Health Services Research & Development, Durham VA Medical Center, Durham, North Carolina 27705, USA.
J Trauma Dissociation. 2011;12(3):290-304. doi: 10.1080/15299732.2011.551509.
A robust association between sexual trauma and trading sex has been documented in civilian samples but has not been examined in veterans. Women veterans experience high rates of sexual victimization across the lifespan, including during military service (military sexual trauma [MST]). Associations between MST and trading sex were examined in 200 women enrolled in a crosssectional study of HIV risks and seroprevalence among women receiving outpatient mental health care at a Veterans Affairs (VA) medical center. Each woman completed an assessment interview composed of validated measures that queried childhood sexual trauma; substance use; and risk behaviors, including trading sex for money, drugs, shelter, food, or other things. History of MST was derived from mandated VA screening results and chart notes. Overall, 19.7% reported a history of trading sex. Those who reported trading sex had a higher rate of MST than those who did not report trading sex (87.2% vs. 62.9%, respectively). A multivariable logistic regression model examined the relationship between trading sex and MST, controlling a priori for substance abuse and childhood sexual trauma (both associated with trading sex in civilian samples) and education, which was associated with trading sex in our sample. In this adjusted model, MST was associated with trading sex: odds ratio = 3.26, p = .025, 95% confidence interval = [1.16, 9.18]. To our knowledge, this is the 1st report of an association between MST and trading sex. Results extend previously observed associations between sexual trauma and trading sex in civilian cohorts and underscore the pernicious influence of sexual victimization across the lifespan.
在平民样本中已经记录到性创伤与卖淫之间存在很强的关联，但在退伍军人中尚未进行过研究。女性退伍军人在整个生命周期中都经历着很高的性受害率，包括在军事服务期间（军事性创伤 [MST]）。在退伍军人事务部（VA）医疗中心接受门诊心理健康护理的女性中，对 200 名参加 HIV 风险和血清流行率横断面研究的女性进行了 MST 与卖淫之间关联的研究。每位女性都完成了评估访谈，其中包括经过验证的措施，询问了童年性创伤、物质使用以及风险行为，包括卖淫换取金钱、毒品、住所、食物或其他东西。MST 的历史来自强制性 VA 筛查结果和图表记录。总体而言，19.7%的人报告有卖淫史。报告卖淫的人比没有报告卖淫的人经历 MST 的比率更高（分别为 87.2%和 62.9%）。多变量逻辑回归模型检验了卖淫与 MST 之间的关系，根据预先设定的条件控制了物质滥用和童年性创伤（这两者在平民样本中都与卖淫有关）以及教育，这在我们的样本中与卖淫有关。在这个调整后的模型中，MST 与卖淫有关：优势比=3.26，p=0.025，95%置信区间=[1.16，9.18]。据我们所知，这是首次报告 MST 与卖淫之间的关联。结果扩展了以前在平民群体中观察到的性创伤与卖淫之间的关联，并强调了性受害在整个生命周期中的有害影响。
