Kong Jooyoung, Easton Scott D, Zhang Yan
Sandra Rosenbaum School of Social Work, University of Wisconsin-Madison, Madison, Wisconsin, USA.
School of Social Work, Boston College, Chestnut Hill, Massachusetts, USA.
Gerontologist. 2023 Feb 25;63(2):285-296. doi: 10.1093/geront/gnac126.
Guided by the life course perspective and traumagenic dynamics theory, the current study examines (a) the long-term effects of childhood sexual abuse (CSA) and other adverse childhood experiences (ACEs) on older adults' sexual and marital outcomes, (b) the mediating role of intimate partner violence (IPV) victimization in the association between childhood adversities and sexual and marital satisfaction, and (c) whether gender moderates the mediational association.
We examined 5,391 adults in their early 70s who participated in the 2010-2011 Wisconsin Longitudinal Study. A series of structural equation models was performed to examine the direct and indirect effect of CSA and other ACEs on sexual and marital outcomes in later life.
CSA was directly associated with lower levels of sexual and marital satisfaction in late adulthood. Other ACEs were associated with currently not being married and greater numbers of marriages. Furthermore, other ACEs were significantly associated with low levels of marital satisfaction through IPV victimization. The moderated mediational analysis showed that the negative indirect effect of other ACEs on marital satisfaction via IPV victimization was stronger for women than men.
Using a population-based sample, this is one of the first studies demonstrating that distal life events such as CSA and ACEs can undermine older adults' sexual and marital health, and revictimization in adulthood may serve as a mechanism for the association. Timely intervention is needed to prevent persistent negative effects of childhood violence.
本研究以生命历程视角和创伤动力学理论为指导，探讨（a）童年期性虐待（CSA）及其他童年不良经历（ACEs）对老年人性与婚姻状况的长期影响；（b）亲密伴侣暴力（IPV）受害经历在童年逆境与性及婚姻满意度之间的中介作用；以及（c）性别是否会调节这种中介关系。
我们对5391名70岁出头的成年人进行了研究，他们参与了2010 - 2011年的威斯康星纵向研究。通过一系列结构方程模型来检验CSA和其他ACEs对晚年性与婚姻状况的直接和间接影响。
CSA与成年后期较低的性满意度和婚姻满意度直接相关。其他ACEs与当前未婚及更多的婚姻次数相关。此外，其他ACEs通过IPV受害经历与较低的婚姻满意度显著相关。调节中介分析表明，其他ACEs通过IPV受害经历对婚姻满意度产生的负面间接影响在女性中比男性更强。
本研究使用基于人群的样本，首次证明了诸如CSA和ACEs等早期生活事件会损害老年人的性与婚姻健康，成年后的再次受害可能是这种关联的一种机制。需要及时进行干预以预防童年暴力带来的持续负面影响。
