Wonderlich S A, Wilsnack R W, Wilsnack S C, Harris T R
School of Medicine, University of North Dakota, Fargo 58102, USA.
Am J Public Health. 1996 Aug;86(8):1082-6. doi: 10.2105/ajph.86.8_pt_1.1082.
This study examines whether childhood sexual abuse is a significant risk factor for the development of bulimic behavior in women.
Interviews were conducted among a representative national sample of 1099 US women regarding their sexual experiences during childhood as well as their lifetime prevalence of bulimic behavior. Logistic regression was used to calculate adjusted odds ratios to measure the contribution of childhood sexual abuse to the odds of several measures of bulimic behavior in the population, controlling for the respondent's age, ethnic group, and parents' educational level. Attributable risk analyses were conducted to estimate how much risk for bulimic behavior was due to childhood sexual abuse.
Victims of childhood sexual abuse were significantly more likely to display bulimic behavior, and a substantial fraction of cases of bulimic behavior could be attributed to such abuse.
Childhood sexual abuse is a risk factor for bulimic behavior. Between one sixth and one third of the cases of significant bulimic disturbance could be attributed to childhood sexual abuse.
本研究旨在探讨儿童期性虐待是否是女性出现暴食行为的一个重要风险因素。
对1099名美国女性的全国代表性样本进行访谈，询问她们童年时期的性经历以及一生中暴食行为的发生率。采用逻辑回归分析来计算调整后的优势比，以衡量儿童期性虐待对人群中几种暴食行为指标发生几率的影响，并对受访者的年龄、种族和父母教育水平进行控制。进行归因风险分析以估计暴食行为中有多少风险可归因于儿童期性虐待。
童年期性虐待的受害者出现暴食行为的可能性显著更高，并且相当一部分暴食行为案例可归因于此类虐待。
童年期性虐待是暴食行为的一个风险因素。有六分之一到三分之一的严重暴食障碍案例可归因于童年期性虐待。
