Sexual victimization and hazardous drinking among heterosexual and sexual minority women
Sexual victimization and hazardous drinking among heterosexual and sexual minority women
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DOI：
10.1016/j.addbeh.2010.07.004
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发表时间：
2010-12-01
影响因子：
4.4
通讯作者：
Cho, Young
中科院分区：
文献类型：
--
作者：
Hughes, Tonda L.;Szalacha, Laura A.;Cho, Young
目的：尽管研究表明，性少数女性终生遭受性侵害的比例和危险饮酒的比例较高，但研究人员尚未探索这一人群中性侵害和危险饮酒之间的关系。此外，由于这些问题的发生率在性少数人群中可能有所不同，我们研究并比较了纯异性恋和性少数群体（主要是异性恋、双性恋、主要是女同性恋和纯女同性恋）女性的性受害和危险饮酒之间的关系。方法：收集来自全国妇女健康与生活经历研究的548名参与者和芝加哥妇女健康与生活经历研究的405名参与者的数据，以解决这些关系。我们比较了危险饮酒、儿童性虐待（CSA）、成人性侵犯（ASA）和再受害（CSA和ASA）在五个性别认同亚组中的情况。然后，我们拟合了一个多层次的一般线性模型来检验有害饮酒和性受害之间关系的群体差异，并测试有害饮酒的受害和身份之间的潜在相互作用。结果：与完全异性恋的女性相比，性少数女性报告了更高水平的危险饮酒、更高的性侵犯和性再受害率。在大多数异性恋和大多数女同性恋的女性中，再次受害是危险饮酒的最强预测因子。结论：本研究扩展了之前的研究，考察了异性恋和性少数群体女性的性受害与危险饮酒之间的关系，并探索了这些关系在性少数群体女性中的群体内变化。较高的终生性受害率和再受害率可能有助于解释性少数群体妇女危险饮酒的高风险。研究结果强调，需要进一步研究性别身份标签的含义，以更充分地了解性少数女性群体内风险的差异，以及性别身份如何影响对性受害的反应和解释。(C) 2010 Elsevier Ltd.版权所有。
Aims: Although research shows that sexual minority women report high rates of lifetime sexual victimization and high rates of hazardous drinking, investigators have yet to explore the relationships between sexual victimization and hazardous drinking in this population. In addition, because the rates of these problems may vary within the sexual minority population, we examined and compared relationships between sexual victimization and hazardous drinking in exclusively heterosexual and sexual minority (mostly heterosexual, bisexual, mostly lesbian and exclusively lesbian) women.Method: Data from 548 participants in the National Study of Health and Life Experiences of Women and 405 participants in the Chicago Health and Life Experiences of Women study were pooled to address these relationships. We compared hazardous drinking, childhood sexual abuse (CSA), adult sexual assault (ASA), and revictimization (both CSA and ASA) across the five sexual identity subgroups. We then fit a multilevel general linear model to examine group differences in the relationships between hazardous drinking and sexual victimization and to test for potential interactions between victimization and identity on hazardous drinking.Results: Sexual minority women reported higher levels of hazardous drinking and higher rates of CSA and sexual revictimization than did exclusively heterosexual women. Revictimization was the strongest predictor of hazardous drinking among women who identified as mostly heterosexual and mostly lesbian.Conclusions: This study extends previous research by examining associations between sexual victimization and hazardous drinking in heterosexual and sexual minority women and by exploring within-group variations in these associations among sexual minority women. Higher rates of lifetime sexual victimization and revictimization may help to explain sexual minority women's heightened risk for hazardous drinking. The findings highlight the need for additional research that examines the meanings of sexual identity labels to more fully understand differences in risk within groups of sexual minority women as well as how sexual identity may affect responses to and interpretations of sexual victimization. (C) 2010 Elsevier Ltd. All rights reserved.