Texas Tech University Health Science Center, School of Nursing, Lubbock, Texas, USA.
Int Nurs Rev. 2011 Mar;58(1):61-7. doi: 10.1111/j.1466-7657.2010.00857.x. Epub 2011 Jan 11.
Evidence suggests that multiple influences on sexual behaviour of adolescents exist, ranging from relationships with significant others including sexual or physical abuse and childhood molestation to substances used prior to sex and environmental circumstances such as sex work.
This study aims to describe associations between childhood molestation and sexual risk behaviour.
African American and Mexican American adolescent women aged 14-18 years (n=562) with sexually transmitted infection (STI) or abuse histories and enrolled in a randomized controlled trial of behavioural interventions were interviewed via self-report concerning sexual risk behaviour, abuse and childhood molestation at study entry.
Sexual (59%), physical (77%) and psychological (82%) abuse and childhood molestation (25%) were self-reported without differences by ethnicity. Adolescents reporting childhood molestation experienced more forms of sexual, physical and psychological abuse than others and higher incidences of STI. Fewer attended school; however, more had arrests, convictions, incarcerations and probations. Stressors including depression, running away, thoughts of death and suicide were highest for those reporting childhood molestation. Those reporting childhood molestation engaged in higher sexual risk behaviours than adolescents experiencing other forms of sexual or physical abuse (lifetime partners, bisexual relationships, anal and group sex, sex with friends with benefits, sex for money, concurrent partners, drug use including multiple substances, alcohol use and alcohol problems). These adolescents reported 'getting high' and having sex when out of control as reasons for sex with multiple partners.
Interventions for abused adolescent women necessitate a focus on associations between childhood molestation and a multiplicity of sexual risk behaviours for prevention of abuse, substance use and sex work, STI/human immunodeficiency virus (HIV) and sequelae.
有证据表明，青少年性行为受到多种因素的影响，包括与重要他人的关系，如性虐待或身体虐待以及儿童期性侵犯，以及性行为前使用的物质和性工作等环境因素。
本研究旨在描述儿童期性侵犯与性风险行为之间的关联。
本研究纳入了 562 名年龄在 14-18 岁之间的患有性传播感染（STI）或有虐待史的非裔美国人和墨西哥裔美国青少年女性，她们参加了一项行为干预的随机对照试验，通过自我报告在研究开始时就性风险行为、虐待和儿童期性侵犯进行了访谈。
59%的青少年报告遭受过性虐待，77%的青少年报告遭受过身体虐待，82%的青少年报告遭受过心理虐待，25%的青少年报告遭受过儿童期性侵犯，这些报告在种族间没有差异。报告儿童期性侵犯的青少年经历了更多形式的性、身体和心理虐待，也有更高的性传播感染率。她们更少上学；然而，更多人有被捕、定罪、监禁和缓刑。报告儿童期性侵犯的青少年面临更多的压力因素，包括抑郁、离家出走、想死和自杀。与经历其他形式的性或身体虐待（终身伴侣、双性恋关系、肛交和群交、与有好处的朋友发生性关系、为钱发生性关系、同时有多个伴侣、包括多种物质的使用、饮酒和酒精问题）的青少年相比，报告儿童期性侵犯的青少年从事更高的性风险行为。这些青少年报告说，他们在失去控制时“嗨”了，并且为了与多个伴侣发生性关系而发生性行为。
针对受虐待的青少年女性的干预措施需要关注儿童期性侵犯与多种性风险行为之间的关联，以预防虐待、物质使用和性工作、性传播感染/人类免疫缺陷病毒（HIV）以及后果。
