National Crime Victims Research & Treatment Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina.
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington.
J Stud Alcohol Drugs. 2019 Sep;80(5):507-514. doi: 10.15288/jsad.2019.80.507.
The purpose of this study was to examine the association between the type of sexual assault (intoxicated vs. non-intoxicated) and post-assault avoidance on post-assault alcohol misuse among people who experienced a recent sexual assault.
The sample included 72 adults aged 18-58 who completed a follow-up phone screen within 30 days of completing a sexual assault medical forensic examination. Participants reported demographics, prior sexual assault, if they were intoxicated from alcohol or other drugs during the sexual assault that preceded receipt of a sexual assault medical forensic examination, post-assault avoidance symptoms, and post-assault alcohol misuse.
Post-assault alcohol misuse was higher among participants with intoxicated (vs. non-intoxicated) sexual assault, prior sexual assault (vs. none), and who identified as White. There was a significant interaction between the type of sexual assault and avoidance symptoms on post-assault alcohol misuse. There was a significant association between avoidance symptoms and alcohol misuse (b = 0.82, p = .003) among participants who experienced a non-intoxicated sexual assault, but not among those who reported intoxication during the recent sexual assault (b = -0.33, p = .468).
Intoxicated sexual assault and post-assault avoidance may be influential factors contributing to post-assault alcohol misuse among people who are recently sexually assaulted. Interventions targeting post-sexual assault alcohol misuse should be tailored based on the type of recent assault and post-assault avoidance.
本研究旨在探讨性侵犯类型（醉酒与非醉酒）与性侵后回避行为与性侵后酒精滥用之间的关联。
本研究样本包括 72 名年龄在 18-58 岁之间的成年人，他们在接受性侵医疗法医检查后 30 天内完成了电话随访。参与者报告了人口统计学特征、既往性侵经历、在接受性侵医疗法医检查之前的性侵犯中是否醉酒或其他药物、性侵后回避症状以及性侵后酒精滥用情况。
与非醉酒性侵犯相比，参与者在性侵犯中醉酒（vs. 非醉酒）、有既往性侵经历（vs. 无）以及自认为是白人时，性侵后酒精滥用的比例更高。性侵犯类型和回避症状对性侵后酒精滥用有显著的交互作用。对于经历非醉酒性侵犯的参与者，回避症状与酒精滥用之间存在显著关联（b = 0.82，p =.003），但对于报告近期性侵犯中醉酒的参与者则没有这种关联（b = -0.33，p =.468）。
醉酒性侵和性侵后回避可能是最近遭受性侵者发生性侵后酒精滥用的重要影响因素。针对性侵后酒精滥用的干预措施应根据最近性侵的类型和性侵后回避行为进行定制。
