Pedersen W, Skrondal A
The Norwegian Research Council's Centre for Youth Research, Oslo, Norway.
Addiction. 1996 Apr;91(4):565-81.
In a study of sexual victimization and alcohol consumption, a population sample of Norwegian adolescents from the Oslo area was followed-up through five data collections over a 6-year time span. By means of generalized structural equation modeling, alcohol-related predictors and consequences of sexual assaults were investigated; 17% of the girls reported that they had been sexually assaulted at some time: 7% in childhood, 6% in early adolescence (13-16 years) and 4% in late adolescence (17-19 years). Only 1% of the boys reported having been sexually victimized. Female childhood sex victims reported increased alcohol consumption from their mid-teens, with dramatic increase in alcohol-related problems (using DSM-III-R criteria) at the end of their teens. However, the analyses showed that alcohol consumption was not influenced by childhood sexual abuse when parental use of tobacco and alcohol and normative standards imparted to their children were taken into consideration as confounding variables. There was, on the other hand, a strong effect on alcohol problems. Thus, the victims of childhood sexual abuse seem to be at high risk for alcohol abuse and dependency. Further, early alcohol debut and high alcohol consumption combined with permissive parental norms increased the risk of sexual assault in early adolescence. The girls who were assaulted in early adolescence also reported a high number of sexual partners and early intercourse debut. There was no increase in subsequent alcohol consumption after assaults in this group. Late adolescent victims did not report increased alcohol consumption either prior to or after the assault.
在一项关于性侵害与酒精消费的研究中,对来自奥斯陆地区的挪威青少年群体样本进行了为期6年的5次数据收集随访。通过广义结构方程模型,研究了与酒精相关的性侵犯预测因素及后果;17%的女孩报告称她们曾在某个时候遭受过性侵犯:7%在童年期,6%在青春期早期(13 - 16岁),4%在青春期晚期(17 - 19岁)。只有1%的男孩报告曾遭受性侵害。童年期性侵害的女性受害者从十几岁中期开始酒精消费量增加,到十几岁末期与酒精相关的问题(依据《精神疾病诊断与统计手册》第三版修订版标准)急剧增加。然而,分析表明,当将父母的烟酒使用情况以及传递给孩子的规范标准作为混杂变量考虑在内时,酒精消费不受童年期性虐待的影响。另一方面,童年期性虐待对酒精问题有强烈影响。因此,童年期性虐待的受害者似乎存在酒精滥用和酒精依赖的高风险。此外,过早开始饮酒、高酒精消费量以及宽松的父母规范增加了青春期早期遭受性侵犯的风险。在青春期早期遭受性侵犯的女孩还报告有大量性伴侣且初次性交时间早。该组在遭受性侵犯后酒精消费量没有增加。青春期晚期的受害者在遭受性侵犯之前或之后也没有报告酒精消费量增加。