|• The risk of sexually abused boys in early adolescence abusing other children may be associated with experiences in early life that are independent of sexual victimisation.|
|• Exposure to persistent violence within the family may be a particularly important risk factor.|
|• Management of sexually abused boys should take into account the impact of early life experiences that may be associated with increased risk with a view to the secondary prevention of sexually abusive behaviour.|
Objective To identify factors that may increase the risk of a sexually victimised adolescent boy developing sexually abusive behaviour.
Design Sexually victimised boys who had sexually abused other children were compared with sexually victimised boys who had not done so.
Setting Social services departments in south east England were invited to refer sexually abused and sexually abusing boys to a London postgraduate teaching hospital.
Subjects Twenty-five adolescent boys aged from eleven years to fifteen years and eleven months.
Main outcome measures Adjusted odds ratios estimated from unconditional logistic regression.