The Emergence of Sexual Risk Among Sexually Abused Adolescent Females

遭受性虐待的青春期女性中性风险的出现

基本信息

  • 批准号:
    8064302
  • 负责人:
  • 金额:
    $ 12.4万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2010
  • 资助国家:
    美国
  • 起止时间:
    2010-05-01 至 2015-04-30
  • 项目状态:
    已结题

项目摘要

DESCRIPTION (provided by applicant): There is a pressing need to understand how child sexual abuse (CSA) affects adolescent females' sexual risk behavior. Adolescent females have disproportionately high rates of sexually transmitted infections, largely due to heterosexual contact (CDC, 2008). CSA females are especially vulnerable, as they tend to initiate sex at early ages, engage in higher rates of sexual risk behavior, and benefit less from traditional risk reduction efforts than their non-abused peers (Senn et al., 2008; Greenberg, 2001). Although the sexual risks associated with CSA begin in adolescence, little is known about the early sexual development of CSA youth or the mechanisms by which CSA confers heightened risk. This K01 Career Development Award proposes a plan of training and mentored research experiences that will lay the foundation for an independent program of developmentally-informed prospective research directed at articulating mechanisms of sexual risk among CSA youth. Training will be acquired in (1) sexual risk and risk-reduction; (2) methods and issues in conducting prospective longitudinal research with CSA youth; (3) physiological assessment of affect regulation; and (4) advanced longitudinal data analytic techniques. Training will occur in a resource-rich environment that encourages innovative and collaborative research. Training is also integrated into the research plan, which includes two studies that seek to identify CSA-specific pathways to emergent sexual risk. Study 1 examines longitudinal associations between psychopathology (PTSD and externalizing problems), physiological regulation of trauma-related affect, and sexual risk behavior using extant data from a long-term prospective study of CSA. Study 2 entails a new prospective data collection to examine trajectories of sexual risk during early adolescence and test two potential risk mechanisms: (1) traumatic sexualization TS), the process by which CSA distorts cognitive and affective orientations towards sexuality, and (2) psychopathology (PTSD and externalizing problems. TS is conceptualized in terms of cognitive and affective distortions that are manifest in youths' subjective and physiological experiences. Participants will include 120 sexually abused and non- abused young adolescent females between the ages of 11-14 years who will be followed over an 18-month period. TS and PTSD are expected to play a unique role in the emergence of sexual risk among CSA youth. Externalizing behavior problems are expected to predict sexual risk among non-abused youth. The proposed work will increase our knowledge of the factors that increase sexual among CSA youth risk so that more effective risk reduction programs can be developed for this highly vulnerable population. Results will inform the development of an R01 proposal for a longer-term, more comprehensive study of the role that traumatic sexualization plays in sexual health within casual and romantic relationships. PUBLIC HEALTH RELEVANCE: Existing sexual risk reduction programs are less effective for sexually abused youth, and the reasons for this are unclear. This is particularly concerning because sexually abused youth are at heightened risk for sexual health problems beginning in early adolescence. The proposed work will increase our knowledge of the factors that increase sexually abused youths' sexual risk so that more effective risk reduction programs can be developed for this highly vulnerable population.
描述(由申请人提供):迫切需要了解儿童性虐待(CSA)如何影响青春期女性的性危险行为。青春期女性的性传播感染率高得不成比例,主要是由于异性接触(CDC,2008)。与未受虐待的同龄人相比,CSA女性尤其脆弱,因为她们倾向于在很小的时候就开始性行为,从事更高的性风险行为,并且从传统的减少风险努力中受益更少(Senn等人,2008年;Greenberg,2001年)。虽然与CsA相关的性风险始于青春期,但对CsA青年的早期性发育或CsA增加风险的机制知之甚少。K01职业发展奖提出了一项培训和指导研究经验的计划,这将为一个独立的发展知情前瞻性研究计划奠定基础,该计划旨在阐明CSA青年性风险的机制。培训内容包括:(1)性风险和减少风险;(2)对CSA青年进行前瞻性纵向研究的方法和问题;(3)情感调节的生理评估;(4)先进的纵向数据分析技术。培训将在资源丰富的环境中进行,鼓励创新和协作研究。培训也被纳入研究计划,其中包括两项研究,试图确定CsA特定的途径来突发性风险。研究1利用CSA长期前瞻性研究的现有数据,检验了精神病理学(创伤后应激障碍和外化问题)、创伤相关情感的生理调节和性危险行为之间的纵向联系。研究2需要一项新的前瞻性数据收集,以检验性风险在青春期早期的轨迹,并测试两种潜在的风险机制:(1)创伤性性化(TS),即CSA扭曲对性的认知和情感定向的过程,以及(2)精神病理学(PTSD和外在问题)。TS是根据青少年的主观和生理经验中表现出来的认知和情感扭曲来概念化的。参与者将包括120名年龄在11-14岁之间的性虐待和未受虐待的年轻少女,她们将接受为期18个月的跟踪调查。TS和PTSD有望在CSA青年性风险的出现中发挥独特的作用。外在的行为问题有望预测未受虐待的青少年的性风险。拟议的工作将增加我们对CSA青少年风险中增加性行为的因素的了解,以便为这一高度脆弱的人群制定更有效的降低风险计划。结果将为R01提案的制定提供信息,该提案旨在更长期、更全面地研究创伤性性行为在随意和浪漫关系中的性健康中所起的作用。 公共卫生相关性:现行性风险降低计划对于性虐待的青少年效果较差,其原因尚不清楚。这一点特别令人担忧,因为从青春期早期开始,遭受性虐待的青少年出现性健康问题的风险更高。拟议的工作将增加我们对增高性虐待青少年性风险的因素的了解,以便为这一高度脆弱的人群制定更有效的减少风险计划。

项目成果

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VALERIE A SIMON其他文献

VALERIE A SIMON的其他文献

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{{ truncateString('VALERIE A SIMON', 18)}}的其他基金

The Emergence of Sexual Risk Among Sexually Abused Adolescent Females
遭受性虐待的青春期女性中性风险的出现
  • 批准号:
    7841213
  • 财政年份:
    2010
  • 资助金额:
    $ 12.4万
  • 项目类别:
The Emergence of Sexual Risk Among Sexually Abused Adolescent Females
遭受性虐待的青春期女性中性风险的出现
  • 批准号:
    8268320
  • 财政年份:
    2010
  • 资助金额:
    $ 12.4万
  • 项目类别:
The Emergence of Sexual Risk Among Sexually Abused Adolescent Females
遭受性虐待的青春期女性中性风险的出现
  • 批准号:
    8464573
  • 财政年份:
    2010
  • 资助金额:
    $ 12.4万
  • 项目类别:
Cognitions about Sexual Abuse and Youths' Mental Health
对性虐待与青少年心理健康的认知
  • 批准号:
    7096163
  • 财政年份:
    2006
  • 资助金额:
    $ 12.4万
  • 项目类别:
Cognitions about Sexual Abuse and Youths' Mental Health
对性虐待与青少年心理健康的认知
  • 批准号:
    7228464
  • 财政年份:
    2006
  • 资助金额:
    $ 12.4万
  • 项目类别:
ADOLESCENT ROMANTIC RELATIONSHIPS
青少年的浪漫关系
  • 批准号:
    2716955
  • 财政年份:
    1998
  • 资助金额:
    $ 12.4万
  • 项目类别:

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