School of Nursing, University of British Columbia, Vancouver, Canada.
J Adolesc Health. 2012 Jul;51(1):18-24. doi: 10.1016/j.jadohealth.2011.12.032. Epub 2012 Mar 5.
Childhood and adolescent sexual abuse has been shown to lead to increased odds of sexual behaviors that lead to sexually transmitted infections and early pregnancy involvement. Research, meta-analyses, and interventions, however, have focused primarily on girls and young women who have experienced abuse, yet some adolescent boys are also sexually abused. We performed a meta-analysis of the existing studies to assess the magnitudes of the link between a history of sexual abuse and each of the three risky sexual behaviors among adolescent boys in North America.
The three outcomes were (a) unprotected sexual intercourse, (b) multiple sexual partners, and (c) pregnancy involvement. Weighted mean effect sizes were computed from ten independent samples, from nine studies published between 1990 and 2011.
Sexually abused boys were significantly more likely than nonabused boys to report all three risky sexual behaviors. Weighted mean odds ratios were 1.91 for unprotected intercourse, 2.91 for multiple sexual partners, and 4.81 for pregnancy involvement.
Our results indicate that childhood and adolescent sexual abuse can substantially influence sexual behavior in adolescence among male survivors. To improve sexual health for all adolescents, even young men, we should strengthen sexual abuse prevention initiatives, raise awareness about male sexual abuse survivors' existence and sexual health issues, improve sexual health promotion for abused young men, and screen all people, regardless of gender, for a history of sexual abuse.
研究表明，儿童和青少年时期遭受性虐待会增加性行为的可能性，从而导致性传播感染和早孕。然而，研究、荟萃分析和干预措施主要集中在遭受虐待的女孩和年轻女性身上，一些青少年男孩也会遭受性虐待。我们对现有的研究进行了荟萃分析，以评估在北美的青少年男孩中，性虐待史与三种危险性行为之间的关联程度。
三个结果分别为：（a）无保护性行为，（b）多个性伴侣，（c）怀孕。从 1990 年至 2011 年发表的九项研究中的十个独立样本中计算加权平均效应大小。
遭受性虐待的男孩比未受虐待的男孩更有可能报告所有三种危险性行为。加权平均优势比分别为：无保护性行为 1.91，多个性伴侣 2.91，怀孕 4.81。
我们的研究结果表明，儿童和青少年时期的性虐待会对男性幸存者的青春期性行为产生重大影响。为了改善所有青少年，甚至是年轻男性的性健康，我们应该加强性虐待预防措施，提高对男性性虐待幸存者的存在和性健康问题的认识，改善对受虐待的年轻男性的性健康促进，并对所有人群进行性虐待史筛查，无论性别如何。
