Skip to main content
Journal of the National Medical Association logoLink to Journal of the National Medical Association
. 1993 Aug;85(8):593–597.

The effects of child abuse and race on risk-taking in male adolescents.

J T Hernandez 1, M Lodico 1, R J DiClemente 1
PMCID: PMC2568096  PMID: 8371280

Abstract

This study explores the effects of abuse on the risk-taking behaviors of 2973 black and white adolescent males, 412 of whom were sexually or physically abused. Surveys on mental and physical health, risk-taking behaviors and attitudes, and family living were administered to 9th and 12th graders in an urban midwestern state. The surveys included questions on past history of sexual and physical abuse. More black than white males reported experiencing incest, extrafamilial sexual abuse, and physical abuse. As for outcome risk-taking behaviors, blacks were more likely to use illegal substances, run away, skip school, attempt suicide, force partners into sex, and commit violent acts; however, the racial effects decreased when abuse histories were taken into consideration. Whites were more likely to drink and drive, and to drink before having sex; abuse history did not decrease this racial effect. Abuse but not race was predictive of drinking and of having serious drinking problems. The results point to the importance of pediatricians, psychologists, and other healthcare workers, as well as those in the legal and criminal justice system screening for a history of abuse among adolescents who demonstrate these or other risk-taking behaviors.

Full text

PDF
593

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Briere J., Evans D., Runtz M., Wall T. Symptomatology in men who were molested as children: a comparison study. Am J Orthopsychiatry. 1988 Jul;58(3):457–461. doi: 10.1111/j.1939-0025.1988.tb01606.x. [DOI] [PubMed] [Google Scholar]
  2. Browne A., Finkelhor D. Impact of child sexual abuse: a review of the research. Psychol Bull. 1986 Jan;99(1):66–77. [PubMed] [Google Scholar]
  3. Burgess A. W., Hartman C. R., McCormack A. Abused to abuser: antecedents of socially deviant behaviors. Am J Psychiatry. 1987 Nov;144(11):1431–1436. doi: 10.1176/ajp.144.11.1431. [DOI] [PubMed] [Google Scholar]
  4. Finkelhor D., Hotaling G., Lewis I. A., Smith C. Sexual abuse in a national survey of adult men and women: prevalence, characteristics, and risk factors. Child Abuse Negl. 1990;14(1):19–28. doi: 10.1016/0145-2134(90)90077-7. [DOI] [PubMed] [Google Scholar]
  5. Friedrich W. N., Urquiza A. J., Beilke R. L. Behavior problems in sexually abused young children. J Pediatr Psychol. 1986 Mar;11(1):47–57. doi: 10.1093/jpepsy/11.1.47. [DOI] [PubMed] [Google Scholar]
  6. Fritz G. S., Wagner N. N. A comparison of males and females who were sexually molested as children. J Sex Marital Ther. 1981 Spring;7(1):54–59. doi: 10.1080/00926238108403440. [DOI] [PubMed] [Google Scholar]
  7. George C., Main M. Social interactions of young abused children: approach, avoidance, and aggression. Child Dev. 1979 Jun;50(2):306–318. [PubMed] [Google Scholar]
  8. Johnson R. L., Shrier D. K. Sexual victimization of boys. Experience at an adolescent medicine clinic. J Adolesc Health Care. 1985 Sep;6(5):372–376. doi: 10.1016/s0197-0070(85)80005-x. [DOI] [PubMed] [Google Scholar]
  9. Kinard E. M. Emotional development in physically abused children. Am J Orthopsychiatry. 1980 Oct;50(4):686–696. doi: 10.1111/j.1939-0025.1980.tb03332.x. [DOI] [PubMed] [Google Scholar]
  10. Nasjleti M. Suffering in silence: the male incest victim. Child Welfare. 1980 May;59(5):269–275. [PubMed] [Google Scholar]
  11. Powers J. L., Eckenrode J., Jaklitsch B. Maltreatment among runaway and homeless youth. Child Abuse Negl. 1990;14(1):87–98. doi: 10.1016/0145-2134(90)90084-7. [DOI] [PubMed] [Google Scholar]
  12. Reinhart M. A. Sexually abused boys. Child Abuse Negl. 1987;11(2):229–235. doi: 10.1016/0145-2134(87)90062-7. [DOI] [PubMed] [Google Scholar]
  13. Russell D. E. The prevalence and seriousness of incestuous abuse: stepfathers vs. biological fathers. Child Abuse Negl. 1984;8(1):15–22. doi: 10.1016/0145-2134(84)90045-0. [DOI] [PubMed] [Google Scholar]
  14. Summit R. C. The child sexual abuse accommodation syndrome. Child Abuse Negl. 1983;7(2):177–193. doi: 10.1016/0145-2134(83)90070-4. [DOI] [PubMed] [Google Scholar]
  15. Wilbur C. B. Multiple personality and child abuse. An overview. Psychiatr Clin North Am. 1984 Mar;7(1):3–7. [PubMed] [Google Scholar]
  16. Zierler S., Feingold L., Laufer D., Velentgas P., Kantrowitz-Gordon I., Mayer K. Adult survivors of childhood sexual abuse and subsequent risk of HIV infection. Am J Public Health. 1991 May;81(5):572–575. doi: 10.2105/ajph.81.5.572. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Journal of the National Medical Association are provided here courtesy of National Medical Association

RESOURCES