Department of psychology, Université de Montréal, 90 avenue Vincent d'Indy, Montreal, Quebec H2V 2S9, Canada.
Department of psychology, Université de Montréal, 90 avenue Vincent d'Indy, Montreal, Quebec H2V 2S9, Canada.
Child Abuse Negl. 2019 Nov;97:104142. doi: 10.1016/j.chiabu.2019.104142. Epub 2019 Aug 31.
Though many studies have linked child sexual abuse (CSA) to psychological health problems, little is known regarding the relationship between CSA and children and adolescents' physical health.
The objective of this study was to assess the relationship between CSA and infectious disease diagnoses.
Of the 955 eligible children and adolescents who had a substantiated report of sexual abuse between 2001 and 2010, medical data was retrieved for 882 individuals, who formed the sexually abused group. These 882 participants were matched to 882 participants on age, gender, and administrative healthcare region to form the general population group.
This matched-cohort study, conducted in a large Canadian city, compared the number of infectious disease diagnoses between the date of the substantiated sexual abuse report and August 1, 2013, between the two groups.
Results indicate that sexually abused participants had 1.27 times more (95% CI - 1.13 to 1.42) infectious diseases diagnoses than those from the general population. They received 1.83 times more genitourinary infection diagnoses (95% CI - 1.43 to 2.33), 1.31 times more diagnoses for other types of infections (95% CI - 1.11 to 1.55) and 1.21 times more respiratory and ear infection diagnoses (95% CI - 1.05 to 1.40). There was no statistically significant difference regarding skin infection diagnoses. These results indicate an association between CSA and more frequent infectious diseases diagnoses.
尽管许多研究已经将儿童性虐待（CSA）与心理健康问题联系起来，但对于 CSA 与儿童和青少年身体健康之间的关系知之甚少。
本研究旨在评估 CSA 与传染病诊断之间的关系。
在 2001 年至 2010 年间有性虐待报告的 955 名符合条件的儿童和青少年中，有 882 名的医疗数据被检索到，他们形成了性虐待组。这 882 名参与者与年龄、性别和行政医疗保健区域相匹配的 882 名参与者组成了普通人群组。
这项匹配队列研究在加拿大一个大城市进行，比较了两组之间自性虐待报告之日起至 2013 年 8 月 1 日期间传染病诊断的数量。
结果表明，性虐待组参与者的传染病诊断数量比普通人群组多 1.27 倍（95%置信区间为 1.13 至 1.42）。他们接受了 1.83 倍更多的泌尿生殖系统感染诊断（95%置信区间为 1.43 至 2.33），1.31 倍更多的其他类型感染诊断（95%置信区间为 1.11 至 1.55）和 1.21 倍更多的呼吸道和耳部感染诊断（95%置信区间为 1.05 至 1.40）。皮肤感染诊断没有统计学上的显著差异。这些结果表明 CSA 与更频繁的传染病诊断之间存在关联。
