Dodd Julia, Littleton Heather
Violence Vict. 2017 Feb 1;32(1):110-125. doi: 10.1891/0886-6708.VV-D-15-00119.
Sexual victimization is associated with risky sexual behaviors. Limited research has examined mechanisms via which victimization affects risk behaviors, particularly following different types of sexual victimization. This study examined self-worth as a mediator of the relationship between sexual victimization history: contact childhood sexual abuse (CSA), completed rape in adolescence/adulthood (adolescent/adulthood sexual assault [ASA]), and combined CSA/ASA, and two sexual risk behaviors: past year partners and one-time encounters. Participants were diverse (57.9% African American), low-income women recruited from an OB-GYN waiting room (n = 646). Women with a history of sexual victimization, 29.8% (n = 186) reported lower self-worth, t(586) = 5.26, p < .001, and more partners, t(612) = 2.45, p < .01, than nonvictims. Self-worth was a significant mediator only among women with combined CSA/ASA histories in both risk behavior models.
性侵害与危险性行为有关。有限的研究探讨了性侵害影响危险行为的机制，特别是在不同类型的性侵害之后。本研究考察了自我价值作为性侵害史（童年性虐待接触史[CSA]、青少年期/成年期强奸既遂[青少年期/成年期性侵犯[ASA]]以及CSA/ASA合并情况）与两种性风险行为（过去一年的性伴侣和一次性接触）之间关系的中介变量。参与者具有多样性（57.9%为非裔美国人），是从妇产科候诊室招募的低收入女性（n = 646）。有性侵害史的女性中，29.8%（n = 186）报告称自我价值较低，t(586) = 5.26，p <.001，且性伴侣比未受侵害者更多，t(612) = 2.45，p <.01。在两种风险行为模型中，自我价值仅在有CSA/ASA合并史的女性中是一个显著的中介变量。
