Department of Social Work and Social Administration, University of Hong Kong, Pokfulam, Hong Kong SAR, China.
Child Abuse Negl. 2011 Mar;35(3):220-9. doi: 10.1016/j.chiabu.2010.11.005. Epub 2011 Apr 8.
The current study investigated the prevalence and impact of childhood sexual abuse (CSA) on adult sexual victimization (ASV) in Hong Kong, China. This study also examines correlates of demographic characteristics, depression, suicidal ideation, and self-esteem with ASV.
A total of 5,049 Chinese adult respondents were interviewed face-to-face about their experiences of CSA, childhood witness of parental violence, ASV (by non-partner), and intimate partner violence (IPV). Self-reports also measured depression, suicidal ideation, self-esteem, and demographic details.
Of all respondents, 0.9% reported some form of CSA, with a higher percentage being women. CSA was found to pose a significant risk for preceding year IPV (sexual) after controlling for demographic factors. Gender, age, indebtedness, alcohol and drug abuse, depression, and low self-esteem significantly increased the odds of IPV (sexual), whereas suicidal ideation and being newly arrived from China increased the risk of ASV (by non-partner). Childhood witness of parental psychological aggression and physical violence were also associated with a higher risk of IPV (sexual).
Childhood sexual abuse may have an independent association with future sexual victimization in adulthood, but many covariates can also affect the impact of CSA and increase the risk of revictimization.
Intervention with ASV should include an assessment of CSA history and thus a screening for multiple victimization from IPV among victims. Prevention of revictimization for IPV victims with CSA histories may focus on making social and individual changes.
本研究调查了中国香港儿童期性虐待（CSA）对成人性受害（ASV）的普遍性和影响。本研究还考察了人口统计学特征、抑郁、自杀意念和自尊与 ASV 的相关性。
共有 5049 名中国成年受访者接受了关于 CSA、童年目睹父母暴力、非伴侣 ASV（性）和亲密伴侣暴力（IPV）经历的面对面访谈。自我报告还测量了抑郁、自杀意念、自尊和人口统计学细节。
在所有受访者中，有 0.9%报告了某种形式的 CSA，其中女性比例较高。在控制了人口统计学因素后，发现 CSA 对前一年 IPV（性）构成显著风险。性别、年龄、负债、酗酒和吸毒、抑郁和低自尊显著增加了 IPV（性）的可能性，而自杀意念和刚从中国来港则增加了非伴侣 ASV（性）的风险。童年目睹父母心理攻击和身体暴力也与更高的 IPV（性）风险相关。
儿童期性虐待可能与成年后未来的性受害有独立关联，但许多协变量也会影响 CSA 的影响，并增加再次受害的风险。
对 ASV 的干预应包括对 CSA 史的评估，因此应筛查 IPV 受害者中的 CSA 史多重受害。针对有 CSA 史的 IPV 受害者预防再次受害可能侧重于进行社会和个人变革。
