Abstract
BACKGROUND: Epidemiologic description of long-term adverse health effects of childhood sexual abuse is lacking, despite estimates that perhaps 30 percent of adults have experienced sexual assault in childhood. METHODS: In an adult cohort enrolled to investigate causes of transmission of human immunodeficiency virus, we identified current behaviors affecting risk of infection that were associated with a history of early sexual abuse. One hundred and eighty-six individuals provided information on the occurrence of abuse and subsequent sexual and drug using activities. RESULTS: Approximately half of the women and one-fifth of the men reported a history of rape during childhood or adulthood. Twenty-eight percent of the women and 15 percent of the men recalled that they had been sexually assaulted during childhood. People who reported childhood rape compared with people who did not were four times more likely to be working as prostitutes (90 percent confidence interval = 2.0, 8.0). Women were nearly three times more likely to become pregnant before the age of 18 (90% CI = 1.6, 4.1). Men who reported a history of sexual abuse had a twofold increase in prevalence of HIV infection relative to unabused men (90% CI = 1.0, 3.9). CONCLUSIONS: The disturbing prevalence of early sexual abuse and its possible health-related consequences call for prompt and routine investigation of sexual abuse histories. Identification of sexual victimization may be an important component for management of risk factors for human immunodeficiency virus.
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Selected References
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- Baker A. W., Duncan S. P. Child sexual abuse: a study of prevalence in Great Britain. Child Abuse Negl. 1985;9(4):457–467. doi: 10.1016/0145-2134(85)90054-7. [DOI] [PubMed] [Google Scholar]
- Finkel K. C. Sexual abuse of children: an update. CMAJ. 1987 Feb 1;136(3):245–252. [PMC free article] [PubMed] [Google Scholar]
- Gellert G. A., Durfee M. J. HIV infection and child abuse. N Engl J Med. 1989 Sep 7;321(10):685–685. doi: 10.1056/nejm198909073211012. [DOI] [PubMed] [Google Scholar]
- Gellert G. A., Mascola L. Rape and AIDS. Pediatrics. 1989 Apr;83(4 Pt 2):644–645. [PubMed] [Google Scholar]
- Herman-Giddens M. E., Berson N. L. Harmful genital care practices in children. A type of child abuse. JAMA. 1989 Jan 27;261(4):577–579. [PubMed] [Google Scholar]
- Herman J., Russell D., Trocki K. Long-term effects of incestuous abuse in childhood. Am J Psychiatry. 1986 Oct;143(10):1293–1296. doi: 10.1176/ajp.143.10.1293. [DOI] [PubMed] [Google Scholar]
- James J., Meyerding J. Early sexual experience and prostitution. Am J Psychiatry. 1977 Dec;134(12):1381–1385. doi: 10.1176/ajp.134.12.1381. [DOI] [PubMed] [Google Scholar]
- Kempe C. H. Sexual abuse, another hidden pediatric problem: the 1977 C. Anderson Aldrich lecture. Pediatrics. 1978 Sep;62(3):382–389. [PubMed] [Google Scholar]
- Miettinen O. Estimability and estimation in case-referent studies. Am J Epidemiol. 1976 Feb;103(2):226–235. doi: 10.1093/oxfordjournals.aje.a112220. [DOI] [PubMed] [Google Scholar]
- Russell D. E. The incidence and prevalence of intrafamilial and extrafamilial sexual abuse of female children. Child Abuse Negl. 1983;7(2):133–146. doi: 10.1016/0145-2134(83)90065-0. [DOI] [PubMed] [Google Scholar]
- Wyatt G. E., Peters S. D. Issues in the definition of child sexual abuse in prevalence research. Child Abuse Negl. 1986;10(2):231–240. doi: 10.1016/0145-2134(86)90084-0. [DOI] [PubMed] [Google Scholar]
- Wyatt G. E. The sexual abuse of Afro-American and white-American women in childhood. Child Abuse Negl. 1985;9(4):507–519. doi: 10.1016/0145-2134(85)90060-2. [DOI] [PubMed] [Google Scholar]