A meta-analysis of disparities in childhood sexual abuse, parental physical abuse, and peer victimization among sexual minority and sexual nonminority individuals.

A meta-analysis of disparities in childhood sexual abuse, parental physical abuse, and peer victimization among sexual minority and sexual nonminority individuals.
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儿童期性虐待,父母的身体虐待以及性少数群体和性非少数人的同伴受害的荟萃分析。

DOI:
10.2105/ajph.2009.190009
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发表时间:
2011-08
影响因子:
12.7
通讯作者:
Stall R
Stall R
中科院分区:
医学2区
文献类型:
--
作者:
Friedman MS;Marshal MP;Guadamuz TE;Wei C;Wong CF;Saewyc E;Stall R

文献摘要

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我们比较了童年的可能性(即,<18岁)的性虐待,父母的身体虐待,以及基于性取向的同伴受害。我们对以学校为基础的青少年研究进行了一项荟萃分析,比较了性少数群体与性非少数群体之间儿童虐待的可能性。性少数个体平均有3.8、1.2、1.7和2.4倍的可能性经历性虐待、父母的身体虐待或在学校受到攻击或因恐惧而缺课。适度分析表明,性少数和性非少数个体之间的差异较大:(1)男性比女性的性虐待,(2)女性比男性在学校的攻击,(3)双性恋比男同性恋和女同性恋的父母身体虐待和由于恐惧而缺课。1990年代和2000年代之间的差距没有改变。性少数青年遭受虐待的比例较高,这可能是性少数成年人报告的心理健康问题、药物使用、危险性行为和艾滋病毒感染率较高的驱动机制之一。
We compared the likelihood of childhood (i.e., <18 years) sexual abuse, parental physical abuse, and peer victimization based on sexual orientation. We conducted a meta-analysis of adolescent school-based studies that compared the likelihood of childhood abuse among sexual minorities vs sexual nonminorities. Sexual minority individuals were on average 3.8, 1.2, 1.7, and 2.4 times more likely to experience sexual abuse, parental physical abuse, or assault at school or to miss school through fear, respectively. Moderation analysis showed that disparities between sexual minority and sexual nonminority individuals were larger for (1) males than females for sexual abuse, (2) females than males for assault at school, and (3) bisexual than gay and lesbian for both parental physical abuse and missing school through fear. Disparities did not change between the 1990s and the 2000s. The higher rates of abuse experienced by sexual minority youths may be one of the driving mechanisms underlying higher rates of mental health problems, substance use, risky sexual behavior, and HIV reported by sexual minority adults.