Adverse childhood experiences and sexual victimization in adulthood
Adverse childhood experiences and sexual victimization in adulthood
复制标题
DOI：
10.1016/j.chiabu.2015.08.017
复制
发表时间：
2016-01-01
影响因子：
4.8
通讯作者：
Merrick, Melissa T.
中科院分区：
文献类型：
--
作者：
Ports, Katie A.;Ford, Derek C.;Merrick, Melissa T.
了解儿童期不良经历(ACE)和成年期的性侵害(SV)之间的联系可能会提供有关成年SV的风险水平和儿童期性虐待(CSA)幸存者的性再次受害的重要信息。在本文中，我们探讨了包括CsA在内的ACE与成年期SV的关系。来自CDC-Kaiser ACE研究的数据被用来检验早期逆境经历对成人SV的影响。接受常规健康检查的成年HMO成员(n=7,272)提供了关于18岁或18岁以下发生的ACE的详细信息以及他们成年后的SV经历。分析表明，随着ACE评分的增加，成年后发生SV的风险也随之增加。每个ACE变量都与成人SV显著相关，其中CSA是成人SV的最强预测因子。此外，对于那些报告CSA的人，每经历一次额外的ACE，成人SV的风险就会累积增加。因此，早期的逆境是成人SV的一个风险因素。特别是，CSA是成年性再次受害的重要危险因素，CSA幸存者经历的额外早期逆境可能会增加成人SV的风险，而不是仅与CSA相关的风险。鉴于早期逆境的各种经历之间的相互联系，成人性暴力预防行动必须考虑其他与暴力相关和非暴力相关的创伤经历如何可能加剧CSA对随后受害的风险。爱思唯尔有限公司出版。
Understanding the link between adverse childhood experiences (ACES) and sexual victimization (SV) in adulthood may provide important information about the level of risk for adult SV and sexual re-victimization among childhood sexual abuse (CSA) survivors. In the present paper, we explore the relationship between ACEs, including CSA, and SV in adulthood. Data from the CDC-Kaiser ACE Study were used to examine the effect of experiences of early adversity on adult SV. Adult HMO members (n = 7,272) undergoing a routine health exam provided detailed information about ACEs that occurred at age 18 or younger and their experiences of SV in adulthood. Analyses revealed that as ACE score increased, so did risk of experiencing SV in adulthood. Each of the ACE variables was significantly associated with adult SV, with CSA being the strongest predictor of adult SV. In addition, for those who reported CSA, there was a cumulative increase in adult SV risk with each additional ACE experienced. As such, early adversity is a risk factor for adult SV. In particular, CSA is a significant risk factor for sexual re-victimization in adulthood, and additional early adversities experienced by CSA survivors may heighten adult SV risk above and beyond the risk associated with CSA alone. Given the interconnectedness among various experiences of early adversity, adult SV prevention actions must consider how other violence-related and non-violence-related traumatic experiences may exacerbate the risk conferred by CSA on subsequent victimization. Published by Elsevier Ltd.