自我定义为遭受性虐待和成年人性行为风险：来自 STD 诊所就诊女性的横断面调查结果。
Self-defining as sexually abused and adult sexual risk behavior: results from a cross-sectional survey of women attending an STD clinic.
机构信息
Center for Health and Behavior, Syracuse University, 430 Huntington Hall, Syracuse, NY 13244, USA.
出版信息
Child Abuse Negl. 2011 May;35(5):353-62. doi: 10.1016/j.chiabu.2011.01.013.
OBJECTIVE
Childhood sexual abuse (CSA) is associated with increased sexual risk behavior in adulthood, and this association may be mediated by traumagenic dynamics constructs (i.e., traumatic sexualization, trust, guilt, and powerlessness). However, few studies have investigated whether such relationships hold for women who do not identify as having experienced CSA despite meeting objective criteria that CSA occurred. This study sought to determine whether individuals who met research criteria for CSA and who self-defined as sexually abused differed on traumagenic dynamics constructs and current sexual risk behavior from individuals who met research criteria for CSA and who did not self-define as sexually abused.
METHODS
Participants were 481 women recruited from a publicly funded STD clinic. Participants completed a computerized survey assessing childhood sexual experiences and adult sexual risk behavior.
RESULTS
Of the total sample, 206 (43%) met research criteria for CSA. Of the women meeting research criteria for CSA, 142 (69%) self-defined as sexually abused. Women who met research criteria for CSA reported more traumatic sexualization, more trust of a partner, more powerlessness, less sexual guilt, more episodes of unprotected sex, more sex partners, and greater likelihood of sex trading, compared to women who did not meet research criteria for CSA. Among women meeting research criteria, those who self-defined as sexually abused did not differ from those who did not self-define on any of the traumagenic dynamics constructs or on current sexual risk behavior, controlling for CSA characteristics.
CONCLUSIONS
Individuals who were sexually abused as children by behavioral research criteria are at risk for engaging in sexual risk behavior as adults, regardless of whether or not they perceive the experience to be CSA. Future research is needed to understand how non-definers perceive these childhood sexual experiences.
目的
儿童期性虐待（CSA）与成年人中增加的性风险行为有关，这种关联可能通过创伤动力结构（即创伤性性化、信任、内疚和无力感）来介导。然而，很少有研究调查对于那些不符合经历 CSA 的经验标准但符合 CSA 发生的客观标准的女性，这种关系是否仍然存在。本研究旨在确定那些符合 CSA 研究标准且自我定义为性受虐的个体与那些符合 CSA 研究标准但自我定义为未受性虐待的个体在创伤动力结构和当前性风险行为方面是否存在差异。
方法
参与者是从一家公共资助的 STD 诊所招募的 481 名女性。参与者完成了一项评估儿童期性经历和成年人性风险行为的计算机化调查。
结果
在总样本中，有 206 名（43%）符合 CSA 的研究标准。在符合 CSA 研究标准的女性中，有 142 名（69%）自我定义为性受虐。与不符合 CSA 研究标准的女性相比，符合 CSA 研究标准的女性报告了更多的创伤性性化、更多的对伴侣的信任、更多的无力感、更少的性内疚感、更多的无保护性行为、更多的性伴侣和更大的性交易可能性。在符合 CSA 研究标准的女性中，那些自我定义为性受虐的女性与那些没有自我定义的女性在任何创伤动力结构或当前性风险行为方面没有差异，控制了 CSA 特征。
结论
通过行为研究标准被性虐待的儿童在成年后有从事性风险行为的风险，无论他们是否认为这种经历是 CSA。需要进一步研究以了解非定义者如何看待这些儿童期性经历。
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