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性侵犯史与女性生殖和性健康。

Sexual assault history and women's reproductive and sexual health.

作者信息

Golding J M

出版信息

Psychol Women Q. 1996;20:101-21. doi: 10.1111/j.1471-6402.1996.tb00667.x.

DOI:10.1111/j.1471-6402.1996.tb00667.x
PMID:12296010
Abstract

Associations of sexual assault history with reproductive and sexual symptoms were evaluated in 3419 women randomly selected from two communities. Sexual assault was associated with excessive menstrual bleeding, genital burning, and painful intercourse (whether or not attributable to disease or injury), medically explained missing two menstrual periods, and medically unexplained dysmenorrhea, menstrual irregularity, and lack of sexual pleasure. Physically violent assaults and those committed by strangers were most strongly related to reproductive symptoms. Multiple assaults, assaults accomplished by persuasion, spouse assault, and completed intercourse were most strongly related to sexual symptoms. Assault was occasionally associated more strongly with reproductive symptoms among women with lower income or less education, possibly because of economic stress or differences in assault circumstances. Associations with unexplained menstrual irregularity were strongest among African American women; ethnic differences in reported circumstances of assault appeared to account for these differences. Assault was associated with sexual indifference only among Latinas.

摘要

在从两个社区随机选取的3419名女性中,评估了性侵犯史与生殖及性症状之间的关联。性侵犯与月经过多、生殖器灼烧感、性交疼痛(无论是否由疾病或损伤引起)、医学上解释的两个月停经、医学上无法解释的痛经、月经不规律以及缺乏性快感有关。身体暴力侵犯以及陌生人实施的侵犯与生殖症状的关联最为密切。多次侵犯、通过劝说完成的侵犯、配偶侵犯以及完成性交与性症状的关联最为密切。在收入较低或受教育程度较低的女性中,侵犯有时与生殖症状的关联更强,这可能是由于经济压力或侵犯情况的差异所致。与无法解释的月经不规律的关联在非裔美国女性中最为强烈;报告的侵犯情况中的种族差异似乎可以解释这些差异。侵犯仅在拉丁裔女性中与性冷淡有关。