Nagy S, DiClemente R, Adcock A G
College of Education, Program of Health Studies, University of Alabama, Tuscaloosa 35487, USA.
Pediatrics. 1995 Nov;96(5 Pt 1):944-6.
To identify adverse behavioral and psychological factors associated with forced sex experiences of adolescent girls compared with their sexually active counterparts.
An anonymous self-report survey examining an array of psychosocial items, to which 3124 grade 8 and grade 10 female students responded.
Sexually abused girls were more likely to have been pregnant, to have initiated sexual intercourse at a younger age, to indicate illegal drug use, to have feelings of depression, to express more frequent suicidal ideation, and to have been physically abused.
Behaviors such as gateway drug use, truancy, binge drinking of alcohol, and participation in violent episodes that were previously identified as indicators of sexual abuse did not distinguish between sexually active adolescents and those who had been sexually abused. Physicians should consider carefully a structured series of questions relating to behaviors as one approach in determining the risk of sexual abuse. Positive responses to young sexual initiation, pregnancy, illegal drug use, negative mental health states, and evidence of physical abuse are potential markers of sexual abuse in adolescent female clients.
确定与有过强迫性性经历的少女相比，性活跃少女的不良行为和心理因素。
一项匿名自我报告调查，调查一系列心理社会项目，3124名八年级和十年级女生对此进行了回应。
遭受性虐待的女孩更有可能怀孕、更早开始性行为、表明有非法药物使用情况、有抑郁情绪、更频繁地表达自杀意念，并且曾遭受身体虐待。
诸如使用入门毒品、逃学、酗酒以及参与暴力事件等行为，这些行为此前被认定为性虐待的指标，但在性活跃青少年和遭受性虐待的青少年之间并无区分作用。医生应谨慎考虑一系列与行为相关的结构化问题，作为确定性虐待风险的一种方法。对过早开始性行为、怀孕、非法药物使用、负面心理健康状况以及身体虐待证据的肯定回答，是青少年女性患者性虐待的潜在标志。
