Sexual and physical abuse history and adult sexual risk behaviors: Relationships among women and potential mediators

被引:38
作者
Littleton, Heather [1 ]
Breitkopf, Carmen Radecki [1 ]
Berenson, Abbey [1 ]
机构
[1] Univ Texas, Med Branch, Dept Obstet & Gynecol, Ctr Interdisciplinary Res Womens, Galveston, TX 77555 USA
关键词
child abuse; rape; domestic violence; sexual risk behavior; sexual assault;
D O I
10.1016/j.chiabu.2006.12.015
中图分类号
D669 [社会生活与社会问题]; C913 [社会生活与社会问题];
学科分类号
1204 ;
摘要
Objective: While research has supported associations between experiencing abuse and engaging in risky sexual behaviors during adolescence, research regarding these associations among adult women is much more equivocal. In addition, few studies have attempted to identify potential pathways from abuse experiences to sexual risk behaviors. The current study examined the associations between a history of physical or sexual abuse and recent sexual risk behaviors among adult women. Additionally, this study evaluated binge drinking and depressive symptomatology as potential mediators of any relationships between abuse history and sexual risk behaviors. Methods: A total of 1,428 women between 18 and 40 years of age attending family planning clinic appointments completed a self-report survey regarding their recent sexual behaviors and sexual and physical abuse history. Logistic regressions using backward elimination were conducted to identify factors associated with sexual risk behavior. Results: A history of physical abuse by a romantic partner was associated with several sexual risk behaviors. Few significant associations between intrafamilial physical or sexual abuse and recent sexual risk behaviors were found. Additionally, there was no evidence that these relationships were mediated by binge drinking or depressive symptomatology. Conclusions: Familial abuse experiences are not necessarily associated with recent sexual risk behaviors among adults. In contrast, physical abuse experiences, particularly those perpetrated by a romantic partner, are associated with engaging in adult sexual risk behaviors among women. However, these associations are not mediated by alcohol use or depressive symptomatology. (C) 2007 Elsevier Ltd. All rights reserved.
引用
收藏
页码:757 / 768
页数:12
相关论文
共 34 条
[1]   THE MODERATOR MEDIATOR VARIABLE DISTINCTION IN SOCIAL PSYCHOLOGICAL-RESEARCH - CONCEPTUAL, STRATEGIC, AND STATISTICAL CONSIDERATIONS [J].
BARON, RM ;
KENNY, DA .
JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY, 1986, 51 (06) :1173-1182
[2]   SCREENING DEPRESSED PATIENTS IN FAMILY PRACTICE - RAPID TECHNIQUE [J].
BECK, AT ;
BECK, RW .
POSTGRADUATE MEDICINE, 1972, 52 (06) :81-&
[3]   Relationship of Beck Depression Inventory factors to depression among adolescents [J].
Bennett, DS ;
Ambrosini, PJ ;
Bianchi, M ;
Barnett, D ;
Metz, C ;
Rabinovich, H .
JOURNAL OF AFFECTIVE DISORDERS, 1997, 45 (03) :127-134
[4]   Reproductive correlates of depressive symptoms among low-income minority women [J].
Berenson, AB ;
Breitkopf, CR ;
Wu, ZH .
OBSTETRICS AND GYNECOLOGY, 2003, 102 (06) :1310-1317
[5]  
Cinq-Mars Caroline, 2003, J Child Sex Abus, V12, P1
[6]   Domestic violence and childhood sexual abuse in HIV-infected women and women at risk for HIV [J].
Cohen, M ;
Deamant, C ;
Barkan, S ;
Richardson, J ;
Young, M ;
Holman, S ;
Anastos, K ;
Cohen, J ;
Melnick, S .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2000, 90 (04) :560-565
[7]   Childhood sexual abuse, adolescent sexual behaviors and sexual revictimization [J].
Fergusson, DM ;
Horwood, LJ ;
Lynskey, MT .
CHILD ABUSE & NEGLECT, 1997, 21 (08) :789-803
[8]   A model for handling missing items on two depression rating scales [J].
Gale, T ;
Hawley, C .
INTERNATIONAL CLINICAL PSYCHOPHARMACOLOGY, 2001, 16 (04) :205-214
[9]   PROSPECTIVE ANALYSIS OF THE RELATIONSHIPS AMONG SEXUAL ASSAULT EXPERIENCES - AN EXTENSION OF PREVIOUS FINDINGS [J].
GIDYCZ, CA ;
HANSON, K ;
LAYMAN, MJ .
PSYCHOLOGY OF WOMEN QUARTERLY, 1995, 19 (01) :5-29
[10]   Childhood abuse as a risk for partner abuse among women in methadone maintenance [J].
Gilbert, L ;
ElBassel, N ;
Schilling, RF ;
Friedman, E .
AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE, 1997, 23 (04) :581-595