Golding J M, Cooper M L, George L K
Institute for Health & Aging, University of California, San Francisco 94143-0646, USA.
Health Psychol. 1997 Sep;16(5):417-25. doi: 10.1037//0278-6133.16.5.417.
This article uses data from 7 population surveys to evaluate the association of sexual assault history with health perceptions. It estimates the extent of generalizability across gender, ethnic groups, and studies; the extent to which depression accounts for or mediates the association; and whether some circumstances of assault are more strongly related to poor subjective health. Data from each of 18 subsamples of the surveys were analyzed (pooled N = 10,001; 7,550 women and 2,451 men), and results were combined by using meta-analysis. Assault was associated with poor subjective health (odds ratio [OR] = 1.63, 95% confidence interval [CI] = 1.36, 1.95) and this result was consistent regardless of gender, ethnicity, or sample. Controlling depression did not markedly change this result (OR = 1.46, 95% CI = 1.21, 1.77), indicating that depression did not account for or mediate the assault-health perceptions association. Multiple assaults and assaults by strangers or spouse were most strongly associated with poor subjective health.
本文使用来自7项人口调查的数据，以评估性侵犯史与健康认知之间的关联。它估计了这种关联在性别、种族群体和研究中的普遍程度；抑郁在这种关联中所占的比例或所起的中介作用；以及某些性侵犯情况是否与较差的主观健康状况有更强的关联。对调查中18个子样本的数据进行了分析（合并样本量N = 10,001；女性7,550人，男性2,451人），并使用荟萃分析对结果进行了合并。性侵犯与较差的主观健康状况相关（优势比[OR] = 1.63，95%置信区间[CI] = 1.36, 1.95），无论性别、种族或样本如何，这一结果都是一致的。控制抑郁并没有显著改变这一结果（OR = 1.46，95% CI = 1.21, 1.77），表明抑郁并没有解释或介导性侵犯与健康认知之间的关联。多次性侵犯以及来自陌生人或配偶的性侵犯与较差的主观健康状况关联最为强烈。
