Sexual Intercourse Among Adolescents Maltreated Before Age 12: A Prospective Investigation
Sexual Intercourse Among Adolescents Maltreated Before Age 12: A Prospective Investigation
复制标题
DOI：
10.1542/peds.2008-3836
复制
发表时间：
2009-09-01
期刊：
影响因子：
8
通讯作者：
English, Diana E.
中科院分区：
文献类型：
--
作者：
Black, Maureen M.;Oberlander, Sarah E.;English, Diana E.
目的：研究儿童虐待（身体、情感、性虐待和忽视）是否会预测青少年性行为；虐待和性交之间的关联是否可以用儿童的情绪困扰来解释，以及虐待、情绪困扰和性交之间的关系是否因性别而异。方法：虐待和忽视儿童的纵向研究是一项多地点的纵向调查。参与者的范围从有风险的到已证实的虐待。通过儿童保护服务记录和青少年 12 岁时的自我报告来评估虐待史。青少年在 12 岁时使用创伤症状检查表报告情绪困扰，并在 14 和 16 岁时发生性行为。使用逻辑回归和多元回归，调整性别、种族和地点，来测试虐待是否可以预测性交、情绪困扰的解释作用和性别差异。结果：在 14 和 16 岁时，虐待发生性行为发生率分别为 79% 和 81%，性行为起始率分别为 21% 和 51%。虐待（所有类型）显着预测性交。受虐待的青少年比未受虐待的青少年报告了明显更多的情绪困扰；情绪困扰在虐待和性交之间的关系中发挥了 14 的作用，但不是 16。在 14 岁时，男孩的性交比率高于女孩，而身体虐待和性交之间的关联对男孩而言并不显着。结论：虐待（无论何种类型）在 14 和 16 岁时预测性交。情绪困扰在 14 之前解释了这种关系。到 16 岁时，其他因素可能会影响性交。受虐待的儿童有过早开始性交的风险，性活跃的青少年应接受可能的虐待评估。儿科2009; 124：941-949
OBJECTIVE: To examine whether child maltreatment (physical, emotional, and sexual abuse, and neglect) predicts adolescent sexual intercourse; whether associations between maltreatment and sexual intercourse are explained by children's emotional distress, and whether relations among maltreatment, emotional distress, and sexual intercourse differ according to gender.METHODS: The Longitudinal Studies of Child Abuse and Neglect was a multisite, longitudinal investigation. Participants ranged from at-risk to substantiated maltreatment. Maltreatment history was assessed through Child Protective Service records and youth self-report at age 12. Youth reported emotional distress by using the Trauma Symptom Checklist at the age of 12 years and sexual intercourse at ages 14 and 16. Logistic and multiple regressions, adjusting for gender, race, and site, were used to test whether maltreatment predicts sexual intercourse, the explanatory effects of emotional distress, and gender differences.RESULTS: At ages 14 and 16, maltreatment rates were 79% and 81%, respectively, and sexual initiation rates were 21% and 51%. Maltreatment (all types) significantly predicted sexual intercourse. Maltreated youth reported significantly more emotional distress than non-maltreated youth; emotional distress mediated the relationship between maltreatment and intercourse by 14, but not 16. At 14, boys reported higher rates of sexual intercourse than girls and the association between physical abuse and sexual intercourse was not significant for boys.CONCLUSIONS: Maltreatment (regardless of type) predicts sexual intercourse by 14 and 16. Emotional distress explains the relationship by 14. By 16, other factors likely contribute to intercourse. Maltreated children are at risk for early initiation of sexual intercourse and sexually active adolescents should be evaluated for possible maltreatment. Pediatrics 2009; 124: 941-949