Swinburne University of Technology, Australia.
Swinburne University of Technology, Australia.
Child Abuse Negl. 2020 Aug;106:104538. doi: 10.1016/j.chiabu.2020.104538. Epub 2020 May 18.
Limited attention has been paid to the long-term physical health consequences experienced by CSA survivors. Research has found that CSA is often associated with increased health burden in adulthood. However, research in this area is plagued by a range of methodological difficulties, rendering it difficult to draw conclusions regarding the health status of CSA survivors.
This research sought to investigate associations between child sexual abuse (CSA) victimisation and rates of subsequent healthcare utilisation.
The forensic medical records of 2759 cases of CSA between 1964 and 1995 were linked to commonwealth Australian medical data recorded between 2010 and 2015. Differences in rates of health service utilisation during this five-year period were compared between CSA victims and a age and gender matched comparison cohort without known abuse history.
CSA was associated with increased levels of attendance at health professionals (OR = 1.51, p < .001) for medical care and for consultations related to dental (OR = 1.28, p < .001) and chronic disease (OR = 1.23, p <.001). CSA was associated with lower mean rates of attendance at gynaecologists. Gender and age at abuse significantly influenced the relationship between CSA and frequency of health service utilisation.
Experiencing CSA was associated with increases in rates of contact with health professionals. Abused females and victims abused after 12 years of age demonstrated the greatest elevations in rates of service utilisation. These findings have significance for both researchers in this field, and medical practitioners providing primary care.
人们对 CSA 幸存者长期身体健康后果的关注有限。研究发现，CSA 通常与成年人健康负担增加有关。然而，该领域的研究受到一系列方法学困难的困扰，使得难以就 CSA 幸存者的健康状况得出结论。
本研究旨在调查儿童性虐待 (CSA) 受害与随后医疗保健利用之间的关联。
将 1964 年至 1995 年间发生的 2759 例 CSA 的法医记录与 2010 年至 2015 年间记录的联邦澳大利亚医疗数据相关联。在这五年期间，比较 CSA 受害者与无已知虐待史的年龄和性别匹配的对照组之间的卫生服务利用率差异。
CSA 与医疗保健专业人员就诊率增加相关（OR=1.51，p<0.001），以及与牙科（OR=1.28，p<0.001）和慢性疾病（OR=1.23，p<0.001）相关的咨询就诊率增加。CSA 与妇科医生就诊率降低有关。性虐待发生的性别和年龄显著影响 CSA 与卫生服务利用频率之间的关系。
经历 CSA 与增加与卫生专业人员接触的频率有关。遭受虐待的女性和 12 岁以后遭受虐待的受害者的服务利用率升高幅度最大。这些发现对该领域的研究人员和提供初级保健的医疗从业者都具有重要意义。
