TEEN PREGNANCY AND SEXUAL ABUSE - EXPLORING THE CONNECTION
TEEN PREGNANCY AND SEXUAL ABUSE - EXPLORING THE CONNECTION
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DOI：
10.1080/00377318909517360
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发表时间：
1989-06-01
影响因子：
1
通讯作者：
ANASTAS, JW
中科院分区：
文献类型：
--
作者：
DONALDSON, PE;WHALEN, MH;ANASTAS, JW
目前的统计数字表明，十分之一的女孩在20岁之前怀孕（Foster，1988年），多达四分之一的女孩在成年之前受到性虐待（Finkelhor，1979年;赫尔曼和Hirschman，1981年; Russell，1984年）。鉴于这些统计数据，毫无疑问，有些年轻妇女既是少女母亲，又在儿童时期受到性虐待。然而，在青少年怀孕或性虐待文献中几乎没有提及遭受性虐待的怀孕青少年，尽管很明显，任何一个问题的存在都会使与另一个问题的合作变得复杂。青少年怀孕和性虐待同时发生的情况有多常见？我们对最近一年在一家地区产前诊所分娩的142名青少年的医疗记录进行了审查。他们的社会历史显示，诊所社会工作者采访的青少年中有10.6%提到他们曾经或正在遭受性虐待，最常见的是家庭成员。由于在初次遇到陌生人时不太可能透露（Gelinas，1983年），因此这一数字很可能低估了虐待的普遍程度。虽然怀孕可能直接来自乱伦的性接触，但在怀孕的青少年中发现过去的性虐待可能比现在的性虐待更常见。本文的前提是，有关少女怀孕的知识必须纳入对妇女受害的脆弱性的理解。也有人认为，怀孕可能对青少年的生活既有适应性功能，也有适应不良功能（布赫霍尔茨和戈尔，1986年;斯蒂夫曼、厄尔、罗宾斯、荣格和库尔博克，1986年;怀特-斯图尔特，1981年）。为了研究少女怀孕和性虐待之间的联系，本文将回顾一些最近的文献性虐待对女孩和妇女的影响，少女怀孕和养育子女。它还将讨论这两个问题可能相互联系的方式，并提出共同考虑这些问题对研究和实践的一些影响。
Current statistics indicate that one in ten girls becomes pregnant before age 20 (Foster, 1988) and that as many as one in four girls is sexually abused before reaching adulthood (Finkelhor, 1979; Herman & Hirschman, 1981; Russell, 1984). Given these statistics, there are undoubtedly young women who are both teen mothers and were sexually abused as children. However, there is virtually no mention in either the adolescent pregnancy or the sexual abuse literature of pregnant teens who have been sexually abused even though it seems clear that the presence of either problem would complicate working with the other. How common is the joint occurrence of teen pregnancy and sexual abuse? We conducted a review of the medical records of 142 teens seen at an area prenatal clinic who gave birth in a recent year. Their social histories revealed that 10.6% of the teens interviewed by the clinic social worker mentioned that they had been or were being sexually abused, most commonly by a family member. Since disclosure is unlikely during an initial encounter with a stranger (Gelinas, 1983), this figure most likely underestimates the prevalence of abuse. While a pregnancy may result directly from an incestuous sexual encounter, it is probably more common to find past than present sexual abuse among pregnant teens. The premise of this paper is that knowledge about teen pregnancy must incorporate an understanding of women's vulnerabilities to victimization. It is also assumed that a pregnancy may have both adaptive and/or maladaptive functions in the life of a teen (Buchholz & Gol, 1986; Stiffman, Earls, Robins, Jung &Kulbok, 1986; White-Stewart, 1981). In order to examine the link between teen pregnancy and sexual abuse, the paper will review some of the recent literature on the effects of sexual abuse on girls and women and on teen pregnancy and parenting. It will also discuss the ways in which the two problems may become connected and suggest some implications for research and practice that flow from considering these issues together.