Associations Between Sexual Assault Severity and Psychological and Physical Health Outcomes: Similarities and Differences Among African American and Caucasian Survivors.
Associations Between Sexual Assault Severity and Psychological and Physical Health Outcomes: Similarities and Differences Among African American and Caucasian Survivors.
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DOI：
10.1177/0886260516673626
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发表时间：
2019-10
影响因子：
2.5
通讯作者：
Abbey A
中科院分区：
文献类型：
--
作者：
Pegram SE;Abbey A
性攻击受害与有害的心理和身体健康结果之间存在着明确的联系。本研究有助于新出现的健康差距文献研究的相似性和差异性之间的关系的严重程度的性侵犯和健康的社区样本的非裔美国人和高加索幸存者。虽然所有幸存者的关系的总体模式预计是可比的，一些协会被假设为更强的非裔美国人的幸存者相比，白人幸存者的基础上的慢性压力的理论。在一个大都市地区，通过随机数字拨号，招募了单身、非裔美国人和白人女性进行约会经历的研究。从14岁起经历过性侵犯的参与者被纳入这项研究（121名非洲裔美国人和100名白人女性）。多组路径分析表明，对于非洲裔美国人和白人幸存者，性侵犯的严重程度与PTSD症状显着正相关，抑郁症状与身体健康症状显着正相关。在非裔美国人幸存者中，性侵犯的严重程度间接影响身体健康症状，通过其对抑郁症状的影响，和攻击的严重程度间接影响饮酒问题，通过其对创伤后应激障碍症状的影响，这些关系没有发现高加索幸存者。这些发现强调了需要进行更多的研究，重点关注性侵犯幸存者恢复过程中的健康差异，以便治疗方案解决文化相关问题。
There are well-established associations between sexual assault victimization and deleterious psychological and physical health outcomes. The present study contributes to the emerging health disparities literature by examining similarities and differences in relationships between the severity of the sexual assault and health in a community sample of African American and Caucasian survivors. Although the overall pattern of relationships was expected to be comparable for all survivors, some associations were hypothesized to be stronger for African American survivors as compared to Caucasian survivors based on theories of chronic stress. Single, African American and Caucasian women were recruited for a study of dating experiences through random digit dialing in one large metropolitan area. Participants who experienced a sexual assault since age 14 were included in this study (121 African American and 100 Caucasian women). Multi-group path analyses indicated that for both African American and Caucasian survivors, sexual assault severity was significantly positively associated with PTSD symptoms and depressive symptoms were significantly positively associated with physical health symptoms. Among African American survivors, sexual assault severity affected physical health symptoms indirectly through its impact on depressive symptoms, and assault severity indirectly affected drinking problems through its impact on PTSD symptoms; these relationships were not found for Caucasian survivors. These findings highlight the need for additional research that focuses on health disparities in sexual assault survivors’ recovery process, so that treatment programs address culturally relevant issues.
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影响因子：
2.1
作者：
KILPATRICK, DG;SAUNDERS, BE;VON, JM
通讯作者：
VON, JM
影响因子：
3.9
作者：
KILPATRICK, DG;RESICK, PA;VERONEN, LJ
通讯作者：
VERONEN, LJ
影响因子：
4.2
作者：
Golding, JM;Cooper, ML;George, LK
通讯作者：
George, LK
影响因子：
4
作者：
George, WH;Martínez, LJ
通讯作者：
Martínez, LJ
影响因子：
4
作者：
Abbey, A;Ross, LT;McAuslan, P
通讯作者：
McAuslan, P