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2014 ; 54
(4
): 442-8
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Pathway from child sexual and physical abuse to risky sex among emerging adults:
the role of trauma-related intrusions and alcohol problems
#MMPMID24268710
Walsh K
; Latzman NE
; Latzman RD
J Adolesc Health
2014[Apr]; 54
(4
): 442-8
PMID24268710
show ga
PURPOSE: Some evidence suggests that risk reduction programming for sexual risk
behaviors (SRB) has been minimally effective, which emphasized the need for
research on etiological and mechanistic factors that can be addressed in
prevention and intervention programming. Childhood sexual and physical abuse have
been linked with SRB among older adolescents and emerging adults; however,
pathways to SRB remain unclear. This study adds to the literature by testing a
model specifying that traumatic intrusions after early abuse may increase risk
for alcohol problems, which in turn may increase the likelihood of engaging in
various types of SRB. METHODS: Participants were 1,169 racially diverse college
students (72.9% female, 37.6% black/African-American, and 33.6% white) who
completed anonymous questionnaires assessing child abuse, traumatic intrusions,
alcohol problems, and sexual risk behavior. RESULTS: The hypothesized path model
specifying that traumatic intrusions and alcohol problems account for
associations between child abuse and several aspects of SRB was a good fit for
the data; however, for men, stronger associations emerged between physical abuse
and traumatic intrusions and between traumatic intrusions and alcohol problems,
whereas for women, alcohol problems were more strongly associated with intent to
engage in risky sex. CONCLUSIONS: Findings highlight the role of traumatic
intrusions and alcohol problems in explaining paths from childhood abuse to SRB
in emerging adulthood, and suggest that risk reduction programs may benefit from
an integrated focus on traumatic intrusions, alcohol problems, and SRB for
individuals with abuse experiences.