Department of Psychology, University of Washington, Seattle, WA 98195, USA.
Ann Behav Med. 2011 Oct;42(2):269-76. doi: 10.1007/s12160-011-9289-6.
Sexual minority women (SMW) have been shown to be at increased risk for abuse, smoking, and chronic physical health problems compared with heterosexual women. In the general population, abuse and smoking are associated with physical health problems. However, there has been little research on their associations among SMW.
The current study examined a mediational model of abuse, smoking, and self-reported physical health conditions in a national sample of SMW.
Participants (N = 1,224) were recruited via the Internet and completed measures of childhood trauma, adult sexual assault, smoking, body mass index, and chronic medical conditions.
Structural equation modeling demonstrated that childhood abuse was associated with adult sexual assault, smoking, and physical health problems, but smoking was not a significant mediator.
The results highlight the impact of childhood abuse on physical health problems among SMW and the need to examine other health behaviors that may mediate this relation.
与异性恋女性相比，性少数女性（SMW）被发现更有可能遭受虐待、吸烟和慢性身体健康问题。在一般人群中，虐待和吸烟与身体健康问题有关。然而，针对 SMW 群体，这方面的研究很少。
本研究在一个全国性的 SMW 样本中，检验了虐待、吸烟和自我报告的身体健康状况之间的中介模型。
参与者（N=1224）通过互联网招募，并完成了儿童期创伤、成年期性侵犯、吸烟、体重指数和慢性疾病的测量。
结构方程模型表明，儿童期虐待与成年期性侵犯、吸烟和身体健康问题有关，但吸烟不是一个显著的中介因素。
结果强调了儿童期虐待对 SMW 身体健康问题的影响，以及需要检查可能介导这种关系的其他健康行为。
