Lifetime prevalence, characteristics, and associated problems of non-consensual sex in men: cross sectional survey
Lifetime prevalence, characteristics, and associated problems of non-consensual sex in men: cross sectional survey
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DOI：
10.1136/bmj.318.7187.846
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发表时间：
1999-03-27
影响因子：
105.7
通讯作者：
Gordon, D
中科院分区：
文献类型：
--
作者：
Coxell, A;King, M;Gordon, D
目的了解男性非自愿性行为的终生患病率，儿童和成人之间的关系，相关的心理和行为问题，以及接受帮助的情况。设计横断面调查。设置英国。2474名男性(平均年龄46岁)参加了18个全科医生中的一个。主要测量16岁之前和之后的非自愿和自愿的性行为经历--分别作为儿童和成人--任何时候经历超过2周的心理问题，使用酒精(笼子问卷)，自我伤害，结果3142名男性中有2474人(79%)同意参与；71/2468(标化率2.89%，95%可信区间2.21%至3.56%)报告了成年后非自愿的性行为，128/2423(5.35%，4.39%至6.31%)报告了儿童时期的非自愿性行为，185/2406(7.66%，6.54%至8.77%)报告了儿童时期的自愿性行为，这在英国法律下是非法的。成年后非自愿性行为的独立预测因素是报告的男性性伴侣(优势比6.0，2.6至13.5)、儿童时期的非自愿性行为(4.2，2.1至8.6)、年龄(0.98，0.96至0.99)和采访者的性别(2.0，1.2至3.5)。非双方同意的性行为经历与心理问题、酒精滥用和自我伤害的患病率更高。这些性经历也是心理健康专业人员帮助的显著预测因素。结论在英格兰，近3%的男性成年后报告了非自愿的性经历。医疗专业人员需要意识到有过这种经历的男性的一系列心理困难。她们还需要意识到儿童时期的性经历与成年男性之间的关系。
Objective To identify the lifetime prevalence of non-consensual sexual experiences in men, the relationship between such experiences as a child and as an adult, associated psychological and behavioural problems, and help received.Design Cross sectional survey.Setting England.Subjects 2474 men (mean age 46 years) attending one of 18 general practices.Main outcome measures Experiences of non-consensual and consensual sex before and after the age of 16 years-that is, as a child and adult respectively-psychological problems experienced for more than 2 weeks at any one time, use of alcohol (CAGE questionnaire), self harm, and help received.Results 2474 of 3142 men (79%) agreed to participate; 71/2468 (standardised rate 2.89%, 95% confidence interval 2.21% to 3.56%) reported non-consensual sexual experiences as adults, 128/2423 (5.35%, 4.39% to 6.31%) reported non-consensual sexual experiences as children and 185/2406 (7.66% 6.54% to 8.77%) reported consensual sexual experiences as children that are illegal under English law. Independent predictors of non-consensual sex as adults were reporting male sexual partners (odds ratio 6.0, 2.6 to 13.5), non-consensual sex, in childhood (4.2, 2.1 to 8.6), age (0.98, 0.96 to 0.99), and sex of interviewer (2.0, 1.2 to 3.5). Non-consensual sexual experiences were associated with a greater prevalence of psychological problems, alcohol misuse, and self harm. These sexual experiences were also significant predictors of help received from mental health professionals.Conclusion Almost 3% of men in England report non-consensual sexual experiences as adults. Medical professionals need to be aware of the range of psychological difficulties in men who have had such experiences. They also need to be aware of the relationship between sexual experiences in childhood and adulthood in men.