School of Social Work, University of Missouri-St. Louis, 121 Bellerive Hall, One University Dr, St. Louis, MO 63121, USA.
AIDS Behav. 2011 Jan;15(1):172-8. doi: 10.1007/s10461-010-9752-6.
This study examines whether substance using women exposed to a lifetime sexual trauma (n = 457) are distinguishable from substance using women exposed to non-sexual trauma (n = 275) in terms of demographics, psychopathology and high-risk sexual behaviors. Baseline data were collected from out-of-treatment substance using women enrolled in an HIV prevention study. Logistic regression analyses revealed that when demographics, psychopathology and lifetime indicators of sexual risk were assessed simultaneously, poor health, depression, antisocial personality disorder and lifetime sex-trading were associated with sexual trauma exposure. When these significant factors were controlled, the experience of sexual trauma predicted recent (past 4 month) high risk sexual behaviors such as higher than average sexual partners. Treatment efforts with women who have experienced a sexual trauma may be enhanced by the inclusion of assessments of physical and mental health needs as well as sexual risk awareness training.
本研究旨在探讨经历过终生性创伤的物质使用女性（n=457）与经历过非性创伤的物质使用女性（n=275）在人口统计学、精神病理学和高危性行为方面是否存在差异。本研究的数据来自参加一项 HIV 预防研究的未经治疗的物质使用女性。逻辑回归分析显示，当同时评估人口统计学、精神病理学和终生性风险指标时，健康状况不佳、抑郁、反社会人格障碍和性交易的经历与性创伤暴露有关。当控制这些显著因素时，性创伤的经历预测了近期（过去 4 个月）的高危性行为，如性伴侣数量高于平均水平。对经历过性创伤的女性进行治疗时，可能需要包括评估身体和心理健康需求以及性风险意识培训。
