Vermund S H, Alexander-Rodriguez T, Macleod S, Kelley K F
Department of Epidemiology and Social Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York.
J Adolesc Health Care. 1990 Sep;11(5):449-52. doi: 10.1016/0197-0070(90)90094-i.
From July 1983 to June 1984, 2521 adolescents were medically screened at entry into a detention facility in New York City. A medical history, physical examination, serology for syphilis, and culture for gonorrhea were obtained from each entrant. A retrospective chart review was conducted for 136 persons with gonorrhea and/or syphilis (79 boys and 57 girls) and 136 sex-matched infection-negative controls. Several characteristics were compared including age, age at first sexual intercourse, sexual abuse history, contraceptive use, and pregnancy status. Among infected cases, 8% of males and 32% of females reported a history of sexual abuse, whereas among controls, no males and 14% of females reported abuse. A history of sexual abuse was strongly associated with gonorrhea or syphilis (odds ratio = 3.4; 95% confidence intervals, 1.5-8.0). These data suggest an association between sexual abuse and subsequent high-risk sexual behavior manifested by a gonorrhea or syphilis infection.
1983年7月至1984年6月期间，纽约市一家拘留所对2521名青少年进行了入所时的医学筛查。对每名入所者都进行了病史询问、体格检查、梅毒血清学检测和淋病培养。对136例患有淋病和/或梅毒的患者（79名男孩和57名女孩）以及136名性别匹配的未感染对照者进行了回顾性病历审查。比较了包括年龄、首次性交年龄、性虐待史、避孕措施使用情况和妊娠状况在内的几个特征。在感染病例中，8%的男性和32%的女性报告有性虐待史，而在对照者中，没有男性报告有性虐待史，14%的女性报告有性虐待史。性虐待史与淋病或梅毒密切相关（优势比=3.4；95%置信区间为1.5 - 8.0）。这些数据表明，性虐待与随后以淋病或梅毒感染表现出的高危性行为之间存在关联。
