using their abuse,anda9.1%decreaseforchildren118yearsold.Wood
endangerment standard, physical abuse had declined 29% et al. (2012)9, using a sample of 38 hospitals found between
from 1993 to 2005 (Figure 2). This somewhat confirms the 2000and2009,founda.79%increaseperyearinhospitalad
NCANDStrenddatabutnotquitetothesameextentaswith missionsforphysicalabusetochildrenunderage6and3%per
sexual abuse. Moreover, in subsequent analyses, the trend year increase in admissions for traumatic brain injury to chil
was shown to be limited to the moderate and less serious, drenunderage1
ratherthanthemostserioustypesofphysicalabuse(Andrea
Sedlak,personalcommunication).
Thehospitaldatadonotshowadecline.

The National Incidence Study shows a clear 29% decline in Surveydata


physicalabuse,butitisnotaslargeasthedeclineevidentinthe
CPSsubstantiationtrend.
Thesurveydataalsoshowmixedfindingsonphysicalabuse.
Physicalabusedeaths.Three sources of information exist on
childmaltreatmentdeaths:NCANDSdatafromchildprotec TheNatSCEVcomparedpastyearphysicalabusebycaregivers
tion agencies, the FBI data from police and Vital Statistics in2003and2008in2nationalsurveysandfoundnosignificant
deathrecords.Thesourcesarediscrepant.TheNCANDSdata change;infact,theindicatoractuallyincreased.2TheNational
showanincreaseof46%inchildmaltreatmentfatalitiesfrom SurveyofAdolescents10comparedlifetimephysicalabusefrom
1993 to 2007 (Figure 8). However, a majority of these mal twonationalsurveysin1995and2005andfoundnosignificant
treatmentdeathsareduetoneglectandnotphysicalabuse. changealthoughtheindicatordecreasedabout6%.
Bycontrast,homicidedatafromtheFBIshowa43%decline
for all children (017) over this same time period and a 26%
decline for children 05, the ages during which most homi
cides are perpetrated by caregivers. The vital statistics data
roughly parallel the FBI data showing a 41% decline for 017
and14%declinefor05.
SexualAbuse&PhysicalAbuseDecline? Page 5

TheMinnesotasurveyaskedaquestionaboutstudentsbeing The survey data on physical abuse do not confirm the agency
abused by other family members and tracked a 20% decline datainthesamewaythattheydoforsexualabuse.
from1992through2010(Figure9).

AssociatedIndicators
Figure 9. Juvenile Physical Abuse Trends in Minnesota (1992 - 2010)
ViolenceingeneralhasbeendecliningintheUSduringthelast
Physical Abuse By Adult in Household
20years.Therehasbeenasubstantialandwidelydocumented
declineinviolentcrimeintheUSduringtheperiodsinceabout
13 1992.Policereportsofoverallviolentcrimearedown47%from
1992to2010.13TheNationalCrimeVictimizationsurveyfinds
% Reporting Abuse

12
fromvictimselfreportsthatcrimes(includingassault)forper
(lifetime)

20% Decline
11 sonslivinginhouseholdswithchildrendeclined68%from1993
to2010.14Homiciderateshavedeclinedaswell.15Ifpeopleare
10
acting less violently in general, they might be physically as
9 saulting their children less as well, but some people feel that
societalviolenceandchildphysicalabusearephenomenawith
out common etiology and so inferences about trends cannot
bemadefromcrimedata.
Note: respondents are 6th, 9th, and 12th grade students enrolled in public schools in selected Minnesota school districts.
Source: Minnesota Student Survey, 1992-2010

