Sexual assault in the military and its impact on sexual satisfaction in women veterans: a proposed model.
Sexual assault in the military and its impact on sexual satisfaction in women veterans: a proposed model.
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军队中的性侵犯及其对女退伍军人性满意度的影响：提议的模型。
DOI：
10.1089/jwh.2008.0987
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发表时间：
2009
期刊：
影响因子：
--
通讯作者：
Seaver,MargaretR
中科院分区：
文献类型：
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作者：
McCall-Hosenfeld,JenniferS;Liebschutz,JaneM;Spiro,Avron;Seaver,MargaretR
目的：军队中的性侵犯（SAIM）与性满意度下降有关。然而，这种关联的中介尚未被充分描述。方法：利用全国退伍军人事务部（VA）妇女健康调查收集的横截面数据进行回顾性分析，我们提出了一个中介模型来解释SAIM与女性退伍军人性满意度下降之间的关系。本文测试了四种影响SAIM与性满意度下降的中介因素：(1)情绪健康相关的生活质量，(2)身体健康相关的生活质量，(3)缺乏亲密伴侣，(4)妇科疾病。这些中介被选择来涵盖潜在的与性满足相关的独立领域，包括情感、身体和关系。结果：回答性满意度问题的3161名女性（87%），平均年龄45岁（SD 15）；85%是白人。24%的人报告有性侵犯史，39%的人报告性不满意。在年龄调整后的logistic回归分析中，SAIM和性不满意与每一个提议的中介都有很强的相关性。然而，在四个中介中，情绪健康相关的生活质量最强烈地减弱了SAIM与性不满意之间的关联。在纳入所有中介因子后，SAIM与性满意度下降之间的关联显著减弱。结论：SAIM对女性退伍军人的性满意度有直接的负面影响，并通过其身心健康后遗症来影响。在这一关联中提出的中介因素中，最突出的是心理健康相关的生活质量；其他提议的调解员之间的关系最小。
Aims:Sexual assault in the military (SAIM) is associated with decreased sexual satisfaction. However, mediators of this association have not been fully described.Methods:Using a retrospective analysis of cross-sectional data collected for the national Veterans Affairs (VA) Women's Health Survey, we propose a mediator model to explain the association between SAIM and decreased sexual satisfaction among women veterans. Four mediators of the association between SAIM and decreased sexual satisfaction are tested: (1) emotional health-related quality of life, (2) physical health-related quality of life, (3) lack of a close partner, and (4) gynecological illness. These mediators were chosen to encompass independent domains potentially relevant to sexual satisfaction, including emotional, physical, and relational.Results:Of 3161 women (87%) who answered the sexual satisfaction question, the mean age was 45 (SD 15) years; 85% were white. Twenty-four percent reported a history of SAIM, and 39% reported sexual dissatisfaction. In age-adjusted logistic regression analyses, both SAIM and sexual dissatisfaction were strongly associated with each of the proposed mediators. However, of the four mediators, emotional health-related quality of life most strongly attenuated the association between SAIM and sexual dissatisfaction. After including all mediators, the association between SAIM and decreased sexual satisfaction was markedly attenuated.Conclusions:SAIM's negative impact on sexual satisfaction in women veterans operates both directly and through its physical and mental health sequelae. Of the proposed mediators in this association, the most prominent is mental health-related quality of life; the other proposed mediators were minimally related.