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This exploratory study examines how the birthfather’s physical and emotional presence during childhood influences the likelihood of experiencing childhood sexual abuse (CSA) and the mental health outcomes of survivors in early adulthood. Birthfather presence is categorized as always present, partially present, or absent, and mental health outcomes are assessed using the SCL90 “symptom checklist” indicators of depression and anxiety (Derogatis, Lipman, and Covi 1973). Using survey data collected by email from a convenience sample of students (n=179) at a midwestern public university, this study explores how varying levels of birthfather involvement shape both vulnerabilities to abuse and emotional well-being later in life. Findings suggest that emotionally engaged birthfathers may serve a protective role against experiencing CSA. We also confirm the findings that CSA is associated with lasting symptoms of depression, but not anxiety. Our sample indicates girls are more likely to disclose abuse to adults, relative to boys and transitioning students. Additional findings are presented. By integrating sociological and feminist perspectives, this research contributes to understanding how family structure affects the long-term resilience of survivors of sexual abuse.