Baltimore Sun Sunday

Why it’s important to teach kids about body safety, boundaries

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ASK THE PEDIATRICI­AN

By Dr. Shalon Nienow

The statistics reported by the Rape, Abuse & Incest National Network are sobering: 1 in 3 girls and 1 in 20 boys will experience sexual abuse or sexual assault by the time they reach age 17. The idea that anyone would sexually abuse a child is terrifying, especially for parents and caregivers. But like with any risk our children might face, we need to be able to empower them with informatio­n that will help them recognize unsafe situations.

Here are some tips to help parents teach their children about body boundaries and safety:

Use appropriat­e language. Teach children proper names for all body parts, including their genitals: penis, vagina, breasts and buttocks. Making up names for body parts may give the impression that they are bad or a secret and cannot be talked about. Also teach your child which parts are “private.” These places should not be touched or looked at without their permission.

Evaluate your family’s respect for modesty. Modesty isn’t a concept most young children can fully grasp. But you can still lay a foundation for future discussion­s and model good social boundaries.

Don’t force affection. Do not force or guilt your children to give hugs or kisses. It is OK for them to tell even grandma or grandpa that they do not want to give them a kiss or a hug goodbye. Teach your child alternate ways to show affection and respect without close physical touch (high-fives, thumbs-up, etc.).

Explain OK vs. not-OK touches. An “OK touch” is a way for people to show they care for and help each other, like when caregivers help with bathing or toileting, or when doctors check to make sure their body is healthy. A “not OK touch” is one they don’t like, hurts them, makes them feel uncomforta­ble, confused, scared or one that has anything to do with private parts.

Reinforce that people should respect each other. Discuss how it is never OK for anyone to look at or touch their private parts without their permission. At the same time, they should not look at or touch other people’s bodies without their permission.

Give your children a solid rule about inappropri­ate touches. This will make it easier for them to recognize a not-OK touch if one happens and empower them to say no to these.

Remind your child to always tell you or another trusted grown-up if anyone ever touches their private parts or makes them feel uncomforta­ble in any way. Inappropri­ate touching can be very confusing to a child. Reassure your children that you will listen to and believe them if they tell you about not-OK touches.

Control media exposure. Make a family media plan. Get to know the rating systems of video games, movies and television shows, and make use of parental controls available through many cellular, internet, cable and satellite providers.

Review this informatio­n regularly with your children. Some good times to talk to your kids about personal safety are during bath time, bedtime, doctor visits and before any new situations.

Expect questions. The questions your child asks and the answers that are appropriat­e to give will depend on your child’s age and ability to understand. It is always important to tell the truth.

Always let your child know you believe in them and will do everything you can to protect them from harm. Help them understand that they will not be in trouble for telling you about informatio­n that should not be kept secret. Empower them to tell another trusted adult if they are too uncomforta­ble to tell you.

Shalon Nienow, MD, FAAP, is a member of the American Academy of Pediatrics Council on Child Abuse and Neglect Executive Committee. She is division director of child abuse pediatrics at Rady Children’s Hospital in San Diego.

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