Child sexual abuse has gained public attention and has become
1 of the most high-profile crimes. This study aimed to determine
the demographic and medicolegal aspects of child sexual abuse in
greater Cairo, Egypt. This is a retrospective study from January 1, 2005,
to December 31, 2011. Data were collected from a Cairo medicolegal
department and were statistically analyzed. The total number of cases
was 1832 victims; 57.9% were males and 42.1% were females. Most assaults
occurred in 2010 (16.2%) and 2011 (17.5%). The age group 6 to
12 years accounted for higher rate (49%), mostly in males (71.8%). A
total of 83.3% of the victims belonged to low social class, and 72.3% of
the victims were out of school. Only 1.9% of the victims had a mental
disability. The crime scene was an unknown place in 78.1%. All offenders
were males; most cases had 1 offender (82.5 %); and most offenders
were extrafamilial (94.2%), of low social level, illiterate, unemployed,
and between 18 and 30 years old. The unmarried offenders assaulted the
females more than the males, whereas the married assaulted the males
more than the females. A total of 5.8% were intrafamilial offenders;
62.7% of these cases were incest against girls and 37.3% were sodomy
against boys. Clothes were normal in 48.8%. Anal assault (52.3%) and
incomplete vaginal penetration (32%) were the commonest types. There
was no significant relation between findings, investigations, and time.
In conclusion, child sexual abuse in greater Cairo represents a problem.
Therefore,forensic medicine should be a part of a multidisciplinary approach
to prevent, investigate, and treat the problem.