Seventy seven percent of women who endorsed CPA via trauma checklist (physical assault or physical abuse) items also endorsed CPA behavioral questions. However, only 25% of those who endorsed behaviorally worded questions about CPA also endorsed physical abuse or assault (during the same age range) on the trauma checklist items. AA women had higher CPA endorsement rates regardless of question type, and racial differences in CPA endorsement pattern were observed. Analyses also revealed racial distinctions in the contribution of CPA – behaviorally only or both behaviorally and checklist endorsed – to risk for AUD, with risk conferred by CPA only in EA women. These findings generally support previous research investigating CSA endorsement patterns and our hypotheses and point to a) inconsistencies in CPA reporting across behavioral and trauma checklist question types and race, b) the impact of CPA experiences on risk for AUD, and c) distinct etiological models of risk for AUD for EA and AA women. Findings point to including behavioral assessment of CPA in future investigations to capture the most CPA exposure and highest conferred risk for AUD, particularly in EA women.
