Articlegreen2010

Child Maltreatment and Women’s Adult Sexual Risk Behavior: Childhood Sexual Abuse as a Unique Risk Factor

168 citations0/0 files storedChild Maltreatment

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Child Abuse and Trauma Sexual Assault and Victimization Studies Military, Security, and Education Studies

Abstract

This study investigated (a) whether childhood sexual abuse (CSA) was uniquely associated with adult sexual risk behavior, after controlling for other types of childhood maltreatment and (b) whether there were additive or interactive effects of different types of maltreatment on adult sexual risk behavior. Participants were 414 women (M age = 28 years) attending a publicly funded STD clinic. All women completed a computerized survey assessing childhood maltreatment (sexual, physical, psychological abuse, and neglect) and sexual risk behavior. Analyses showed that sexual abuse, physical abuse, psychological abuse, and neglect were associated with adult sexual risk behavior. Multivariate analyses that controlled for all other forms of child maltreatment showed that only CSA was uniquely associated with adult sexual risk behavior (i.e., percentage of episodes of unprotected sex in the past 3 months and number of lifetime partners). The authors found little support for an additive or an interactive model of the effects of different types of childhood maltreatment on adult sexual risk behavior; CSA alone was the best predictor of adult sexual risk behavior. Sexual risk reduction interventions are needed for women who were sexually abused as children. Continued research on the effects of multitype maltreatment on adult sexual risk behavior is needed.

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References

1993Impact of sexual abuse on children: A review and synthesis of recent empirical studies.1985The traumatic impact of child sexual abuse: A conceptualization.2003Relationship Between Multiple Forms of Childhood Maltreatment and Adult Mental Health in Community Respondents: Results From the Adverse Childhood Experiences Study 2000Adult Romantic Attachment: Theoretical Developments, Emerging Controversies, and Unanswered Questions 1982Sexually Victimized Children.2003The impact of adverse childhood experiences on health problems: evidence from four birth cohorts dating back to 1900 2010Attachment security and disorganization in maltreating and high-risk families: A series of meta-analyses 1980Sexually Victimized Children

Cited by

2020Healing Interpersonal and Racial Trauma: Integrating Racial Socialization Into Trauma-Focused Cognitive Behavioral Therapy for African American Youth 2016Gender differences in the association between childhood sexual abuse and risky sexual behaviours: A systematic review and meta-analysis 2013The Long-Term Effects of Child Sexual Abuse 2013Reported Physical and Sexual Abuse in Childhood and Adult HIV Risk Behaviour in Three African Countries: Findings from Project Accept (HPTN-043)

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