Renn Tanya, Golder Seana, Higgins George, Logan T K, Winham Katherine M
1 Brown School of Social Work, Washington University in St. Louis, St. Louis, MO, USA.
2 Kent School of Social Work, University of Louisville, Louisville, KY, USA.
J Correct Health Care. 2017 Jan;23(1):104-121. doi: 10.1177/1078345816685847.
The purpose of this study was to develop and test a conceptual model of the pathways through which childhood victimization influences adult health outcomes. Specifically, measures of high-risk behaviors, tobacco use, alcohol use, illegal substance use, and HIV risk behaviors were hypothesized to mediate the relationship between childhood victimization and adult physical health. The sample consisted of 406 women on probation and parole with a history of childhood victimization in Jefferson County, Kentucky. Structural equation modeling was used to examine the relationship between childhood victimization, high-risk behaviors, and physical health outcomes. The findings indicate partial mediation, with health risk behaviors accounting for 12.5% of the variance in the relationship between childhood victimization and health outcomes. Implications for policy and treatment practice in the health and criminal justice arena are discussed.
本研究的目的是开发并测试一个概念模型，以阐明童年期受侵害影响成年期健康结果的途径。具体而言，高风险行为、烟草使用、酒精使用、非法药物使用及艾滋病毒风险行为的测量指标被假定为童年期受侵害与成年期身体健康之间关系的中介变量。样本包括406名在肯塔基州杰斐逊县处于缓刑和假释期且有童年期受侵害史的女性。采用结构方程模型来检验童年期受侵害、高风险行为与身体健康结果之间的关系。研究结果表明存在部分中介效应，健康风险行为占童年期受侵害与健康结果之间关系变异的12.5%。文中讨论了其对健康和刑事司法领域政策及治疗实践的启示。