The NCVS reports a large decline in assaults against youth PhysicalAbuse:Summary


ages 1217, with simple assault down 59% and aggravated The strongest evidence that overall physical abuse has de
assault down 69%. Most of these assaults are by peers, not clinedistheevidencefromtheNIS.Thisstudywasspecifically
familymembers. designedtomonitorratesanditisuniqueinitsuseofexactly
TheNCVSalsoreportsalargedeclineinintimatepartnervio consistentcriteriaacrosstimepoints.
lence,down68%from1993through2008(Figure10).Mostof However, a variety of other data sources do not show trends
this violence is between adults, but some may have been in consistent with the NIS. The rise in childmaltreatmentfatali
householdswherechildrenwerepresentandobservers.11 ties as measured by NCANDS is particularly important since
these are the biggest protection failures. There is, however,
Figure 10. NCVS Intimate Partner Violence (1992-2010 )
evidence that the maltreatment fatalities measured by
10
NCANDShaveincreasedovertimeatleastpartlyasaresultof
morecarefulreviewandclassificationofchilddeathcases,par
ticularlythoseconductedbythechilddeathreviewboardsthat
7 have been empaneled in most states.1618 The fact that FBI
68% decline homicide and vital statistics data show a decline when
1993-2010 NCANDSdoesnotcouldbebecausepoliceandmedicalexam
4 iner judgments, using criteria for what can be charged as a
homicide,havebeenlessvulnerabletoexpansionovertime.
The hospitalization data also does not show a decline. This
1 systemofdatacollectionisrelativelyrecentandhasbeende
1992 1994 1996 1998 2000 2002 2004 2007 2009 velopingandexpandingduringthetimeperiodinquestion.Itis
possible that as a result of training and system implementa
Source: National Crime Victimization Survey Data. tion, the coding process to label cases as abuse has gotten
more refined and universal, and thus masked a decline. But
Other surveys report declines in youth exposure to assault, anotherexplanationforthehospitaldatatrendsisthatabuse
butitismostlypeerabuse.Forexample,theYouthRiskBe with serious injuries involving hospitalization may be a differ
havior Survey (YRBS) reports a 16% decline in teens saying entphenomenonfromoverallphysicalabuseandthusittrends
theywereinafightinthepastyear.12 differently.8 This idea is supported at least by one National
Soofthreesurveysaskingspecificallyaboutphysicalabuseby IncidenceStudyanalysis.Butthatleavesaquestionaboutwhy
caregivers,onlyoneshowedasignificantdecline(19%)andits seriousabuseresultinginhospitalizationhasadifferenttrend
data is confined to Minnesota. Other national surveys show from homicides, because homicide also is an indicator of the
declinesinyouthexposuretoviolence,butitisnotclearhow mostseriousabusecases.
muchofthisiscaregiverviolence.

analysisconductedbyauthors
SexualAbuse&PhysicalAbuseDecline? Page 6

Insummary,thetrendsinphysicalabusearedifficulttoconclu 8. Leventhal, J.M. and J.R. Gaither, Incidence of serious inju


sively summarize because of contradiction among the various riesduetophysicalabuseintheUnitedStates:19972009.
datasources. Pediatrics,2012.130(5):p.16.
9. Wood, J.H., S.P. Medina, C. Feudtner, X. Luan, R. Localio,
E.S. Fieldston, and D.M. Rubin, Local macroeconomic
CONCLUSION trends and hospital admissions for child abuse, 2000 to
The controversy over trends in physical and sexual abuse is 2009.Pediatrics,2012.130(2):p.e358e364.
sometimes characterized as a debate over the validity of 10.Hawkins,A.O.,C.K.Danielson,M.A.deArellano,R.K.Han
trendsfoundintheCPSdata.Buttherealityisthatthereare son, K.J. Ruggiero, D.W. Smith, B.E. Saunders, and D.G.
multiplesourcesofdataontrendsthatcanbeinterpolatedto Kilpatrick,Ethnic/racialdifferencesintheprevalenceofinjuri
trytoassesswhatishappening. ous spanking and other child physical abuse in a National
Survey of Adolescents. Child Maltreatment, 2010. 15(3): p.
242249.
Atleastinthecaseofsexualabuse,theconvergenceofmultiple 11. Catalano, S.M. Intimate partner violence in the United
independentdatasourcesleadstoaconclusionthatadeclinehas States. 2007 October 8, 2012]; Available from: http://
likelyoccurred. bjs.ojp.usdoj.gov/content/pub/pdf/ipvus.pdf.
12. Centers for Disease Control & Prevention. Trends in the
prevalenceofbehaviorsthatcontributetoviolence,National
Youth Behavior Risk Survey: 19912011. 2012 October 8,
Physicalabuseismoreambiguous.Twoofthestrongestindi
2012]; Available from: http://www.cdc.gov/healthyyouth/
cators (the National Incidence Study of Child Abuse and Ne
yrbs/pdf/us_violence_trend_yrbs.pdf.
glectandtheFBIhomicidedata)pointtoadeclineinphysical
13.FederalBureauofInvestigation.CrimeintheUnitedStates
abuse.Buttheexistenceofcontradictoryinformationonphysi
2009. 2012 July 5, 2012]; Available from: http://
calabusefromothersourcesmeansthatmoreevidenceneeds
www2.fbi.gov/ucr/cius2009/offenses/violent_crime/
tobegatheredtoprovideanaccountthatexplainsalltheevi
index.html.
dencewehave.
14. Smith, E.L. and J.L. Truman, Prevalence of violent crime
amonghouseholdswithchildren,19932000.2012,Bureauof
JusticeStatistics:Washington,DC.p.118.
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