Vanke School of Public Health, Tsinghua University, Beijing 100083, China.
School of Public Health and Management, Wenzhou Medical University, Wenzhou 325035, China.
Int J Environ Res Public Health. 2022 Jul 28;19(15):9225. doi: 10.3390/ijerph19159225.
This study aimed to reveal sex and urban-rural differences in the association between childhood sexual abuse (CSA) and mental health among Chinese college students. The study used data from the "National College Student Survey on Sexual and Reproductive Health 2019", a cross-sectional study conducted in all 31 provinces of mainland China. Weighted logistic regression analysis was conducted to determine the association between CSA (noncontact CSA, contact CSA, and penetrative CSA) and mental health (suicide attempts and mental disorders). Among 49,728 students, 39.42% of the male participants and 43.55% of the female participants had ever experienced CSA. According to the OR results of logistic regression analysis, compared to females, males in the contact CSA group (AOR: 3.49, 95% CI: 1.95-6.23) and the penetrative CSA group (AOR: 8.79, 95% CI: 3.15-24.52) had higher odds of suicide attempts. Participants from rural and suburban areas that were categorized in the penetrative CSA group were more likely to report suicide attempts (rural: AOR: 4.01, 95% CI: 1.51-10.62, suburban AOR: 4.86, 95% CI: 2.52-9.36) and mental disorders (rural: AOR: 4.01, 95% CI: 1.51-10.62, suburban: AOR: 4.86, 95% CI: 2.52-9.36). In conclusion, the findings revealed a high prevalence of CSA in both sexes and reported that males are more vulnerable to the adverse effects of CSA. In addition, we also found that undergraduates growing up in rural and suburban areas are more vulnerable to the adverse psychological effects of CSA. Policymakers should pay more attention to this vulnerable population and implement effective measures to alleviate mental trauma.
本研究旨在揭示中国大学生中，童年期性虐待（CSA）与心理健康之间的性别和城乡差异。本研究使用了来自中国大陆 31 个省的“2019 年全国大学生性与生殖健康调查”的横断面研究数据。采用加权逻辑回归分析，确定 CSA（非接触性 CSA、接触性 CSA 和渗透性 CSA）与心理健康（自杀未遂和精神障碍）之间的关联。在 49728 名学生中，39.42%的男性参与者和 43.55%的女性参与者曾经历过 CSA。根据逻辑回归分析的 OR 结果，与女性相比，接触性 CSA 组（AOR：3.49，95%CI：1.95-6.23）和渗透性 CSA 组（AOR：8.79，95%CI：3.15-24.52）的男性自杀未遂的可能性更高。来自农村和郊区的参与者，被归类为渗透性 CSA 组，更有可能报告自杀未遂（农村：AOR：4.01，95%CI：1.51-10.62，郊区：AOR：4.86，95%CI：2.52-9.36）和精神障碍（农村：AOR：4.01，95%CI：1.51-10.62，郊区：AOR：4.86，95%CI：2.52-9.36）。总之，研究结果表明，两性的 CSA 发生率都很高，并且报告称男性更容易受到 CSA 的不良影响。此外，我们还发现，在农村和郊区长大的本科生更容易受到 CSA 对心理的不良影响。决策者应更加关注这一弱势群体，并采取有效措施减轻心理创伤。
