Holmes William C
Center for Health Equity Research and Promotion, Philadelphia VA Medical Center, Philadelphia, PA 19104, USA.
J Epidemiol Community Health. 2007 Apr;61(4):319-25. doi: 10.1136/jech.2005.040188.
To estimate the association between number of parents in the childhood home and childhood sexual abuse (CSA) with adjustment for childhood socioeconomic status (CSES).
Probability sample of 298, 18-49-year-old men from Philadelphia County, number of parents living in childhood home, socioeconomic data and CSA histories were obtained.
197 (66%) men participated. 186 (94%) of these lived with at least one parent; 76 (39%) and 110 (56%) lived with one parent versus two parents, respectively. 22 (29%) of 76 and 18 (16%) of 110 reported CSA histories, respectively (OR 2.08, p = 0.04). Two approaches to adjustment for CSES indicated continued association between parent number and CSA (OR 2.38-2.39, p = 0.05-0.07). Parent number was associated with numerous differences in CSA perpetrator characteristics and abuse experiences. Men from one-parent versus two-parent families reported significantly more non-family and female perpetrators (p = 0.03 and 0.01, respectively) and fondling experiences (p = 0.04).
Findings provide additional support for the association between parent number and CSA in boys, suggesting that parent number is not just a proxy for CSES. CSA experiences also differed between one-parent and two-parent homes. Findings generate numerous hypotheses for future study.
评估童年时家中父母数量与童年性虐待(CSA)之间的关联,并对童年社会经济地位(CSES)进行校正。
从费城县抽取了298名18至49岁男性的概率样本,获取了童年时家中居住的父母数量、社会经济数据以及CSA病史。
197名(66%)男性参与研究。其中186名(94%)至少与一位父母同住;76名(39%)与一位父母同住,110名(56%)与两位父母同住。76名中的22名(29%)和110名中的18名(16%)分别报告有CSA病史(比值比2.08,p = 0.04)。两种校正CSES的方法均表明父母数量与CSA之间存在持续关联(比值比2.38 - 2.39,p = 0.05 - 0.07)。父母数量与CSA犯罪者特征及虐待经历的诸多差异相关。来自单亲家庭与双亲家庭的男性报告的非家庭成员和女性犯罪者显著更多(分别为p = 0.03和0.01),以及抚摸经历更多(p = 0.04)。
研究结果为男孩中父母数量与CSA之间的关联提供了更多支持,表明父母数量不仅仅是CSES的一个替代指标。单亲家庭和双亲家庭中的CSA经历也有所不同。研究结果为未来研究提出了诸多假设。