Widom C S, Kuhns J B
School of Criminal Justice, University at Albany, NY 12222, USA.
Am J Public Health. 1996 Nov;86(11):1607-12. doi: 10.2105/ajph.86.11.1607.
This study examined the extent to which being abused and/or neglected in childhood increases a person's risk for promiscuity, prostitution, and teenage pregnancy.
A prospective cohorts design was used to match, on the basis of age, race, sex, and social class, cases of abused and/or neglected children from 1967 to 1971 with nonabused and nonneglected children; subjects were followed into young adulthood. From 1989 to 1995 1196 subjects (676 abused and/or neglected and 520 control subjects were located and interviewed.
Early childhood abuse and/or neglect was a significant predictor of prostitution for females (odds ratio [OR] = 2.96). For females, sexual abuse (OR = 2.54) and neglect (OR = 2.58) were associated with prostitution, whereas physical abuse was only marginally associated. Childhood abuse and neglect were not associated with increased risk for promiscuity or teenage pregnancy.
These findings strongly support a relationship between childhood victimization and subsequent prostitution. The presumed causal sequence between childhood victimization and teenage pregnancy may need to be reevaluated.
本研究调查了童年期受虐待和/或被忽视会在多大程度上增加一个人滥交、卖淫和少女怀孕的风险。
采用前瞻性队列设计，根据年龄、种族、性别和社会阶层，将1967年至1971年受虐待和/或被忽视儿童的案例与未受虐待和未被忽视的儿童进行匹配；对这些受试者进行追踪直至成年早期。1989年至1995年，找到了1196名受试者（676名受虐待和/或被忽视者以及520名对照受试者）并对他们进行了访谈。
童年期受虐待和/或被忽视是女性卖淫的一个重要预测因素（优势比[OR]=2.96）。对于女性来说，性虐待（OR=2.54）和被忽视（OR=2.58）与卖淫有关，而身体虐待仅存在微弱关联。童年期受虐待和被忽视与滥交或少女怀孕风险增加无关。
这些发现有力地支持了童年期受害与随后卖淫之间的关系。童年期受害与少女怀孕之间假定的因果顺序可能需要重新评估。
