Factors associated with delayed disclosure of child sexual abuse: A focus on the victim's having been led to perform sexual acts on the perpetrator.

BACKGROUND: Contextual variables associated with children's willingness to disclose sexual abuse have been identified in previous studies, but further investigation is needed to better understand delayed disclosure of child sexual abuse (CSA). OBJECTIVES: This study aimed to examine the factors associated with the risk of delayed disclosure of CSA. More specifically, it focused on a factor that has rarely, if ever, been looked into: the fact that some victims are led to perform sexual acts on the perpetrator. PARTICIPANTS AND SETTING: A content analysis was performed on 68 transcripts of investigative interviews with CSA victims aged 4 to 12 years old. METHODS: Based on our content analysis, the time between the first abuse and the first disclosure was determined for each victim. The age and gender of the victim, the victim's relationship with the perpetrator, the age of the perpetrator, the frequency and severity of the abuse, and whether or not the victim mentioned having performed sexual acts on the perpetrator were also coded. RESULTS: Chi-square analyses showed that the risk of delayed disclosure was associated with the victim's having performed, or not performed, sexual acts on the perpetrator (χ2 = 16.327, p < 0.001), the victim's relationship with the perpetrator (χ2 = 10.013, p = 0.002), and the frequency of the abuse (χ2 = 11.617, p < 0.001). CONCLUSION: Our study is the first to demonstrate that having been led to sexually touch the perpetrator is associated with delayed disclosure of CSA.

Cardiovascular disease risk factors in career firefighters: A 6-year follow-up study.

This study sought to investigate the evolution of cardiovascular disease (CVD) risk factors in career firefighters. A questionnaire was sent to a cohort of 233 Québec career firefighters in 2015 and 2021 to collect demographic and occupational information and the presence of CVD risk factors. Ninety-six (96) firefighters (1 female) responded to the questionnaire in 2015 and 2021. Body weight (2015: 88.3 ± 10.9, 2021: 89.6 ± 10.7 kg, p = 0.01), body mass index (2015: 27.6 ± 3.2, 2021: 28.0 ± 3.0 kg/m2, p = 0.01), number of CVD risk factors (2015: 1.1 ± 1.0, 2021: 1.3 ± 0.9 CVD risk factors, p = 0.05), and proportion of firefighters with at least 1 CVD risk factor (2015: 71, 2021: 82%, p = 0.02) increased. Overall, our results highlight an aggravation of several CVD risk factors in Québec career firefighters over the years.

Physical Activity, Occupational Stress, and Cardiovascular Risk Factors in Law Enforcement Officers: A Cross-sectional Study.

OBJECTIVE: This cross-sectional study aimed to assess the interrelationship between leisure-time physical activity (LTPA), occupational stress, and cardiovascular disease (CVD) risk factors in law enforcement officers (LEOs). METHODS: A total of 229 LEOs completed a survey assessing their LTPA level, occupational stress, and CVD risk factors. RESULTS: After adjusting for age and sex, physically inactive LEOs are more likely to have one or more CVD risk factors. While high occupational stress was associated with greater odds of CVD risk factors in physically inactive LEOs, stress was not significantly associated with the prevalence of CVD risk factors in active LEOs. CONCLUSIONS: Our results suggest that occupational stress is associated with the prevalence of CVD risk factors in LEOs. Nevertheless, LTPA might have the potential to mitigate the impact of occupational stress on CVD risk factors.

Health, Safety, and Wellness Concerns Among Law Enforcement Officers: An Inductive Approach.

Background: Although studies have assessed the impact of occupational risk factors on the health of law enforcement officers (LEO's), few have involved (LEO's) as informants in ways that allow their points of view to be heard directly. Thus, the objective of this study is to explore the occupational health, safety, and wellness (OHSW) concerns of (LEO's). Methods: (LEO's) working in Quebec, Canada were invited to answer an open-ended question regarding their OHSW concerns. Using a multi-stage content analysis, the collected answers were analyzed and coded by two members of the research team to identify the most recurrent concerns of (LEO's). Findings: Five themes relating to the OHSW concerns of (LEO's) were identified, namely, the work schedule, occupational stress, work equipment, workplace health promotion, and operational risks. Furthermore, our analyses highlighted differences in the concerns of (LEO's) based on their level of experience and sex. Conclusions/Application to Practice: This study addresses a gap in the literature on the OHSW concerns from the perspective of (LEO's). Overall, our results support that the work schedule and occupational stress associated with law enforcement are the two most recurrent concerns of (LEO's). Thus, the results of this study further stress the need for police organizations to implement strategies and policies, which could mitigate the deleterious effects of these hazards on the overall wellness of (LEO's).

