Childhood sexual abuse, adolescent sexual behaviors and sexual revictimization.
- Authors
- Fergusson, D M; Horwood, L J; Lynskey, M T
- Year
- 1997
- Journal
- Child abuse & neglect
- PMID
- 9280383
- DOI
- 10.1016/s0145-2134(97)00039-2
OBJECTIVE: The aims of this study were to examine the extent to which exposure to childhood sexual abuse (CSA) was associated with increased rates of sexual risk taking behaviors and sexual revictimization during adolescence. METHOD: A birth cohort of 520 New Zealand born young women was studied at regular intervals from birth to the age of 18. At age 18 retrospective reports of CSA were obtained from sample members. Over the course of the 18 year study information was gathered on: (a) childhood, family, and related circumstances; and (b) the young women's history of sexual experiences from 14 to 18 years. RESULTS: Young women reporting CSA, and particularly severe CSA involving intercourse, had significantly higher rates of early onset consensual sexual activity, teenage pregnancy, multiple sexual partners, unprotected intercourse, sexually transmitted disease, and sexual assault after the age of 16. Logistic regression analyses suggested that the associations between CSA and sexual outcomes in adolescence arose by two routes. First, exposure to CSA was associated with a series of childhood and family factors including social disadvantage, family instability, impaired parent child relationships, and parental adjustment difficulties that were also associated with increased sexual vulnerability in adolescence. Second, there appeared to be a causal chain relationship between CSA and sexual experiences in which CSA was associated with early onset sexual activity which, in turn, led to heightened risks of other adverse outcomes in adolescence. CONCLUSIONS: The findings of this study suggest that those exposed to CSA have greater sexual vulnerability during adolescence. This appears to arise because: (a) the childhood and family factors that are associated with CSA are also associated with increased sexual risks during adolescence; and (b) exposure to CSA may encourage early onset sexual activity which places those exposed to CSA at greater sexual risk over the period of adolescence.
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| A critical appraisal of the 1998 meta-analytic review of child sexual abuse outcomes reported by rind, tromovitch, and bauserman. | Whittenburg JA et al. | β | 2000 | β |
| Adult sexual revictimization among black women sexually abused in childhood: a prospective examination of serious consequences of abuse. | West CM et al. | β | 2000 | β |
| An ecological approach to understanding sexual revictimization: linking personal, interpersonal, and sociocultural factors and processes. | Grauerholz L | β | 2000 | β |
| Childhood sexual abuse and dating experiences of undergraduate women. | Banyard VL et al. | β | 2000 | β |
| From child victim to adult victim: a model for predicting sexual revictimization. | Arata CM | β | 2000 | β |
| Health educators and child maltreatment: a curious silence. | Sechrist W | β | 2000 | β |
| Prevalence and characteristics of sexual abuse in a national sample of Swedish seventeen-year-old boys and girls. | Edgardh K et al. | β | 2000 | β |
| Sexual abuse during childhood and adolescence among Nicaraguan men and women: a population-based anonymous survey. | Olsson A et al. | β | 2000 | β |
| Sexual violence and reproductive health. | McMahon PM et al. | β | 2000 | β |
| The Real Controversy About Child Sexual Abuse ResearchContradictory Findings and Critical Issues Not Addressed by Rind, Tromovitch, and Bauserman in Their 1998 Outcomes Meta-Analysis. | Tice PP et al. | β | 2000 | β |
| The relationship between sexual abuse and sexual risk among high school students: findings from the 1997 Massachusetts Youth Risk Behavior Survey. | Raj A et al. | β | 2000 | β |
| Childhood sexual abuse and revictimization in adolescence. | KrahΓ© B et al. | β | 1999 | β |
| Child sexual abuse as a public health issue: recommendations of an expert panel. | McMahon PM et al. | β | 1999 | β |
| The sexual revictimization of women and men sexually abused as children: a review of the literature. | Muehlenhard CL et al. | β | 1998 | β |
| Working with childhood sexual abuse survivors during pregnancy, labor, and birth. | Heritage C | β | 1998 | β |