Sexually Transmitted Diseases Among Adults Who Had Been Abused and Neglected as Children:A 30-Year Prospective Study

Helen W. Wilson · Cathy Spatz Widom

76 citations0/0 files storedAmerican Journal of Public Health

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Child Abuse and Trauma Intimate Partner and Family Violence Adolescent Sexual and Reproductive Health

Abstract

OBJECTIVES: We examined associations between childhood abuse and neglect and the risk in adulthood for sexually transmitted diseases. METHODS: In a prospective cohort design, we matched children aged 0 to 11 years with documented cases of abuse or neglect during 1967 to 1971 with a control group of children who had not been maltreated (754 participants in all) and followed them into adulthood. Information about lifetime history of sexually transmitted diseases was collected as part of a medical status examination when participants were approximately 41 years old. RESULTS: Childhood sexual abuse increased risk for any sexually transmitted disease (odds ratio [OR] = 1.94; 95% confidence interval [CI] = 1.00, 3.77; P = .05) and more than 1 type of sexually transmitted disease (OR = 3.33; 95% CI = 1.33, 8.22; P = .01). Physical abuse increased risk for more than 1 type of sexually transmitted disease (OR = 3.61; 95% CI = 1.39, 9.38; P = .009). CONCLUSIONS: Our results provided the first prospective evidence that child physical and sexual abuse increases risk for sexually transmitted diseases. Early screening and interventions are needed to identify and prevent sexually transmitted diseases among child abuse victims.

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References

1989The Cycle of Violence 2001A Meta-Analysis of the Published Research on the Effects of Child Sexual Abuse 2003The impact of adverse childhood experiences on health problems: evidence from four birth cohorts dating back to 1900 1999Adult health status of women with histories of childhood abuse and neglect 1999Racial/Ethnic Group Differences in the Prevalence of Sexually Transmitted Diseases in the United States: A Network Explanation 1989Child abuse, neglect, and adult behavior: Research design and findings on criminality, violence, and child abuse.2003Methodological challenges in research on sexual risk behavior: II. Accuracy of self-reports 1997Childhood sexual abuse, adolescent sexual behaviors and sexual revictimization

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2010Childhood Abuse and Neglect and the Risk of STDs In Early Adulthood 2017Pilot Test of an Integrated Sexual Risk Reduction Intervention for Women with a History of Childhood Sexual Abuse

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