Relationships between sexual violence and chronic disease: a cross-sectional study.
Relationships between sexual violence and chronic disease: a cross-sectional study.
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DOI：
10.1186/1471-2458-14-1286
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发表时间：
2014-12-16
影响因子：
4.5
通讯作者：
Faseru B
中科院分区：
文献类型：
--
作者：
Santaularia J;Johnson M;Hart L;Haskett L;Welsh E;Faseru B
性侵犯是一种创伤性事件，可能对身心健康造成毁灭性的终身影响。研究表明，在童年时期经历过性侵犯的人更有可能在以后的生活中从事危险行为，如吸烟，酗酒和吸毒，以及饮食习惯紊乱，这可能会增加患慢性疾病的风险。尽管性侵犯的流行率和经济负担很高，但很少有研究调查美国性暴力与慢性健康状况之间的关联。本研究的目的是利用堪萨斯州的人口数据，确定性暴力与健康风险行为、慢性健康状况和心理健康状况之间的关联。使用2011年堪萨斯行为风险因素监测系统性暴力模块（N = 4，886）的数据进行二次分析。粗和调整后的患病率比率进行了计算，以检查性侵犯和健康风险行为，慢性健康状况和心理健康状况之间的关联，整体和调整后的社会人口特征。实施了额外的逻辑回归模型，以检查性侵犯和健康风险行为之间的关联，并进一步调整焦虑或抑郁史。有一个显着更高的患病率的健康风险行为（酗酒，酗酒和目前吸烟），慢性健康状况（残疾，目前哮喘）和心理健康状况（抑郁，焦虑，自杀意念）的妇女谁曾经经历过性侵犯相比，妇女谁没有，即使调整后的潜在混杂因素。研究结果强调，需要为性暴力受害者提供慢性病预防服务。有重要的影响，有关的政策和做法，初级，二级和三级预防，以及性暴力，慢性病和健康风险行为计划之间的合作。
Sexual assault is a traumatic event with potentially devastating lifelong effects on physical and mental health. Research has demonstrated that individuals who experience sexual assault during childhood are more likely to engage in risky behaviors later in life, such as smoking, alcohol and drug use, and disordered eating habits, which may increase the risk of developing a chronic disease. Despite the high prevalence and economic burden of sexual assault, few studies have investigated the associations between sexual violence and chronic health conditions in the US. The purpose of this study is to identify associations between sexual violence and health risk behaviors, chronic health conditions and mental health conditions utilizing population based data in Kansas. Secondary analysis was done using data from the 2011 Kansas Behavioral Risk Factor Surveillance System sexual violence module (N = 4,886). Crude and adjusted prevalence rate ratios were computed to examine associations between sexual assault and health risk behaviors, chronic health conditions and mental health conditions, overall and after adjusting for social demographic characteristics. Additional logistic regression models were implemented to examine the association between sexual assault and health risk behaviors with further adjustment for history of anxiety or depression. There was a significantly higher prevalence of health risk behaviors (heavy drinking, binge drinking and current smoking), chronic health conditions (disability, and current asthma) and mental health conditions (depression, anxiety, and suicidal ideation) among women who ever experienced sexual assault compared to women who did not, even after adjustment for potential confounders. Study findings highlight the need for chronic disease prevention services for victims of sexual violence. There are important implications for policies and practices related to primary, secondary, and tertiary prevention, as well as collaborations between sexual violence, chronic disease, and health risk behavior programs.
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影响因子：
6.6
作者：
Garcia-Toro, Mauro;Rubio, Jose M.;Blanco, Carlos
通讯作者：
Blanco, Carlos
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影响因子：
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通讯作者：
Black, Michele C.
影响因子：
5.9
作者：
Kilpatrick, DG;Acierno, R;Best, CL
通讯作者：
Best, CL