Silence and secrecy in children sexual abuse: a public health approach

When we talk about child sexual abuse, we can understand culture as one of the most important determinants of child health. As a public health problem, sexual abuse has different causes, from which we can distinguish the silence and secrecy maintained by third parties. In each case of abuse, there is a person or persons who are present at the moment of the abuse, or who, without being present, know that the abuse is taking place, or who even help the perpetrator in some way to commit the abuse. In order to work consistently on this type of abuse of children, we need to work on adding values to a culture that helps to talk freely and openly about sexuality and to teach how to achieve transparency in communities that could help to disclose sexual abuse.