Center for Innovative Public Health Research, 555 El Camino Real, #A347, San Clemente, CA, 92672, USA.
Johns Hopkins Biostatistics Center, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Prev Sci. 2018 May;19(4):403-415. doi: 10.1007/s11121-017-0810-4.
This study aims to report the epidemiology of sexual violence (SV) perpetration for both female and male youth across a broad age spectrum. Additionally, the etiology of SV perpetration is examined by identifying prior exposures that predict a first SV perpetration. Six waves of data were collected nationally online, between 2006 and 2012, from 1586 youth between 10 and 21 years of age. Five types of SV were assessed: sexual harassment, sexual assault, coercive sex, attempted rape, and rape. To identify how prior exposures may predict the emergence of SV in adolescence, parsimonious lagged multivariable logistic regression models estimated the odds of first perpetrating each of the five types of SV within the context of other variables (e.g., rape attitudes). Average age at first perpetration was between 15 and 16 years of age, depending on SV type. Several characteristics were more commonly reported by perpetrators than non-perpetrators (e.g., alcohol use, other types of SV perpetration and victimization). After adjusting for potentially influential characteristics, prior exposure to parental spousal abuse and current exposure to violent pornography were each strongly associated with the emergence of SV perpetration-attempted rape being the exception for violent pornography. Current aggressive behavior was also significantly implicated in all types of first SV perpetration except rape. Previous victimization of sexual harassment and current victimization of psychological abuse in relationships were additionally predictive of one's first SV perpetration, albeit in various patterns. In this national longitudinal study of different types of SV perpetration among adolescent men and women, findings suggest several malleable factors that need to be targeted, especially scripts of inter-personal violence that are being modeled by abusive parents in youths' homes and also reinforced by violent pornography. The predictive value of victimization for a subsequent first SV perpetration highlights the inter-relatedness of different types of violence involvement. Universal and holistic prevention programming that targets aggressive behaviors and violent scripts in inter-personal relationships is needed well before the age of 15 years.
本研究旨在报告广泛年龄段的女性和男性青年的性暴力(SV)实施的流行病学。此外,通过确定先前的暴露情况来检验 SV 实施的病因,这些暴露情况预测了首次 SV 实施。2006 年至 2012 年,在全国范围内在线收集了来自 1586 名 10 至 21 岁青少年的六波数据。评估了五种类型的 SV:性骚扰、性侵犯、强制性性行为、企图强奸和强奸。为了确定先前的暴露情况如何预测青少年 SV 的出现,简约滞后多变量逻辑回归模型在其他变量(例如,强奸态度)的背景下估计了首次实施五种类型的 SV 的可能性。首次实施每种类型 SV 的平均年龄在 15 至 16 岁之间,具体取决于 SV 类型。与非犯罪者相比,犯罪者更常报告某些特征(例如,饮酒、其他类型的 SV 犯罪和受害)。在调整了可能有影响的特征后,父母配偶虐待的先前暴露和当前暴力色情作品的暴露都与 SV 犯罪的出现强烈相关,而暴力色情作品的例外是企图强奸。当前的攻击行为也与所有类型的首次 SV 犯罪实施显著相关,除了强奸。之前遭受性骚扰的受害和当前在人际关系中遭受心理虐待的受害也分别预测了首次 SV 犯罪的实施,尽管存在各种模式。在这项针对青少年男女不同类型 SV 犯罪实施的全国性纵向研究中,研究结果表明,需要针对一些可塑因素进行针对性干预,特别是父母在家庭中为青少年树立的人际暴力剧本,以及暴力色情作品的强化作用。受害对随后首次 SV 犯罪实施的预测价值突出了不同类型暴力参与之间的相互关系。在 15 岁之前,需要开展针对人际关系中攻击行为和暴力剧本的普遍性和整体性预防计划。