Child sexual abuse consequences in community samples of Latino and European American adolescents
Child sexual abuse consequences in community samples of Latino and European American adolescents
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DOI：
10.1016/j.chiabu.2008.09.014
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发表时间：
2009-08-01
影响因子：
4.8
通讯作者：
Carmona, Jennifer Vargas
中科院分区：
文献类型：
--
作者：
Newcomb, Michael D.;Munoz, David T.;Carmona, Jennifer Vargas
目的：调查儿童性虐待对社区青少年的影响的研究有限。本研究旨在探讨不同种族的高中男女青少年的性侵行为，并评估其心理情绪后果。方法：采用自我报告工具，对223名16-19岁的拉美裔和欧裔美国高中学生进行CSA受害者和非虐待者的鉴定。在这些不同种族的青少年男性和女性中，也调查了性虐待的情感影响。结果：初步研究结果显示，那些对CSA评估问题给出不一致回答的青少年与未受虐待的青少年相比，在CSA受害者的心理困扰模式上更为相似。流行分析显示，女性（45%）报告CSA的可能性几乎是男性（24%）的两倍。与欧裔美国人（27%）相比，拉丁裔（44%）明显更有可能经历CSA，拉丁裔（54%）的总体患病率最高。其他研究结果表明，犯罪者的类型存在实质性差异。在91.9%的案例中，女性儿童性暴力受害者指认男性施暴者，而男性儿童性暴力受害者指认女性施暴者的案例占52.9%。与过去的研究一致，受性虐待的青少年报告的心理困扰明显大于未受虐待的同龄人，无论性别或种族。性别差异出现在女性报告更大的心理症状时，但当CSA得到控制时，这些差异大大减少。与拉丁美洲人相比，欧洲裔美国人报告了更大的焦虑唤醒症状。结论：我们的研究结果表明，青少年中CSA的患病率高于现有的研究，无论是男性还是女性，尤其是拉美裔美国人比欧洲裔美国人更高。女性对男性的侵犯也可能比研究指出的要高。我们的研究结果还显示，在这些不同的青少年样本中，性侵犯的心理影响和环境有许多种族和性别的相似之处，而差异较少。实践意义：青少年男性，特别是拉丁裔男性中儿童性暴力的高流行率强调了在社区层面和与父母一起对性侵害问题进行预防和干预的必要性。女性施暴者的数量，特别是当男孩成为虐待对象时，可能比以前想象的要多，因此必须巧妙而彻底地加以评估。本研究发现，报告CSA不一致的青少年与确诊CSA的青少年有相似的症状，因此需要更多的关注和更持久的干预。在治疗CSA受害者时，创伤症状量表（TSI）在识别特定的情绪困扰方面是有效的，可以治疗遭受性虐待的不同种族的男性和女性青少年。需要为不同种族的男女儿童开展与文化相关的预防工作。(C) 2009年Elsevier Ltd.出版
Objective: Research investigating the impact of child sexual abuse (CSA) in community samples of adolescents has been limited. This study aims to identify sexual abuse among ethnically diverse high school adolescents of both genders and evaluate their psycho-emotional consequences.Method: Through the use of self-report instruments, a sample of 223 Latino and European American 16-19-year-old high school students were identified as either victims of CSA or as nonabused. The emotional impact of sexual abuse was also investigated among these ethnically diverse adolescent males and females.Results: Initial findings revealed that those adolescents who gave inconsistent responses to CSA assessments questions were much more similar in patterns of psychological distress to CSA victims compared to nonabused teenagers. Prevalence analyses revealed that females (45%) were nearly two times more likely to report CSA than males (24%). Latinos (44%) were significantly more likely to experience CSA compared to European Americans (27%), and Latinas (54%) had the highest prevalence overall. Other findings indicated substantial differences in type of perpetrator. While female victims of CSA identified male perpetrators in 91.9% of cases, male victims of CSA identified female perpetrators in 52.9% of cases. Consistent with past research, sexually abused adolescents reported significantly greater psychological distress than their nonabused peers, regardless of gender or ethnic group. Gender differences emerged with females reporting greater psychological symptoms, but these Differences were substantially reduced when CSA was controlled. European Americans reported greater anxious arousal symptoms compared to Latinos.Conclusions: Our findings suggest that the prevalence of CSA among adolescents is higher than existing research has noted for both males and females and particularly higher for Latinos compared to European Americans. Perpetration by females upon males may also be higher than research has noted. Our findings also revealed many ethnic and gender similarities and fewer differences in the psychological impact and circumstances of sexual abuse in this diverse sample of adolescents.Practice implications: The high prevalence of CSA among adolescent males and particularly Latinas emphasize the need to intervene on a community level and with parents for both prevention and intervention regarding issues of sexual victimization. The numbers of female perpetrators, especially when boys are the targets of abuse, may be higher than previously imagined and thus must be assessed tactfully and thoroughly. This study found that adolescents who reported CSA inconsistently had similar symptoms as those with confirmed CSA and therefore warrant greater attention and more persistent intervention When treating victims of CSA, the Trauma Symptom Inventory (TSI) is effective in identifyinging specific areas of emotional distress to treat in sexually abused ethnically diverse male and female adolescents. Culturally relevant prevention efforts are needed for ethnically diverse children of both genders. (C) 2009 Published by Elsevier Ltd.