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10.1016/j.jadohealth.2013.09.020

http://scihub22266oqcxt.onion/10.1016/j.jadohealth.2013.09.020
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suck abstract from ncbi


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pmid24268710      J+Adolesc+Health 2014 ; 54 (4): 442-8
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  • 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 PMID24268710show ga
  • Purpose: Some evidence suggests that risk reduction programming for sexual risk behaviors (SRB) has been minimally effective, emphasizing a 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 following 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 1169 racially-diverse college students (72.9% female; 37.6% Black/African-American; 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, while 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. Implications and Contribution: This study provides support for a pathway from childhood abuse to risky sexual behavior in emerging adulthood that operates through traumatic intrusions and alcohol problems. Risk reduction programs that employ an integrated focus on traumatic intrusions, alcohol problems, and risky sexual behavior may be more effective for individuals with abuse histories.
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