Do Asian-American Women Who Were Maltreated as Children Have a Higher Likelihood for HIV Risk Behaviors and Adverse Mental Health Outcomes?
Do Asian-American Women Who Were Maltreated as Children Have a Higher Likelihood for HIV Risk Behaviors and Adverse Mental Health Outcomes?
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DOI：
10.1016/j.whi.2011.07.003
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发表时间：
2012-01-01
影响因子：
3.2
通讯作者：
Ng, Lisa
中科院分区：
文献类型：
--
作者：
Hahm, Hyeouk Chris;Kolaczyk, Eric;Ng, Lisa
目的：本研究首次系统地调查了亚裔美国妇女中多次虐待儿童是否与艾滋病风险行为和不良心理健康结果相关。方法：我们采用计算机辅助调查访谈法，对400名年龄在18至35岁的未婚中国、韩国和越南妇女进行了横断面研究。大约十分之七的妇女报告说，她们在童年时曾受到虐待，6.8%的妇女报告说受到过任何形式的性虐待。在我们的样本中，只有15%的人在16岁或之前发生过性行为，但近60%的人曾与潜在的危险性伴侣发生过性关系。与以前对白色和黑人妇女的研究结果相反，性虐待和其他虐待与亚裔美国妇女的艾滋病毒风险行为无关。然而，它与抑郁症，终身自杀意念和自杀企图的显着增加有关。较高的教育水平与艾滋病毒的危险行为，包括曾经有过肛交和曾经有潜在的危险性partners.Conclusion的几率增加：没有证据表明，多个儿童虐待与艾滋病毒的危险行为，但它表现出一个强大的关联与不良的心理健康结果。这些内化创伤、独自承受痛苦和保持沉默的经验模式与亚洲文化中保全面子和维护家庭和谐的规范是雅阁的。预防多重儿童虐待可能会降低这一人群中高水平的抑郁和自杀行为。迫切需要查明多重虐待儿童的受害者，并提供文化上适当的干预措施。版权所有（C）2012由雅各布妇女健康研究所。爱思唯尔公司出版
Objectives: This study is the first to systematically investigate whether multiple child maltreatment is associated with HIV risk behaviors and adverse mental health outcomes among Asian-American women.Methods: We conducted a cross-sectional study of unmarried Chinese, Korean, and Vietnamese women (n = 400), aged 18 to 35, who are identified as children of immigrants, using computer-assisted survey interviews.Results: Approximately 7 in 10 women reported having been maltreated as a child and 6.8% reported any type of sexual abuse. Only 15% of our sample reported having sex at age 16 or before, yet almost 60% had ever engaged with potentially risky sexual partners. Contrary to the findings from previous studies of White and Black women, sexual abuse plus other maltreatment was not associated with HIV risk behaviors among Asian-American women. However, it was associated with a marked increase in depression, lifetime suicidal ideation, and suicide attempts. A higher education level was associated with increased odds of HIV risk behaviors, including ever having had anal sex and ever having potentially risky sexual partners.Conclusion: There was no evidence indicating that multiple child maltreatment was linked with HIV risk behaviors, but it exhibited a robust association with poor mental health outcomes. These empirical patterns of internalizing trauma, suffering alone, and staying silent are in accord with Asian-cultural norms of saving face and maintaining family harmony. The prevention of multiple child maltreatment may reduce high levels of depression and suicidal behaviors in this population. It is urgent to identify victims of multiple child maltreatment and provide culturally appropriate interventions. Copyright (C) 2012 by the Jacobs Institute of Women's Health. Published by Elsevier Inc.