Long-term health outcomes of childhood sexual abuse and peer sexual contact among an urban sample of behaviourally bisexual Latino men.
Long-term health outcomes of childhood sexual abuse and peer sexual contact among an urban sample of behaviourally bisexual Latino men.
复制标题
DOI：
10.1080/13691058.2017.1367420
复制
发表时间：
2018-06
期刊：
影响因子：
--
通讯作者：
Rodriguez-Diaz C
中科院分区：
文献类型：
--
作者：
Mattera B;Levine EC;Martinez O;Muñoz-Laboy M;Hausmann-Stabile C;Bauermeister J;Fernandez MI;Operario D;Rodriguez-Diaz C
尽管先前的研究表明，在与男性发生性关系的拉丁裔男子中，儿童期性虐待的发生率很高，但很少有研究研究儿童期性虐待的长期健康后果，特别是在行为上双性恋的拉丁裔男子中。在纽约市148名行为双性恋拉丁裔男性的样本中，我们研究了儿童期性虐待与成人健康的多个维度之间的关系：性危险行为；性传播感染发生率；多药使用；抑郁症状；以及感觉到的压力。我们比较了那些有儿童期性虐待史的人，那些在13岁之前报告同龄性接触的人和那些在13岁之前没有性接触的人的结果。超过五分之一(22.3%)的人报告了儿童期性虐待的历史，这与从事可接受的无套肛交(AOR=3.59，p<；01，SE=2.0)、高感知压力(AOR=2.48，p<；06，SE=1.13)和临床上显著的抑郁症状(AOR=2.7，p<；；.05，SE=1.25)。在所有变量中，朋友性接触没有影响这些结果，强调了虐待和非虐待早期性经历之间的关键区别。我们建议，性虐待预防政策和方案更好地让拉美裔青年参与进来，并建议在不同实践领域为这一群体提供服务的从业者将儿童期性虐待筛查和文化上适当的治疗和护理纳入实践。
While previous research indicates high rates of childhood sexual abuse among Latino men who have sex with men, few studies have examined the long-term health outcomes of childhood sexual abuse specifically among behaviourally bisexual Latino men. In a sample of 148 behaviourally bisexual Latino men in New York City, we examined associations between childhood sexual abuse and multiple dimensions of adult health: sexual risk behaviours; sexually transmitted infections incidence; polydrug use; depressive symptoms; and perceived stress. We compared outcomes between those with histories of childhood sexual abuse, those reporting peer sexual contact prior to age 13 and those with no sexual contact prior to age 13. Over one-fifth (22.3%) reported a history of childhood sexual abuse, which was significantly associated with engaging in receptive condomless anal intercourse (aOR = 3.59, p < .01, SE = 2.0), high perceived stress (aOR = 2.48, p < .06, SE = 1.13) and clinically significant depressive symptoms (aOR = 2.7, p < .05, SE = 1.25). Across all variables, peer sexual contact did not impact these outcomes, underscoring a key distinction between abusive and non-abusive early sexual experiences. We recommend that sexual abuse prevention policies and programmes better engage Latino youth, and that practitioners serving this population across diverse areas of practice incorporate childhood sexual abuse screening and culturally appropriate treatment and care into practice.
登录
查看更多内容
影响因子：
7.3
作者：
Fincham, Dylan S.;Altes, Lucas Korthals;Seedat, Soraya
通讯作者：
Seedat, Soraya
影响因子：
2.7
作者：
Ai, Amy L.;Lee, Jungup;Yap, Chandler
通讯作者：
Yap, Chandler
影响因子：
2.7
作者：
Deschenau, Alice;Iftimovici, Anton;Touzeau, Didier
通讯作者：
Touzeau, Didier
影响因子：
4.8
作者：
Fergusson, David M.;McLeod, Geraldine F. H.;Horwood, L. John
通讯作者：
Horwood, L. John
影响因子：
3.8
作者：
Boroughs MS;Valentine SE;Ironson GH;Shipherd JC;Safren SA;Taylor SW;Dale SK;Baker JS;Wilner JG;O'Cleirigh C
通讯作者：
O'Cleirigh C