童年期受侵害与随后滥交、卖淫及少女怀孕风险：一项前瞻性研究。
Childhood victimization and subsequent risk for promiscuity, prostitution, and teenage pregnancy: a prospective study.
作者信息
Widom C S, Kuhns J B
机构信息
School of Criminal Justice, University at Albany, NY 12222, USA.
出版信息
Am J Public Health. 1996 Nov;86(11):1607-12. doi: 10.2105/ajph.86.11.1607.
OBJECTIVES
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.
METHODS
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.
RESULTS
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.
CONCLUSIONS
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.
目的
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。
方法
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。
结果
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。
结论
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。
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