Adolescent pregnancy and sexual abuse.
Adolescent pregnancy and sexual abuse.
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青少年怀孕和性虐待。
DOI：
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发表时间：
1998
期刊：
影响因子：
--
通讯作者：
Alexa E. Albert
中科院分区：
文献类型：
--
作者：
M. Elders;Alexa E. Albert
在美国，高达60%的怀孕少女有儿童性虐待的历史。怀孕可能是虐待事件的直接结果，也可能与儿童性虐待的常见后遗症有关，包括开始性交时年龄小、不采取避孕措施、卖淫、人身攻击关系以及滥用药物和酒精。有性虐待史的妇女在怀孕期间比未受虐待的同龄人更容易产生自杀意念，并分娩早产低体重儿。研究表明，大多数15岁以下性活跃的青少年是被迫发生性关系的。比女朋友大5-10岁的男朋友被发现对一半以上的青少年怀孕负有责任。对掠夺性成年男子在少女生育中所起作用的担忧导致人们呼吁严格执行法定强奸法。然而，这种策略可能会阻止性活跃和怀孕的青少年寻求医疗保健或社会服务，因为他们害怕不得不透露其伴侣的年龄和身份。应该培训保健专业人员，以认识和支持经历非自愿性行为并随后面临意外怀孕风险的少女。应该从所有性活跃的青少年那里获得全面的性史，包括关于儿童性虐待的敏感问题。在支持和咨询下，选择继续怀孕的有虐待史的怀孕少女有机会学习保护自己和未来的孩子免受进一步的虐待。
Up to 60% of pregnant teens in the US have histories of child sexual abuse. The pregnancy may be a direct result of an episode of abuse or may be linked to common sequelae of child sexual abuse including young age at initiation of sexual intercourse failure to use contraception prostitution physically assaultive relationships and abuse of drugs and alcohol. Women with histories of sexual abuse are significantly more likely than their nonabused peers to experience suicidal ideation during pregnancy and deliver a preterm low-birth-weight infant. Research indicates that the majority of sexually active adolescents under 15 years of age are coerced to have intercourse. Boyfriends who are 5-10 years older than their girlfriend have been found to be responsible for over half of teen pregnancies. Concerns about the role of predatory adult men in teenage childbearing have led to calls for rigorous enforcement of statutory rape laws. However such a strategy may deter sexually active and pregnant teens from seeking medical care or social services for fear of having to reveal the age and identity of their partners. Preferable would be training of health care professionals to recognize and support adolescent girls who are experiencing nonvoluntary sex and subsequently at risk for unplanned pregnancy. A thorough sexual history including sensitively framed questions about child sex abuse should be obtained from all sexually active adolescents. With support and counseling pregnant teens with a history of abuse who elect to continue the pregnancy have an opportunity to learn to protect themselves and their future children from further abuse.
童年受害以及随后的滥交、卖淫和少女怀孕风险：一项前瞻性研究。
影响因子：
12.7
作者：
Widom,CS;Kuhns,JB
通讯作者：
Kuhns,JB