Department of Epidemiology and Biostatistics, Drexel University School of Public Health, Philadelphia, PA 19145, USA.
J Acquir Immune Defic Syndr. 2012 Apr 1;59(4):400-8. doi: 10.1097/QAI.0b013e3182400e75.
To measure associations of childhood sexual abuse (CSA) with sexual orientation, behaviors, and attractions and HIV/sexually transmitted infection (STI) incidence in a nationally representative sample of men and women.
Data from the 2004-2005 Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions were analyzed, including frequencies of CSA and HIV/STI incidence for 5 subgroups defined by sexual orientation based on identity and behaviors and attraction to the same sex or opposite sex.
Overall, 14.9% of women and 5.2% of men reported CSA. Among women, bisexuals, lesbians, and heterosexuals with same-sex partners had 5.3 times, 3.4 times, and 2.9 times the odds, respectively, for CSA occurring sometimes/more frequently (vs. never) compared with heterosexuals not having same-sex partners or attractions. Among men, bisexuals, gay men, and heterosexuals with same-sex partners had 12.8 times, 9.5 times, and 7.9 times the odds, respectively, for CSA. Men and women sometimes or frequently abused had significant increases in odds for HIV/STI incidence compared with those not abused. Among women, sexual minorities had 3.8 times the odds and heterosexuals had 2.8 times the odds, whereas among men, sexual minorities had 4.2 times odds and heterosexuals had 1.5 times odds.
Extraordinarily high rates of CSA were observed for sexual minorities, and sexual minorities were more likely to have incident HIV or STIs, in this U.S. population survey. Identifying the impact of CSA among heterosexuals and sexual minorities in the US is a crucial first step in examining the sequelae of CSA, including the potential mediators of mental health and substance abuse disorders in the relationship between CSA and sexual risk taking.
在一个具有全国代表性的男性和女性样本中，测量儿童性虐待（CSA）与性取向、性行为和性吸引力以及艾滋病毒/性传播感染（STI）发病率之间的关联。
分析了 2004-2005 年全国酒精相关情况流行病学调查第二波的数据，包括根据身份和性行为以及对同性或异性的吸引力定义的 5 个性取向亚组的 CSA 频率和艾滋病毒/STI 发病率。
总体而言，14.9%的女性和 5.2%的男性报告了 CSA。在女性中，双性恋者、女同性恋者和与同性发生性行为的异性恋者发生 CSA 的可能性分别是异性恋者与同性没有性行为或吸引力的 5.3 倍、3.4 倍和 2.9 倍。在男性中，双性恋者、男同性恋者和与同性发生性行为的异性恋者发生 CSA 的可能性分别是异性恋者与同性没有性行为或吸引力的 12.8 倍、9.5 倍和 7.9 倍。曾经或经常遭受 CSA 的男性和女性发生 HIV/STI 的可能性显著增加。与未受虐待者相比，女性中的性少数群体的 CSA 风险增加了 3.8 倍，异性恋者的 CSA 风险增加了 2.8 倍；而在男性中，性少数群体的 CSA 风险增加了 4.2 倍，异性恋者的 CSA 风险增加了 1.5 倍。
在这项美国人群调查中，性少数群体的 CSA 发生率极高，性少数群体发生艾滋病毒或 STI 的可能性更大。确定美国异性恋者和性少数群体 CSA 的影响是检查 CSA 后果的关键第一步，包括 CSA 与性风险行为之间的精神健康和物质滥用障碍的潜在中介因素。
