University at Buffalo, State University of New York, NY 14203, USA.
J Consult Clin Psychol. 2010 Apr;78(2):249-59. doi: 10.1037/a0018914.
Women who experience sexual victimization, whether in childhood, adolescence, or adulthood, are at elevated risk of sexual revictimization. The mechanism responsible for this robust association is unclear, however. The present study proposed and tested a prospective, mediated model that posited that the association between adolescent and college victimization is mediated via 2 types of risk exposure in the first semester of college: alcohol-related and sexual risk behaviors.
Female adolescents (N = 469) were recruited from the community at the time of high school graduation. They completed baseline assessments as well as follow-ups at the end of the first and second semesters of college.
Consistent with hypotheses, adolescent sexual victimization was associated indirectly, via high school risk behaviors, with increased first-semester college risk behaviors (i.e., sexual partners, hookups, heavy episodic drinking, and heavy drinking contexts), which were, in turn, strongly predictive of sexual victimization experiences in the first year of college. College risk behaviors partially mediated the significant association between adolescent and first-year college victimization; however, even women without prior victimization faced elevated risk of college victimization with higher levels of college risk behaviors.
Women who have experienced adolescent sexual victimization engage in higher levels of risk taking in college, thereby increasing vulnerability to college victimization. Intervention to reduce these primarily alcohol-related risk-taking behaviors may reduce vulnerability to college sexual victimization.
经历过性侵害的女性，无论是在儿童期、青春期还是成年期，都面临着更高的再次遭受性侵害的风险。然而，导致这种强烈关联的机制尚不清楚。本研究提出并检验了一个前瞻性的中介模型，该模型假设青春期和大学期间的受害与两种类型的风险暴露有关：与酒精相关的风险行为和性风险行为。
从高中毕业时从社区招募了女性青少年（N=469）。他们完成了基线评估以及大学第一和第二学期末的随访。
与假设一致，青少年性受害通过高中风险行为间接与第一学期大学风险行为（即性伴侣、随意性行为、重度饮酒和重度饮酒环境）相关，而这些行为反过来又强烈预测了大学第一年的性受害经历。大学风险行为部分中介了青少年和第一年大学受害之间的显著关联；然而，即使是没有先前受害经历的女性，随着大学风险行为水平的升高，也面临着更高的大学受害风险。
经历过青少年性受害的女性在大学期间会采取更高水平的冒险行为，从而增加了遭受大学性受害的脆弱性。减少这些主要与酒精相关的冒险行为的干预措施可能会降低大学性受害的脆弱性。
