Men's self-definitions of abusive childhood sexual experiences, and potentially related risky behavioral and psychiatric outcomes.
Men's self-definitions of abusive childhood sexual experiences, and potentially related risky behavioral and psychiatric outcomes.
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男性对童年虐待性经历以及潜在相关的危险行为和精神结果的自我定义。
DOI：
10.1016/j.chiabu.2007.09.005
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发表时间：
2008
影响因子：
4.8
通讯作者：
Holmes,WilliamC
中科院分区：
文献类型：
--
作者：
Holmes,WilliamC
目的 估计有多少异性恋和同性恋/双性恋男性将虐待性童年性经历 (CSE) 定义为童年性虐待 (CSA)，并评估 CSA 的自我定义是否与成年后的危险行为和精神结局相关。 方法 在费城县，298 名招募的男性中有 197 名 (66%) 参与了电话调查。他们接受了 CSE 筛查，然后询问他们是否将滥用 CSE 定义为 CSA；他们还被问及危险行为史、创伤后应激障碍 (PTSD) 和抑郁症状。 结果 在 43 名 (22%) 患有虐待性 CSE 的参与者中，35% 没有将虐待性 CSE 自我定义为 CSA（分别为“非定义者”和“定义者”），65% 的人将其自我定义为 CSA（分别为“非定义者”和“定义者”）。异性恋和同性恋/双性恋亚群体的 CSA 自我定义率没有显着差异。当自我定义亚组与没有 CSE 的亚组（“No-CSE”）进行比较时，与比较相比，非定义者感知到的父母照顾较低 (p=.007) 且兄弟姐妹较少 (p=.03)，定义者有较多的西班牙裔和较少的非裔美国人 (p=.04)，而无 CSE 的同性恋/双性恋男性较少 (p=.002) 且身体虐待史报告较少 (p=.02)组。非定义者报告称，受影响的性行为较多 (p=.001)，所有终生性伴侣 (p=.004) 以及（仅）女性性伴侣 (p=.05) 的平均数量较高。与定义者相比，更多的非定义者表示在 CSA 中经历过插入式性行为（83% vs. 35%，p=.006）。不同的亚群体对自我定义给出了不同的解释。结论许多患有虐待性 CSE 的男性并不将这些 CSE 自我定义为 CSA，尽管其方式不会因性别认同而有所不同。男性将其虐待性 CSE 自我定义为 CSA 或非 CSA 的过程似乎不仅与自我定义亚组不同的自我解释有关，而且还与给非定义者带来风险的行为结果有关。
OBJECTIVESTo estimate how many heterosexual and gay/bisexual men self-define abusive childhood sexual experiences (CSEs) to be childhood sexual abuse (CSA) and to assess whether CSA self-definition is associated with risky behavioral and psychiatric outcomes in adulthood.METHODSIn Philadelphia County, 197 (66%) of 298 recruited men participated in a telephone survey. They were screened for CSEs and then asked if they self-defined abusive CSEs to be CSA; they also were asked about risk behavior histories and post-traumatic stress disorder (PTSD) and depression symptoms.RESULTSOf 43 (22%) participants with abusive CSEs, 35% did not and 65% did self-define abusive CSEs to be CSA (“Non-Definers” and “Definers,” respectively). Heterosexual and gay/bisexual subgroups’ CSA self-definition rates did not significantly differ. When self-definition subgroups were compared to those without CSEs (“No-CSEs”), Non-Definers had lower perceived parental care (p=.007) and fewer siblings (p=.03), Definers had more Hispanics and fewer African Americans (p=.04), and No-CSEs had fewer gay/bisexual men (p=.002) and fewer reports of physical abuse histories (p=.02) than comparison groups. Non-Definers reported more sex under the influence (p=.001) and a higher mean number of all lifetime sex partners (p=.004) as well as (only) female sex partners (p=.05). More Non-Definers than Definers reported having experienced penetrative sex as part of their CSA (83% vs. 35%, p=.006). Different explanations about self-definition were provided by subgroups.CONCLUSIONSMany men with abusive CSEs do not self-define these CSEs to be CSA, though not in a way that differs by sexual identity. The process by which men self-define their abusive CSEs to be CSA or not appears to be associated not only with self-explanations that differ by self-definition subgroup, but also with behavioral outcomes that impart risk to Non-Definers.