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Teens are sometimes more willing to talk to doctors, especially if their parents are not in the room.
Many teens reported being assaulted multiple times, according to the study, based on the CDC's Youth Behavior Risk Surveillance System using questionnaires answered by more than 13,000 high school students."If there is violence once, there is likely to be violence again," Spinks-Franklin says.
"It has to be taken very seriously."Spinks-Franklin say she has seen violence even among relationships between 10- and 11-year-olds."If a parent is concerned that a child is in an unhealthy relationship, they need to address it, but do it in a way that doesn't make the child shut down," she says.
"They need to feel safe telling a parent."Teens often hide the abuse from their parents, Spinks-Franklin says.
Teens may not be able to confide in friends, either, because abusers sometimes isolate their victims from loved ones.
Boys and girls who have been victims of dating violence are more likely to get into fights, carry a weapon, use alcohol, use marijuana or cocaine and have sex with multiple partners the study says.
Twenty-one percent of high school girls have been physically or sexually assaulted by someone they dated -- a figure twice as high as previously estimated, a new study shows.
Ten percent of high school boys also report having been physically or sexually assaulted by a dating partner, about the same rate reported in earlier surveys, according to a study led by the Centers for Disease Control and Prevention published today in JAMA Pediatrics.