Valenstein-Mah Helen, Larimer Mary, Zoellner Lori, Kaysen Debra
Department of Psychology, University of Washington, Seattle, Washington, USA.
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA.
J Trauma Stress. 2015 Oct;28(5):484-8. doi: 10.1002/jts.22042. Epub 2015 Sep 24.
Sexual victimization is prevalent on U.S. college campuses. Some women experience multiple sexual victimizations with heightened risk among those with prior victimization histories. One risk factor for sexual revictimization is alcohol use. Most research has focused on associations between alcohol consumption and revictimization. The current study's objective was to understand potential mechanisms by which drinking confers risk for revictimization. We hypothesized that specific drinking consequences would predict risk for revictimization above and beyond the quantity of alcohol consumed. There were 162 binge-drinking female students (mean age = 20.21 years, 71.3% White, 36.9% juniors) from the University of Washington who were assessed for baseline victimization (categorized as childhood vs. adolescent victimization), quantity of alcohol consumed, and drinking consequences experienced, then assessed 30 days later for revictimization. There were 40 (24.6%) women who were revictimized in the following 30 days. Results showed that blackout drinking at baseline predicted incapacitated sexual revictimization among women previously victimized as adolescents, after accounting for quantity of alcohol consumed (OR = 1.79, 95% CI [1.07, 3.01]). Other drinking consequences were not strongly predictive of revictimization. Adolescent sexual victimization was an important predictor of sexual revictimization in college women; blackout drinking may confer unique risk for revictimization.
性侵害在美国大学校园中很普遍。一些女性经历过多次性侵害,有过性侵害史的女性风险更高。性侵害再次发生的一个风险因素是饮酒。大多数研究都集中在饮酒量与再次受侵害之间的关联上。本研究的目的是了解饮酒导致再次受侵害风险的潜在机制。我们假设特定的饮酒后果会在饮酒量之外预测再次受侵害的风险。来自华盛顿大学的162名酗酒女学生(平均年龄 = 20.21岁,71.3%为白人,36.9%为大三学生)接受了基线性侵害评估(分为儿童期性侵害与青少年期性侵害)、饮酒量评估以及饮酒后果评估,然后在30天后评估再次受侵害情况。在接下来的30天里,有40名(24.6%)女性再次受到性侵害。结果显示,在考虑饮酒量后,基线时的断片饮酒可预测青少年期曾遭受性侵害的女性发生无行为能力性再次性侵害的情况(比值比 = 1.79,95%置信区间[1.07, 3.01])。其他饮酒后果对再次受侵害的预测性不强。青少年期性侵害是大学女性再次性侵害的一个重要预测因素;断片饮酒可能会带来再次受侵害的独特风险。