Assessment & Research

Prevalence of sexual abuse of people with intellectual disabilities in Taiwan.

Pan (2007) · Intellectual and developmental disabilities 2007
★ The Verdict

Taiwan data show 5 % abuse, but Dutch interviews reveal much higher risk among gay adults with ID, so keep asking open questions.

✓ Read this if BCBAs who assess or supervise adults with ID in residential or day programs.
✗ Skip if Clinicians who work only with typically developing clients.

01Research in Context

01

What this study did

Pan (2007) asked 336 adults with intellectual disability in Taiwan about unwanted sexual contact. Staff helped complete the survey in homes and workshops.

The team wanted to know how common sexual abuse is for this group. They counted any incident the person said happened in their lifetime.

02

What they found

One in eighteen people (5.4 %) said they had been sexually abused. Most lived in institutions, not with families.

The authors think the real number is higher. People in the community were harder to reach, so they may be missing.

03

How this fits with other research

Tassé et al. (2013) extends this work. They interviewed homosexual adults with mild ID in the Netherlands. Nearly half reported sexual abuse, far above the 5.4 % in Taiwan.

The jump does not mean Taiwan is safer. J et al. used long talks, not a short survey, and spoke only with gay adults. These groups face extra risk, so rates rise.

A-Antaki et al. (2008) and A-Bigby et al. (2009) show why numbers can stay low. Police and carers often ask closed questions and repeat them. Youth with ID change answers, so cases drop out before they are counted.

04

Why it matters

Low prevalence can fool you. When a client rarely reports abuse, it may reflect how you ask, not real safety. Use open questions, speak in short sentences, and give wait time. If someone hints at harm, believe them and follow reporting rules. These steps catch cases that surveys miss.

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Replace yes/no questions like "Did anyone hurt you?" with open prompts such as "Tell me about your day yesterday."

02At a glance

Intervention
not applicable
Design
survey
Sample size
336
Population
intellectual disability
Finding
not reported

03Original abstract

Although sexual abuse of people with intellectual disabilities has emerged as a major issue in the West over recent years, few researchers have examined this issue in Taiwan. The prevalence and current state of sexual abuse for people with intellectual disabilities in Taiwan were investigated here. Results of face-to-face interviews with 336 subjects revealed that the prevalence of sexual abuse for this population is 5.4%. This low prevalence of sexual abuse has certain cultural implications; most people with intellectual disabilities live in supported living settings and are, therefore, excluded from community life. Increased effort is needed to develop effective service programs for abuse prevention and strategies should be developed to improve the limitations in the present study.

Intellectual and developmental disabilities, 2007 · doi:10.1352/1934-9556(2007)45[373:POSAOP]2.0.CO;2