Sex and sexual orientation disparities in adverse childhood experiences and early age at sexual debut in the United States: Results from a nationally representative sample
Sex and sexual orientation disparities in adverse childhood experiences and early age at sexual debut in the United States: Results from a nationally representative sample
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DOI：
10.1016/j.chiabu.2015.02.019
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发表时间：
2015-08-01
影响因子：
4.8
通讯作者：
Cohen, Steven A.
中科院分区：
文献类型：
--
作者：
Brown, Monique J.;Masho, Saba W.;Cohen, Steven A.
不良的童年经历（ace）与过早的性行为有关，这与多种不良的健康结果有关。与异性恋人群和女性相比，性少数群体和男性倾向于更早开始性行为。然而，关于ace与男性和性少数群体早期性行为之间关系的研究还很缺乏。本研究的目的是探讨性行为初次发生年龄与ace之间的性别和性取向差异。数据来自全国酒精及相关疾病流行病学调查第二波。采用Logistic和线性回归模型对ace（忽视、身体/心理虐待、性虐待、父母暴力、父母监禁和精神病理）与早期性行为之间的关系进行了粗糙和调整后的估计和95%置信区间的调整。分析按性别和性取向分层。与男性相比，女性和性少数群体，特别是与异性恋者相比，男男性行为者（MSM）和女女性行为者（WSW），对ace和性首次行为之间关系的影响更大。以推迟儿童和青少年初次性行为为重点的性健康教育项目也应该考虑解决ace问题，如忽视、身体、心理和性虐待、目睹父母暴力、父母监禁和精神病理学。公共卫生从业人员、研究人员和性健康教育课程协调员在设计这些课程时应该考虑到这些性别和性取向的差异。(C) 2015 Elsevier Ltd.版权所有。
Adverse childhood experiences (ACEs) have been linked to early sexual debut, which has been found to be associated with multiple adverse health outcomes. Sexual minorities and men tend to have earlier sexual debut compared to heterosexual populations and women, respectively. However, studies examining the association between ACEs and early sexual debut among men and sexual minorities are lacking. The aim of this study was to examine the sex and sexual orientation disparities in the association between ACEs and age at sexual debut. Data were obtained from Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions. Logistic and linear regression model were used to obtain crude and adjusted estimates and 95% confidence intervals adjusting for age, race/ethnicity, income, education, insurance and marital status for the association between ACEs (neglect, physical/psychological abuse, sexual abuse, parental violence, and parental incarceration and psychopathology) and early sexual debut. Analyses were stratified by sex and sexual orientation. Larger effect estimates depicting the association between ACEs and sexual debut were seen for women compared to men, and among sexual minorities, particularly among men who have sex with men (MSM) and women who have sex with women (WSW), compared to heterosexuals. Sexual health education programs with a focus on delaying sexual debut among children and adolescents should also consider addressing ACEs, such as neglect, physical, psychological and sexual abuse, witnessing parental violence, and parental incarceration and psychopathology. Public health practitioners, researchers and sexual health education curriculum coordinators should consider these differences by sex and sexual orientation when designing these programs. (C) 2015 Elsevier Ltd. All rights reserved.