Consequences of Reproductive and Sexual health in Victims of Child-adolescent Sexual Deviations and Preventive Strategies: A Review Study

 Paraphilia is one of the disorders without precise statistics in Iran. One of the most important sexual injuries is the lack of abilities and skills required in the sexual management of children and adolescents. Paraphilic behavior, especially child sexual abuse, produces dire consequences in children and adolescents.

 The research was done by searching in PubMed, CINAHL, Web of Science, Google Scholar, ScienceDirect, Scopus, Magiran, and SID using the keywords of “sexual deviance,” “consequence,” “victim,” “sexual education,” “child,” “adolescent,” “COVID-19,” and “reproductive and sexual health.”

The consequences of deviant behaviors of paraphilia in child and adolescent victims include various sexually transmitted diseases, unwanted pregnancy, obstetric complications, reluctance to marry and have children, posttraumatic stress syndrome, and sexual dysfunction. Preventive solutions include school-based sex education with the family-school-peer triangle, teaching parenting skills to parents, using family-centered sex education models, promoting sexual restraint in adolescents, monitoring the impact of the media on child sex education, paying attention to the early diagnosis of disorders, such as depression or anxiety in children and parents, avoiding destructive parenting styles, such as controlling or banning extreme freedom and teaching life skills to children and adolescents.

Considering the dreadful consequences of paraphilic behaviors in children and adolescent victims, there is a need for sexual education by taking preventive measures at the level of macro-policies in families, kindergartens, and schools through relevant experts, training child sex educators.