Prevalence of potential sexual abuse in adolescents and young adults and feasibility of an assessment and management plan used in three research projects.
Prevalence of potential sexual abuse in adolescents and young adults and feasibility of an assessment and management plan used in three research projects.
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DOI：
10.1002/nur.21850
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发表时间：
2018-04
影响因子：
2
通讯作者：
Kahn JA
中科院分区：
文献类型：
--
作者：
Morrow C;Thomas R;Ding L;Kahn JA
本研究的目的是探讨一个协议的可行性，以评估和应对潜在的性虐待（定义为13岁之前自我报告的性开始）在青少年和年轻成人研究参与者中进行人乳头瘤病毒（HPV）疫苗接种筛查;确定其调查答复表明可能存在性虐待的参与者的比例，并评估年龄、性别、种族，和招募地点与潜在的滥用有关。我们汇总了来自青少年健康中心（THC）和卫生部（HD）招募的13-26岁女性和男性（N = 1541）的三项横断面研究的数据。使用书面和电子文档，我们通过以下结果证明了可行性：研究人员对100%表示早期性行为开始的参与者进行了访谈，100%的评估被披露给参与者的初级保健临床医生，并且没有发生访谈或转诊的不良后果。在95名参与者（6.2%）中确定了潜在的性虐待。在多变量逻辑回归中，以下因素与潜在滥用独立相关：（黑人与白色，比值比[OR] = 3.0，95%置信区间[CI] = 1.6-5.7;其他人种与白色，OR = 2.6，95%CI = 1.0-6.5）;和募集部位（HD vs. THC，OR = 2.1，95%CI = 1.4-3.3）。确定、评估和转介可能遭受性虐待的青年的标准化方案是可行的，可以使研究人员确保研究参与者的安全。
The aims of this study were to examine the feasibility of a protocol to assess for assessment and response to potential sexual abuse (defined as self-report of sexual initiation before age 13) among adolescent and young adult research participants in human papillomavirus (HPV) vaccination screening; determine the proportion of participants whose survey responses indicated potential sexual abuse and assess whether age, gender, race, and recruitment site were associated with potential abuse. We pooled data from three cross-sectional studies of 13–26 year-old women and men (N = 1541) recruited at a Teen Health Center (THC) and Health Department (HD). Using written and electronic documentation, we demonstrated feasibility by the following outcomes: 100% of participants who indicated early sexual initiation were interviewed by the research staff, 100% of assessments were disclosed to participants’ primary care clinicians, and no adverse consequences of the interviews or referrals occurred. Potential sexual abuse was identified in 95 participants (6.2%). In multivariable logistic regression, the following factors were independently associated with potential abuse: race (Black vs. White, odds ratio [OR] = 3.0, 95% confidence interval [CI] = 1.6–5.7; other race vs. White, OR = 2.6, 95%CI = 1.0–6.5); and recruitment site (HD vs. THC, OR = 2.1, 95%CI = 1.4–3.3). The standardized protocol to identify, assess and refer youth who may have been sexually abused was feasible and can enable researchers to ensure the safety of study participants.
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