School of Health Sciences, University of Akureyri, 600 Akureyri, Iceland.
Int J Environ Res Public Health. 2018 Jan 8;15(1):94. doi: 10.3390/ijerph15010094.
Stressful early life experiences cause immune dysregulation across the lifespan. Despite the fact that studies have identified childhood sexual abuse (CSA) survivors as a particularly vulnerable group, only a few attempts have been made to study their lived-experience of the physical health consequences of CSA. The aim of this study was to explore a female CSA survivor's lived-experience of the physical health consequences of CSA and how she experienced the reactions of healthcare providers. Seven interviews were conducted with this 40-year-old woman, Anne, using a phenomenological research approach. Anne was still a young child (two to three years old) when her father started to rape her. Since her childhood, she has experienced complex and widespread physical health consequences such as repeated vaginal and abdominal infections, widespread and chronic pain, sleeping problems, digestive problems, chronic back problems, fibromyalgia, musculoskeletal problems, repeated urinary tract infections, cervical dysplasia, inflammation of the Fallopian tubes, menorrhagia, endometrial hyperplasia, chlamydia, ovarian cysts, ectopic pregnancies, uterus problems, severe adhesions, and ovarian cancer. Anne disclosed her CSA experience to several healthcare providers but they were silent and failed to provide trauma-informed care. Anne's situation, albeit unique, might reflect similar problems in other female CSA survivors.
早年生活压力会导致终生免疫失调。尽管研究已经确定童年性虐待（CSA）幸存者是一个特别脆弱的群体，但很少有人试图研究他们经历 CSA 对身体健康的影响。本研究旨在探讨一名女性 CSA 幸存者经历 CSA 对身体健康的影响，以及她如何体验医疗保健提供者的反应。采用现象学研究方法，对这位 40 岁的女性安妮进行了七次访谈。当她还是一个小孩（两到三岁）时，她的父亲就开始强奸她。从童年开始，她就经历了复杂和广泛的身体健康后果，如反复的阴道和腹部感染、广泛和慢性疼痛、睡眠问题、消化问题、慢性背部问题、纤维肌痛、肌肉骨骼问题、反复尿路感染、宫颈发育不良、输卵管炎、月经过多、子宫内膜增生、衣原体、卵巢囊肿、宫外孕、子宫问题、严重粘连和卵巢癌。安妮向几位医疗保健提供者透露了她的 CSA 经历，但他们保持沉默，未能提供创伤知情护理。安妮的情况虽然独特，但可能反映了其他女性 CSA 幸存者的类似问题。
