Department of Psychology, University of Washington, Seattle, WA 98195, USA.
Child Abuse Negl. 2010 May;34(5):369-78. doi: 10.1016/j.chiabu.2009.08.013. Epub 2010 Mar 31.
Childhood sexual abuse (CSA) among boys has been associated with a variety of subsequent maladaptive behaviors. This study explored a potential connection between CSA and an increased likelihood of risky sexual behavior in adulthood. Further, the study examined whether or not alcohol use may contribute to this relationship.
As part of a study on alcohol and sexual decision-making, 280 heterosexual men completed multiple background questionnaires pertaining to past and current sexual experiences and patterns of alcohol use. CSA history was obtained and severity ratings were made based on type of contact reported.
CSA was reported by 56 men (20%). Structural equation modeling revealed that CSA positively predicted number of sexual partners directly as well as indirectly, through its effect on alcohol use. Specifically, greater CSA severity predicted significantly lower age of first intoxication, which in turn predicted greater current alcohol consumption, followed by greater use of alcohol before sexual intercourse, leading to an increased number of reported sexual partners. The reported frequency of condom use was not predicted by CSA severity or the alcohol-use pathway.
These findings suggest that CSA influences risky sexual behavior via multiple pathways and that more severe CSA may lead to elevated sexual risk indices. Moreover, these results suggest that men may elevate their risk of sexually transmitted infections via high numbers of sexual partners versus irregular condom use.
These results highlight the need for adequate assessment and early interventions in order to mitigate the effects CSA may have on subsequent alcohol use and risky sexual behavior. Secondly, ensuring that male CSA victims understand the inherent risks of high numbers of sexual partners may be an effective strategy to interrupt the path toward risk-taking.
儿童期性虐待（CSA）与男孩的多种后续适应不良行为有关。本研究探讨了 CSA 与成年后风险性行为增加之间的潜在联系。此外，该研究还检验了饮酒是否可能促成这种关系。
作为一项关于酒精和性决策的研究的一部分，280 名异性恋男性完成了多项与过去和当前性经历以及酒精使用模式有关的背景问卷。获得了 CSA 病史，并根据报告的接触类型进行了严重程度评分。
56 名男性（20%）报告了 CSA。结构方程模型显示，CSA 直接预测性伴侣数量，也通过其对酒精使用的影响间接预测性伴侣数量。具体来说，更大的 CSA 严重程度预测了首次醉酒年龄显著降低，这反过来又预测了当前更高的酒精摄入量，然后是在性交前更多地使用酒精，导致报告的性伴侣数量增加。报告的避孕套使用频率不受 CSA 严重程度或酒精使用途径的预测。
这些发现表明，CSA 通过多种途径影响风险性行为，更严重的 CSA 可能导致更高的性风险指数。此外，这些结果表明，男性可能通过性伴侣数量的增加而非不规则使用避孕套来增加性传播感染的风险。
这些结果强调需要充分评估和早期干预，以减轻 CSA 对随后的酒精使用和风险性行为的影响。其次，确保 CSA 受害男性了解性伴侣数量过多的固有风险，可能是中断冒险行为的有效策略。
