Childhood Abuse and Neglect and the Risk of STDs In Early Adulthood
Childhood Abuse and Neglect and the Risk of STDs In Early Adulthood
复制标题
DOI：
10.1363/4301611
复制
发表时间：
2011-03-01
影响因子：
5.8
通讯作者：
Halpern, Carolyn Tucker
中科院分区：
文献类型：
--
作者：
Haydon, Abigail A.;Hussey, Jon M.;Halpern, Carolyn Tucker
方法：利用全国青少年健康纵向研究第1、3和4波的8922名受访者的数据，研究儿童和青春期父母或其他成年照顾者虐待与青年时期性传播疾病结局的关系。评估了四种类型的虐待(性虐待、身体虐待、监督疏忽和身体疏忽)和两种性传播疾病的结果(自我报告的近期和经检测确认的当前性传播疾病)。结果：在女性中，即使在调整了社会经济和人口统计特征后，最近一次性传播疾病的自我报告与性虐待(优势比，1.8)、身体虐待(1.7)、身体忽视(2.1)和监督忽视(1.6)呈正相关。此外，在对暴露于其他类型的虐待和性危险行为进行进一步调整后，身体上的忽视与检测确定的性传播疾病之间的正相关性仍然显著(1.8)。在男性中，唯一的关联(仅在未调整的模型中观察到)是身体忽视与检测确认的性传播疾病(1.6)之间的联系。结论：小时候经历过身体忽视的年轻女性在成年后患检测识别的性传播疾病的风险增加，暴露于任何类型的虐待都与自我报告的性传播疾病的可能性增加相关。需要进一步的研究来理解这些联系背后的行为机制和性网络特征。
METHODS: Associations between maltreatment by parents or other adult caregivers during childhood and adolescence and STD outcomes in young adulthood were examined using data on 8,922 respondents to Waves 1, 3 and 4 of the National Longitudinal Study of Adolescent Health. Four types of maltreatment (sexual abuse, physical abuse, supervision neglect and physical neglect) and two STD outcomes (self-reported recent and test-identified current STD) were assessed. Multivariate logistic regression analyses, stratified by sex, tested for moderators and mediators.RESULTS: Among females, even after adjustment for socioeconomic and demographic characteristics, self-report of a recent STD was positively associated with sexual abuse (odds ratio, 1.8), physical abuse (1.7), physical neglect (2.1) and supervision neglect (1.6). Additionally, a positive association between physical neglect and having a test-identified STD remained significant after further adjustments for exposure to other types of maltreatment and sexual risk behaviors (1.8). Among males, the only association (observed only in an unadjusted model) was between physical neglect and test-identified STD (1.6).CONCLUSIONS: Young women who experienced physical neglect as children are at increased risk of test-identified STDs in young adulthood, and exposure to any type of maltreatment is associated with an elevated likelihood of self-reported STDs. Further research is needed to understand the behavioral mechanisms and sexual network characteristics that underlie these associations.