University of Windsor, Windsor, Ontario, Canada.
McGill University, Québec, Canada.
J Child Sex Abus. 2021 Apr;30(3):298-331. doi: 10.1080/10538712.2020.1869878. Epub 2021 Jan 6.
Childhood sexual abuse (CSA) is a global problem with serious repercussions for survivors in various domains of adult interpersonal functioning, including sexual risk behavior. This review aimed to summarize findings from the recent literature on the connections between CSA and later adult sexual risk behaviors (e.g., unprotected intercourse, sexually transmitted infection [STSI] diagnosis). The sexual risk behaviors consistently associated with CSA were having sex under the influence of alcohol/substances and reports of concurrent sexual partners/infidelity. Notably, studies investigating the links between CSA and history of STI diagnosis and CSA and reports of unprotected sex (with the exception of samples comprised men who have sex with men) produced inconsistent findings. The methodological limitations of existing studies are considered and suggestions for future research are offered.
儿童期性虐待（CSA）是一个全球性问题，对幸存者在成人人际功能的各个领域都产生了严重影响，包括性行为风险。本综述旨在总结最近有关 CSA 与以后的成人性行为风险行为（例如无保护的性行为、性传播感染 [STSI] 诊断）之间关系的文献发现。与 CSA 密切相关的性行为风险行为包括在酒精/物质的影响下发生性行为以及同时有性伴侣/不忠的报告。值得注意的是，研究 CSA 与性传播感染史之间以及 CSA 与无保护性行为之间的关联的研究（除了由男男性行为者组成的样本外）得出的结果不一致。考虑到现有研究的方法学局限性，并提出了未来研究的建议。
