Rape, Sex Partnership, and Substance Use Consequences in Women Veterans

Rape, Sex Partnership, and Substance Use Consequences in Women Veterans
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DOI:
10.1002/jts.20643
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发表时间:
2011-06-01
影响因子:
3.3
通讯作者:
Sadler, Anne G.
Sadler, Anne G.
中科院分区:
医学3区
文献类型:
--
作者:
Booth, Brenda M.;Mengeling, Michelle;Sadler, Anne G.

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强奸史和性伙伴关系与女性退伍军人酗酒和吸毒后果的关联尚不清楚。中西部女性退伍军人(N = 1,004)完成了一项回顾性电话访谈,评估人口统计学,强奸史,药物滥用和依赖,抑郁症和创伤后应激障碍(PTSD)。三分之一的人符合药物使用障碍(SUD)的终生标准,一半人报告一生中曾被强奸,三分之一的人在童年时被强奸,四分之一的人在军队中被强奸,11%的人与女性发生性关系。有强奸史的女性一生SUD更高(64%对44%)。有女性作为性伴侣的女性在所有强奸措施中的比率都显着较高,并且终身物质使用障碍。在多变量模型中,军人强奸、性伴侣关系和当前抑郁与终生SUD显著相关(比值比分别为2.3、3.6、2.1)。许多女性退伍军人非常需要全面的心理健康服务。
The association of rape history and sexual partnership with alcohol and drug use consequences in women veterans is unknown. Midwestern women veterans (N = 1,004) completed a retrospective telephone interview assessing demographics, rape history, substance abuse and dependence, depression, and posttraumatic stress disorder (PTSD). One third met lifetime criteria for substance use disorder (SUD), half reported lifetime completed rape, a third childhood rape, one quarter in-military rape, 11% sex with women. Lifetime SUD was higher for women with rape history (64% vs. 44%). Women with women as sex partners had significantly higher rates of all measures of rape, and also lifetime substance use disorder. Postmilitary rape, sex partnership, and current depression were significantly associated with lifetime SUD in multivariate models (odds ratio = 2.3, 3.6, 2.1, respectively). Many women veterans have a high need for comprehensive mental health services.