Sexual violence victimization history and sexual risk indicators in a community-based urban cohort of "mostly heterosexual" and heterosexual young women
Sexual violence victimization history and sexual risk indicators in a community-based urban cohort of "mostly heterosexual" and heterosexual young women
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DOI：
10.2105/ajph.2006.099473
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发表时间：
2008-06-01
影响因子：
12.7
通讯作者：
Molnar, Beth E.
中科院分区：
文献类型：
--
作者：
Austin, S. Bryn;Roberts, Andrea L.;Molnar, Beth E.
目标。我们试图在芝加哥社区人类发展项目 (PHDCN) 中，以拉丁裔和黑人为主的“大多数异性恋”和异性恋女性群体中，研究儿童时期的性暴力受害情况和青年时期的性风险指标。 2000年，参加PHDCN的391名年轻女性（18至24岁）完成了一项评估性取向、性风险指标和性虐待受害情况的综合调查。我们使用多变量回归方法来检查性风险指标中的性取向群体差异，并评估儿童期性虐待是否可能调解关系。结果。与自我报告的异性恋女性相比，自我报告的“大部分是异性恋”女性更有可能自称曾是童年性虐待的受害者、患有性传播感染、报告首次性交年龄较早以及拥有更多性伴侣。童年性虐待并不调节性取向和性风险指标之间的关系。结论。我们的研究结果进一步证明，“大多数异性恋”女性比异性恋女性面临更大的健康风险。此外，“大多数是异性恋”女性遭受童年性虐待的风险很高。
Objectives. We sought to examine sexual violence victimization in childhood and sexual risk indicators in young adulthood in a primarily Latina and Black cohort of "mostly heterosexual" and heterosexual women in the Project on Human Development in Chicago Neighborhoods (PHDCN).Methods. In 2000, a comprehensive survey that assessed sexual orientation, sexual risk indicators, and sexual abuse victimization was completed by 391 young women (aged 18 to 24 years) who had participated in PHDCN. We used multivariable regression methods to examine sexual orientation group differences in sexual risk indicators and to assess whether childhood sexual abuse may mediate relationships.Results. Compared with self-reported heterosexual women, self-reported "mostly heterosexual" women were more likely to report having been the victim of childhood sexual abuse, to have had a sexually transmitted infection, to report an earlier age of first sexual intercourse, and to have had more sexual partners. Childhood sexual abuse did not mediate relationships between sexual orientation and sexual risk indicators.Conclusions. Our findings add to the evidence that "mostly heterosexual" women experience greater health risk than do heterosexual women. In addition, "mostly heterosexual" women are at high risk for having experienced childhood sexual abuse.