Participants were, on average, Statistical analyses Analyses of variance ANOVAs were used to determine whether the four categories of sexual abuse no sexual abuse; sexual abuse without force or penetration; sexual abuse with penetration; and sexual abuse with both force and penetration were associated with later risky sexual behavior. Baseline data were available from eligible participants. Furthermore, effects may have been obscured if studies with less restrictive definitions of sexual abuse included a large number of participants who had exper- ienced more severe i. All procedures were approved by the IRBs of the participating institutions. Participants were asked to report: The frequency of unprotected sex was also investigated. Unless otherwise stated, analyses associated with these variables used the log transformation. Abstract Childhood and adolescent sexual abuse has been associated with subsequent adult sexual risk behavior, but the effects of force and type of sexual abuse on sexual behavior outcomes have been less well-studied.
Participants who reported a sexual experience before age 17 involving force or coercion were considered to have experienced sexual abuse with force. The RA explained the study to patients who met eligibility criteria and obtained informed consent. Because women in heterosexual relationships often have less control or power over sexual encounters compared to men see the Theory of Gender and Power, Connell, , for an explanation of the power imbalance between men and women , it is important to study gender in relation to sexual health behaviors. If there was a significant overall effect of sexual abuse, Tukey tests were conducted to determine specifically which groups differed. Vanable Find articles by Peter A. In sum, evidence from a small number of studies suggests that force and penetration may be associated with adult sexual risk behavior. Sexually abused participants who reported any oral, vaginal, or anal sex were considered to have experienced sexual abuse with penetration. Continuous outcome variables that were not normally distributed i. Participants then completed a minute, Audio Computer-Assisted Self-Interview ACASI that included measures of demographic characteristics, health behaviors and beliefs, and psychosocial functioning, as well as questions about childhood sexual experiences and current sexual behavior. Indeed, the limited research on this topic suggests that the association between sexual abuse and adult sexual behavior differs by gender e. Few studies have investigated the effects of the interaction of gender and abuse characteristic on later sexual behavior. Thus, more severe sexual abuse e. Needed is more fine-grained research to determine whether characteristics of the abuse experience e. The primary purpose of this study was to determine whether use of force and type of sexual act was associated with sexual risk behavior in a group of patients receiving outpatient care from a sexually transmitted disease STD clinic. Although these studies suggest that more severe sexual abuse is associated with more sexual risk behavior, they provide only limited information regarding whether specific aspects of the abuse predict such outcomes. Demographic variables that differed between groups were controlled for in these analyses. The frequency of unprotected sex was also investigated. Fergusson, Horwood, and Lynskey found that, compared to participants reporting no sexual abuse, those who experienced non-penetrative sexual abuse reported higher rates of unprotected sex. Participants were, on average, Research also suggests that the greater the severity of the sexual abuse, the worse the health outcomes. Patients attending an STD clinic completed a computerized survey that assessed history of sexual abuse as well as lifetime and current sexual behavior. Participants were asked to report the number of times in the past 3 months that they had vaginal and anal sex with and without a condom with their: Two studies have examined the association between sexual abuse with force and later sexual risk behavior. A single, four level categorical variable was created to examine the impact of different abuse characteristics on sexual risk behavior: Exploratory analyses were conducted to investigate whether gender moderated the relations between the sexual abuse characteristics and later sexual behavior. ANOVAs were conducted including demographic covariates, a main effect of abuse, and the interaction of abuse and gender. Abstract Childhood and adolescent sexual abuse has been associated with subsequent adult sexual risk behavior, but the effects of force and type of sexual abuse on sexual behavior outcomes have been less well-studied.
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