Godoy Sarah M, Englert Adam R, Mazursky Nofar, Prout Luisa, Hall William J
Silver School of Social Work, New York University, New York, NY 10003, USA.
School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC 27517, USA.
Int J Environ Res Public Health. 2025 Jul 2;22(7):1062. doi: 10.3390/ijerph22071062.
The commercial sexual exploitation (CSE) of children is a distinct form of sexual trauma, resulting in immediate mental health issues. Few studies explore associations between family-level factors in adolescence and health outcomes in adulthood among this population. Utilizing a nationally representative dataset, we explored differences and associations between mental health outcomes and domains of the Family Health Development framework among respondents who self-reported CSE ( = 502; mean age = 15.03, = 1.34; 67% male; 50% white). We conducted ordinary least squares and binary logistic regressions using a hierarchical approach to analyze the CES-D depression scale, anxious personality scale, and self-reported diagnoses of depression and anxiety/panic disorder. At Wave IV, when participants were aged 24-32, 20% of participants reported ever having a diagnosis of depression, and 12% reported ever having an anxiety/panic disorder diagnosis. Family receipt of public assistance during adolescence significantly predicted depression and anxiety symptoms in adulthood, highlighting associations between family structure and mental health. Gender and race significantly predicted anxiety symptoms and having a diagnosis of depression and anxiety/panic disorder. Findings underscore the need for targeted training and comprehensive health screenings for providers to better understand and address the long-term mental health needs of CSE-impacted groups.
对儿童的商业性剥削（CSE）是一种独特的性创伤形式，会导致即时的心理健康问题。很少有研究探讨这一人群在青春期的家庭层面因素与成年期健康结果之间的关联。利用一个具有全国代表性的数据集，我们探讨了自我报告遭受CSE的受访者（n = 502；平均年龄 = 15.03，标准差 = 1.34；67%为男性；50%为白人）的心理健康结果与家庭健康发展框架各领域之间的差异和关联。我们采用分层方法进行普通最小二乘法和二元逻辑回归分析，以分析CES-D抑郁量表、焦虑人格量表以及自我报告的抑郁和焦虑/惊恐障碍诊断情况。在第四轮调查时，当参与者年龄在24 - 32岁时，20%的参与者报告曾被诊断患有抑郁症，12%的参与者报告曾被诊断患有焦虑/惊恐障碍。青春期家庭接受公共援助显著预测了成年期的抑郁和焦虑症状，突出了家庭结构与心理健康之间的关联。性别和种族显著预测了焦虑症状以及患有抑郁症和焦虑/惊恐障碍的诊断情况。研究结果强调，需要为医疗服务提供者提供有针对性的培训和全面的健康筛查，以便更好地理解和满足受CSE影响群体的长期心理健康需求。
