Age of Occurrence and Severity of Childhood Sexual Abuse: Impacts on Health Outcomes in Men Who Have Sex with Men and Transgender Women.
Age of Occurrence and Severity of Childhood Sexual Abuse: Impacts on Health Outcomes in Men Who Have Sex with Men and Transgender Women.
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DOI：
10.1080/00224499.2020.1840497
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发表时间：
2021-07
影响因子：
3.6
通讯作者：
Mustanski B
中科院分区：
文献类型：
--
作者：
Xavier Hall CD;Moran K;Newcomb ME;Mustanski B
儿童期性虐待（CSA）与广泛的健康结果相关，在与男性发生性关系的男性（MSM）中比与女性发生性关系的男性更普遍，在跨性别女性（TW）中比顺性别同龄人更普遍;然而，关于解释性理论模型缺乏共识。该分析使用2015年至2019年收集的芝加哥MSM和TW纵向研究的基线数据（n= 1，035）检查了这些模型的健康结果。测量了两个年龄范围（13岁之前和13-17岁）的CSA严重程度。Logistic回归和负二项回归估计。青少年CSA经历与酒精问题、大麻问题、自杀意念/企图、抑郁症、无避孕套肛交伴侣、直肠性传播感染和艾滋病毒相关。青少年前CSA与饮酒和抑郁症状有关。在酒精问题、大麻问题和无避孕套肛交伴侣中发现了跨年龄CSA经验的显著相互作用。与以前的文献一致，该分析发现CSA对各种健康结果有显著影响。没有单一的解释框架出现，但是，青少年暴露可能更密切地联系到健康结果和风险行为比青少年前或累积暴露。
Childhood sexual abuse (CSA) is associated with a wide range of health outcomes and is more prevalent among men who have sex with men (MSM) compared to men who have sex with women exclusively and among transgender women (TW) compared to cisgender peers; however, there is a lack of consensus regarding an explanatory theoretical model. This analysis examines these models across health outcomes using baseline data from a longitudinal study of MSM and TW in the Chicago (n=1,035) collected 2015 to 2019. Severity of CSA was measured for two age ranges (prior to 13 and 13–17). Logistic regression and negative binomial regressions were estimated. Teenage experiences of CSA were associated with alcohol problems, cannabis problems, suicide ideation/attempt, depression, condomless anal sex partners, rectal STI, and HIV. Pre-teenage CSA was associated with alcohol use and depressive symptoms. Significant interactions across age of experience of CSA were found for alcohol problems, cannabis problems, and condomless anal sex partners. Consistent with previous literature, this analysis found CSA to be a significant influence on various health outcomes. No single explanatory framework emerged; however, adolescent exposures may be more closely linked to health outcomes and risk behaviors than pre-teenage or cumulative exposures.
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