Cardiorespiratory Fitness of Police Recruits: Normative Reference Values and Temporal Trend.

ABSTRACT: Poirier, S, Houle, J, Lajoie, C, and Trudeau, F. Cardiorespiratory fitness of police recruits: normative reference values and temporal trend. J Strength Cond Res 37(1): 207-212, 2023-Several studies have highlighted the increased risk of cardiovascular diseases (CVDs) among police officers. Given the longitudinal association between cardiorespiratory fitness (CRF) in early adulthood and later appearance of CVD, the identification of police recruits exhibiting lower CRF could allow the implementation of targeted CVD prevention strategies. Unfortunately, norm-referenced values for the CRF of Canadian police recruits are not yet available. Thus, this research aimed to provide norm-referenced values for the CRF of police recruits in the province of Quebec (Canada) and to evaluate the temporal trend in the CRF of police recruits over a 14-year period. First, a model was developed to estimate maximal oxygen consumption (V̇O2max) based on the results of the physical ability test (PAT) used for the recruitment of police officers in Quebec. Based on the previously developed model, the CRF of police recruits who completed the PAT from 2004 to 2017 was retrospectively assessed using administrative records. The analysis of 7,234 PAT results including 2,150 females (29.7%) and 5,084 males (70.3%) suggests that police recruits generally present high levels of CRF with an average estimated V̇O2max of 53.3 ml·min-1·kg-1 for males and 43.8 ml·min-1·kg-1 for females. Furthermore, our analyses showed significant but small positive correlations between estimated V̇O2max and time periods of PAT performance for male (rs = 0.105, p < 0.001) and female recruits (rs = 0.125, p < 0.001). Overall, our results suggest that the CRF of police recruits in Quebec is considerably higher than that of their North American peers.

Cardiorespiratory fitness in police recruits: Assessing the validity of the 20-meter shuttle run test for recruitment purposes.

BACKGROUND: Although the 20-meter shuttle run test (20MSR) is frequently used by police organisations for recruitment purposes, to our knowledge no study has yet assessed the accuracy of this test to estimate maximal oxygen consumption (VO2max) in police recruits. OBJECTIVE: The primary objective of this study was to assess the validity of the 20MSR as a predictor of VO2max in police cadets. METHODS: 49 police cadets completed both an indirect calorimetry VO2max assessment and a 20MSR. Based on their results, estimated VO2max was calculated using an established equation. Furthermore, two models estimating the VO2max was also developed using the final stage completed and sex as independent variables in the first model (model A) as well as the final half-stage completed and sex in the second model (model B). RESULTS: A strong and significant bivariate correlation was found between measured VO2max and the final stage completed at the 20MSR (r = 0.874, p < 0.001). Nevertheless, limits of agreement analysis showed relatively large agreement errors between measured VO2max and estimated VO2max based on the established equation (0.46±6.29 ml·min-1·kg-1), model A (0.00±5.58 ml min-1 kg-1), and model B (0.00±5.48 ml min-1·kg-1). CONCLUSIONS: Although the 20MSR can be a useful tool to estimate cardiorespiratory fitness for research and conditioning purposes, the large agreement errors found in this study suggest that results at the 20MSR should be interpreted with caution when making "pass or fail" decisions.

Fitness components associated with performance of a law enforcement physical employment standard in police cadets.

BACKGROUND: The physical preparation of cadets for both physical employment standards (PES) and police job performance is a major concern for police organizations. Identifying fitness components associated with both PES performance and work performance can provide essential information for the physical training of police cadets. Therefore, the objective of this study was to assess the association of fitness components with performance of the Standardized Physical Abilities Test (SPAT), a new law enforcement PES. METHODS: A sample of 41 police cadets was recruited to take part in this cross-sectional study. First, the participants were assessed using six fitness assessments (standing broad jump, medicine ball put, grip strength test, visuomotor reaction time (VMRT) test, modified agility T-test, and 600-meter run). In a second experiment, participants performed the SPAT. RESULTS: Bivariate correlation analysis showed moderate to strong associations between each fitness assessment and SPAT performance. Based on stepwise multiple regression analysis, results at the VMRT Test, the medicine ball put, and the agility T-test accounted for 66.0% of the variability in SPAT performance (R2=0.660; P<0.001). CONCLUSIONS: Overall, our results suggest that exercise prescriptions for police cadets should focus on power, agility, and VMRT. Furthermore, our results show that performance in a PES can be estimated rather precisely based on low-cost fitness assessments. Therefore, such methodology could be used to develop fitness assessments specific to PES requirements.