Scheidell Joy D, Kumar Pritika C, Campion Taylor, Quinn Kelly, Beharie Nisha, McGorray Susan P, Khan Maria R
a Department of Population Health , New York University School of Medicine , New York , New York , USA.
b Department of Epidemiology, College of Public Health and Health Professions , College of Medicine, University of Florida , Gainesville , Florida , USA.
J Child Sex Abus. 2017 Jul;26(5):519-534. doi: 10.1080/10538712.2017.1319004.
Child sexual abuse is associated with substance use and sexual risk behaviors during adolescence and adulthood, but no known studies have documented associations across the life course in a nationally representative U.S.
We used the National Longitudinal Study of Adolescent to Adult Health to measure associations between child sexual abuse and substance use and sexual risk behaviors during adolescence, young adulthood, and adulthood among males and females (n = 11,820). Approximately 10% of females and 7% of males reported child sexual abuse. Associations with substance use were strongest during adolescence and lessened over time. Increased odds of sexual risk among those with a history of child sexual abuse remained consistent through the life course. Significant gender differences existed for some associations (e.g., adulthood multiple partners: males adjusted odds ratio (AOR) = 1.73, 95%CI:1.18, 2.53; females AOR = 1.11, 95%CI:0.79, 1.56). Trauma-informed prevention interventions should address child sexual abuse among both males and females to prevent substance use and sexual risk behavior throughout the life course.
儿童性虐待与青少年期及成年期的物质使用和性风险行为有关，但在美国具有全国代表性的样本中，尚无已知研究记录其在整个生命历程中的关联。
我们利用青少年到成人健康全国纵向研究来测量儿童性虐待与男性和女性（n = 11820）在青少年期、青年期和成年期的物质使用及性风险行为之间的关联。约10%的女性和7%的男性报告曾遭受儿童性虐待。与物质使用的关联在青少年期最强，且随时间减弱。有儿童性虐待史者性风险增加的几率在整个生命历程中保持一致。部分关联存在显著的性别差异（例如，成年期多个性伴侣：男性调整优势比（AOR）= 1.73，95%置信区间：1.18，2.53；女性AOR = 1.11，95%置信区间：0.79，1.56）。创伤知情预防干预措施应针对男性和女性中的儿童性虐待问题，以预防整个生命历程中的物质使用和性风险行为。
