Hequembourg Amy L, Bimbi David, Parsons Jeffrey T
University at Buffalo, Research Institute on Addictions, Buffalo, NY 14203; 716 887 3343 (office phone), 716 887 2215 (fax).
J LGBT Issues Couns. 2011;5(1):2-20. doi: 10.1080/15538605.2011.554603.
This study reports rates of childhood and adult sexual victimization among a community sample of 634 gay and bisexual-identified men, and examines how men with differing sexual victimization histories compare on a number of health-related outcomes. Results indicate that men with histories of childhood and adult sexual victimization are more likely to report substance use, more lifetime STIs, higher sexual compulsivity scores, and greater gay-related stigma scores than men with no histories of sexual victimization. Few differences are found in comparisons of health outcomes based on age at first sexual victimization (childhood vs. adulthood). Furthermore, men with histories of sexual victimization report healthier coping skills than men with no histories of sexual victimization, but no significant group differences are found in social support or stress-related growth. Findings underscore the importance of assessing lifetime sexual victimization among sexual minority men during counseling, with special attention given to the enhancement of protective factors among those at risk for harmful behaviors and subsequent poor health outcomes.
本研究报告了634名自我认定为男同性恋和双性恋的社区样本中儿童期和成年期性侵害的发生率，并探讨了有不同性侵害经历的男性在一些与健康相关的结果方面的差异。结果表明，有儿童期和成年期性侵害经历的男性比没有性侵害经历的男性更有可能报告物质使用情况、更多的终身性传播感染、更高的性强迫得分以及更高的与同性恋相关的耻辱感得分。在根据首次性侵害年龄（儿童期与成年期）进行的健康结果比较中，几乎没有发现差异。此外，有性侵害经历的男性比没有性侵害经历的男性报告了更健康的应对技能，但在社会支持或与压力相关的成长方面未发现显著的组间差异。研究结果强调了在咨询过程中评估性少数男性终身性侵害情况的重要性，尤其要特别关注增强那些有有害行为风险和随后健康状况不佳风险的人的保护因素。
