Lifetime prevalence, associated factors, and circumstances of non-volitional sex in women and men in Britain: findings from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3).
Lifetime prevalence, associated factors, and circumstances of non-volitional sex in women and men in Britain: findings from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3).
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DOI：
10.1016/s0140-6736(13)62300-4
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发表时间：
2013-11-30
期刊：
影响因子：
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通讯作者：
Wellings K
中科院分区：
文献类型：
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作者：
Macdowall W;Gibson LJ;Tanton C;Mercer CH;Lewis R;Clifton S;Field N;Datta J;Mitchell KR;Sonnenberg P;Erens B;Copas AJ;Phelps A;Prah P;Johnson AM;Wellings K
性暴力越来越被视为一个公共卫生问题。关于英国（英格兰、苏格兰和威尔士）人口中的患病率、相关因素和健康后果的信息很少。第三次全国性健康态度和生活方式调查（Natsal-3）是Natsal调查中第一次包括有关性暴力的问题，也是英国第一次以人口为基础的调查，以探讨犯罪背景之外的问题。2010年9月6日至2012年8月31日期间，我们对居住在英国的16-74岁女性和男性进行了概率抽样调查。我们询问了参与者自13岁以来违背自己意愿的性经历以及最近发生的情况。我们探讨了曾经经历过的非自愿性行为与一系列社会人口统计学，健康和行为因素之间的关联。我们使用逻辑回归估计年龄调整的比值比，分析与女性和男性完成非自愿性行为的发生相关的因素。我们采访了15162人。 9.8%（95%CI 9.0 - 10.5）的女性和1.4%（1.1 - 1.7）的男性报告了完成的非自愿性行为。最近发生的中位年龄（十分位数范围）为女性18岁（14-32），男性16岁（13-30）。完成的非自愿性行为因家庭结构而异，在妇女中，因年龄、教育和地区一级的贫困而异。它与健康状况不佳、长期疾病或残疾、精神健康状况的治疗、吸烟、过去一年中男女使用非处方药以及女性酗酒有关。完成的非自愿性行为也与16岁之前首次异性性交，同性经历，更多的终身性伴侣，曾经被诊断患有性传播感染，两性性功能低下以及女性在18岁之前流产和怀孕结果有关。在大多数情况下，肇事者是当事人认识的人，尽管在最近发生的事件中，关系的性质因年龄而异。在采访中，年龄较小的参与者比年龄较大的参与者更有可能告诉别人这件事，并向警方报案。这些数据首次提供了英国非自愿性行为的人口流行率估计。我们发现，这主要是一种年轻人的经历，与女性和男性的一系列不良健康结果密切相关。由英国医学研究理事会和威康信托基金提供赠款，并得到经济和社会研究理事会和卫生部的支持。
Sexual violence is increasingly recognised as a public health issue. Information about prevalence, associated factors, and consequences for health in the population of Britain (England, Scotland, and Wales) is scarce. The third National Survey of Sexual Health Attitudes and Lifestyles (Natsal-3) is the first of the Natsal surveys to include questions about sexual violence and the first population-based survey in Britain to explore the issue outside the context of crime. Between Sept 6, 2010, and Aug 31, 2012, we did a probability sample survey of women and men aged 16–74 years living in Britain. We asked participants about their experience of sex against their will since age 13 years and the circumstances surrounding the most recent occurrence. We explored associations between ever experiencing non-volitional sex and a range of sociodemographic, health, and behavioural factors. We used logistic regression to estimate age-adjusted odds ratios to analyse factors associated with the occurrence of completed non-volitional sex in women and men. We interviewed 15 162 people. Completed non-volitional sex was reported by 9·8% (95% CI 9·0–10·5) of women and 1·4% (1·1–1·7) of men. Median age (interdecile range) at most recent occurrence was 18 years (14–32) for women and 16 years (13–30) for men. Completed non-volitional sex varied by family structure and, in women, by age, education, and area-level deprivation. It was associated with poor health, longstanding illness or disability, and treatment for mental health conditions, smoking, and use of non-prescription drugs in the past year in both sexes, and with binge drinking in women. Completed non-volitional sex was also associated with reporting of first heterosexual intercourse before 16 years of age, same-sex experience, more lifetime sexual partners, ever being diagnosed with a sexually transmitted infection, and low sexual function in both sexes, and, in women, with abortion and pregnancy outcome before 18 years of age. In most cases, the person responsible was known to the individual, although the nature of the relationship differed by age at most recent occurrence. Participants who were younger at interview were more likely to have told someone about the event and to have reported it to the police than were older participants. These data provide the first population prevalence estimates of non-volitional sex in Britain. We showed it to be mainly an experience of young age and strongly associated with a range of adverse health outcomes in both women and men. Grants from the UK Medical Research Council and the Wellcome Trust, with support from the Economic and Social Research Council and the Department of Health.