Disparities in child abuse victimization in lesbian, bisexual, and heterosexual women in the Nurses' Health Study II
Disparities in child abuse victimization in lesbian, bisexual, and heterosexual women in the Nurses' Health Study II
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DOI：
10.1089/jwh.2007.0450
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发表时间：
2008-05-01
影响因子：
3.5
通讯作者：
Wright, Rosalind J.
中科院分区：
文献类型：
--
作者：
Austin, S. Bryn;Jun, Hee-Jin;Wright, Rosalind J.
背景：越来越多的研究记录了女性因性取向而存在的多种健康差异，但人们对这些差异的可能原因知之甚少。一个潜在的因素可能是女同性恋和双性恋女性在童年时期遭受虐待的风险增加。方法：利用参与护士健康研究II的63028名妇女的调查数据，调查儿童期和青春期性取向群体在情感、身体和性虐待方面的差异。采用多变量对数二项回归和线性回归模型，以异性恋为参照，控制社会人口统计学因素，研究取向群体在虐待发生率和严重程度方面的差异。结果：结果显示了强有力的证据，表明女同性恋和双性恋女性遭受虐待的频率、严重程度和持久性增加。比较发生在儿童期和青春期的身体虐待受害者，女同性恋（30%，患病率[PR] 1.61, 95%可信区间[CI] 1.40, 1.84）和双性恋（24%,PR 1.26, 95% CI 1.00, 1.60）女性比异性恋女性（19%）更容易报告遭受伤害。同样，比较两个年龄段发生的性虐待受害情况，女同性恋（19%,PR 2.16, 95% CI 1.80, 2.60）和双性恋（20%,PR 2.29, 95% CI 1.76, 2.98）女性比异性恋女性（9%）更有可能报告受害情况。结论：本研究记录了女同性恋和双性恋女性所遭受的普遍和持续的虐待。
Background: A growing body of research documents multiple health disparities by sexual orientation among women, yet little is known about the possible causes of these disparities. One underlying factor may be heightened risk for abuse victimization in childhood in lesbian and bisexual women.Methods: Using survey data from 63,028 women participating in the Nurses' Health Study II, we investigated sexual orientation group differences in emotional, physical, and sexual abuse in childhood and adolescence. Multivariable log-binomial and linear regression models were used to examine orientation group differences in prevalence and severity of abuse, with heterosexual as the referent and controlling for sociodemographics.Results: Results showed strong evidence of elevated frequency, severity, and persistence of abuse experienced by lesbian and bisexual women. Comparing physical abuse victimization occurring in both childhood and adolescence, lesbian (30%, prevalence ratio [PR] 1.61, 95% confidence interval [CI] 1.40, 1.84) and bisexual (24%, PR 1.26, 95% CI 1.00, 1.60) women were more likely to report victimization than were heterosexual women (19%). Similarly, comparing sexual abuse victimization occurring in both age periods, lesbian (19%, PR 2.16, 95% CI 1.80, 2.60) and bisexual (20%, PR 2.29, 95% CI 1.76, 2.98) women were more likely to report victimization than were heterosexual women (9%).Conclusions: This study documents prevalent and persistent abuse disproportionately experienced by lesbian and bisexual women.