Wenzel Suzanne L, Hambarsoomian Katrin, D'Amico Elizabeth J, Ellison Marcia, Tucker Joan S
RAND Health, Santa Monica, California 90407, USA.
J Adolesc Health. 2006 May;38(5):536-43. doi: 10.1016/j.jadohealth.2005.03.019.
To understand victimization by physical and sexual violence and its association with physical and behavioral health in a probability sample of sheltered homeless and low-income-housed young women in the transition to adulthood (ages 18 through 25).
Participants were 224 women ages 18 through 25 who were selected by means of a stratified random sample from 51 temporary shelter facilities (N = 94) and 66 Section 8 private project-based Housing and Urban Development (HUD)-subsidized apartment buildings (N = 130) in Los Angeles County, California. Women completed structured interviews.
Forty-one percent of the sample had been physically or sexually victimized as children and 51% had been victimized since turning 18. Young women who experienced victimization were significantly (p < .05) more likely than non-victimized women to have a sexually-transmitted disease (STD) other than HIV/AIDS or Hepatitis B or C, vaginal discharge or bleeding and pelvic pain in the past 6 months, and past-12 month screening diagnoses of drug abuse/dependence and depression. Victimized women were also significantly more likely to use alcohol to intoxication and drugs, including crack and amphetamines, during the past 6 months, and to have experienced psychological distress and poor self-esteem.
This study highlights striking rates of victimization and its association with physical and behavioral health problems among indigent young women during the period of emerging adulthood. This portrait of need communicates an urgency to develop multifaceted programs for such women to help them successfully navigate the transition to adulthood and realize their full potential as adults.
在一个向成年过渡阶段（18至25岁）的庇护所中的无家可归女性和低收入住房女性的概率样本中，了解身体暴力和性暴力受害情况及其与身心健康的关联。
参与者为224名年龄在18至25岁之间的女性，她们通过分层随机抽样从加利福尼亚州洛杉矶县的51个临时庇护设施（N = 94）和66个基于第8节的私人项目式住房和城市发展部（HUD）补贴的公寓楼（N = 130）中选取。女性完成了结构化访谈。
41%的样本在儿童时期遭受过身体或性侵害，51%在18岁以后遭受过侵害。与未受侵害的女性相比，遭受侵害的年轻女性在过去6个月中感染除艾滋病毒/艾滋病或乙型或丙型肝炎之外的性传播疾病（STD）、阴道分泌物或出血以及盆腔疼痛的可能性显著更高（p <.05），并且在过去12个月中药物滥用/依赖和抑郁症的筛查诊断率也更高。在过去6个月中，受侵害的女性也显著更有可能饮酒至醉酒以及使用毒品，包括快克和安非他命，并且经历过心理困扰和自尊心低下。
本研究突出了贫困年轻女性在成年初期受害的惊人比率及其与身心健康问题的关联。这种需求状况表明迫切需要为这类女性制定多方面的项目，以帮助她们成功度过向成年的过渡阶段并充分发挥其作为成年人的潜力。
