Department of Psychiatry, University of Utah, Salt Lake City, UT, USA.
Child Abuse Negl. 2011 Jun;35(6):401-7. doi: 10.1016/j.chiabu.2011.01.015. Epub 2011 Jun 8.
To identify the incidence of self-reported physical and sexual child abuse among homeless youth, the self-perceived effects of past abuse, and current interest in treatment for past abuse among homeless youth with histories of abuse.
Homeless and street-involved persons aged 18-23 filled out a questionnaire and participated in a structured assessment of histories of abuse, tobacco use and substance abuse.
Sixty-four homeless youth in Salt Lake City, Utah completed the study, 43 males and 21 females. Eighty-four percent screened positive for childhood physical and/or sexual abuse occurring before the age of 18; 42% screened positive for both physical and sexual abuse; 72% reported still being affected by their abuse. Among all abuse victims, 44% were interested in treatment for their abuse history and 62% of homeless youth who reported still being affected by their abuse were interested in treatment. Individuals were more likely to be interested in treatment if they were female, had not completed high school or had been previously asked about family dysfunction. Many victims who declined treatment offered spontaneous insight into their decision. Interest in treatment was similar to interest in treatment for other behaviors such as smoking and substance abuse.
Histories of abuse are common among homeless youth. A majority of those reporting a history of abuse are still affected by their abuse. Interest in treatment for a history of abuse was comparable to interest in treatment for other morbidities in the homeless youth population such as tobacco use and substance abuse. Our finding that homeless youth continue to be impacted by their abuse and are interested in treatment should prompt more screening for histories of abuse.
确定无家可归的青年中自我报告的身体和性虐待的发生率、过去虐待的自我感知影响，以及有虐待史的无家可归青年对过去虐待治疗的当前兴趣。
18-23 岁的无家可归和街头流浪人员填写了一份问卷，并参与了对虐待史、吸烟和药物滥用的结构化评估。
在犹他州盐湖城，64 名无家可归的青年完成了这项研究，其中 43 名男性和 21 名女性。84%的人筛查出在 18 岁之前经历过身体和/或性虐待；42%的人筛查出同时经历过身体和性虐待；72%的人报告说仍受到虐待的影响。在所有的虐待受害者中，44%的人对治疗他们的虐待史感兴趣，而 72%的报告仍受到虐待影响的无家可归青年对治疗感兴趣。如果个体是女性、未完成高中学业或之前被问及家庭功能障碍，则更有可能对治疗感兴趣。许多拒绝治疗的受害者对自己的决定提供了自发的见解。对治疗的兴趣与对其他行为（如吸烟和药物滥用）的治疗兴趣相似。
无家可归的青年中，虐待史很常见。大多数报告有虐待史的人仍受其虐待的影响。对治疗过去虐待的兴趣与对无家可归青年群体中其他病态的治疗兴趣相当，如吸烟和药物滥用。我们发现，无家可归的青年仍受到虐待的影响，并对治疗感兴趣，这应该促使更多地筛查虐待史。
