Sexual Assault History and Women's Reproductive and Sexual Health

Jacqueline M. Golding

119 citations0/0 files storedPsychology of Women Quarterly

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Sexual Assault and Victimization Studies Intimate Partner and Family Violence Child Abuse and Trauma

Abstract

Associations of sexual assault history with reproductive and sexual symptoms were evaluated in 3419 women randomly selected from two communities. Sexual assault was associated with excessive menstrual bleeding, genital burning, and painful intercourse (whether or not attributable to disease or injury), medically explained missing two menstrual periods, and medically unexplained dysmenorrhea, menstrual irregularity, and lack of sexual pleasure. Physically violent assaults and those committed by strangers were most strongly related to reproductive symptoms. Multiple assaults, assaults accomplished by persuasion, spouse assault, and completed intercourse were most strongly related to sexual symptoms. Assault was occasionally associated more strongly with reproductive symptoms among women with lower income or less education, possibly because of economic stress or differences in assault circumstances. Associations with unexplained menstrual irregularity were strongest among African American women; ethnic differences in reported circumstances of assault appeared to account for these differences. Assault was associated with sexual indifference only among Latinas.

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References

1981National Institute of Mental Health Diagnostic Interview Schedule 1985The traumatic impact of child sexual abuse: A conceptualization.1984The NIMH Epidemiologic Catchment Area Program 2013Obstetrics and Gynecology 1990Sexual and Physical Abuse in Women with Functional or Organic Gastrointestinal Disorders 1988Lasting Effects of Child Sexual Abuse 1987A Sourcebook on Child Sexual Abuse 1988Stranger and Acquaintance Rape: Are There Differences In the Victim's Experience?

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2005Sexual Abuse History: Prevalence, Health Effects, Mediators, and Psychological Treatment 2000Adult Sexual Revictimization among Black Women Sexually Abused in Childhood: A Prospective Examination of Serious Consequences of Abuse 2007Trauma and Posttraumatic Stress Disorder in Women With Chronic Pelvic Pain 2008The Sexual Well-Being of Women Who Have Experienced Child Sexual Abuse 2001Women's Sexual Health: The Need for Feminist Analyses in Public Health in the Decade of Behavior

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