Approximately half of child sexual abuse (CSA) victims report sexual revictimization later in life; however, there is limited rigorous evidence concerning factors contributing to sexual and nonsexual forms of revictimization. This article investigates the relationships between CSA and a range of revictimization experiences. It also examines the role of other individual-level factors (demographics, CSA characteristics, psychiatric disorders) in the risk of revictimization. The study compares data from a prospective-longitudinal study of 2,759 Australian children (<17 years old) alleged to have experienced contact-CSA between 1964 and 1995, and a comparison group matched on sex and age. In each case, CSA was deemed likely to have occurred according to expert forensic medical opinion. Abused children and comparisons were followed to age 35 years on average, and their lifetime official crime victimization histories and public mental health service records were extracted from statewide population-level administrative databases. Relative to comparisons, CSA victims experienced significantly higher rates of revictimization, with marked elevations in odds for interpersonal revictimization (i.e., sexual assault, physical assault, threats of violence, and stalking). The CSA-physical assault relationship was moderated by sex, with a stronger association for female victims. Among CSA victims, victim sex, age at index abuse, and several psychiatric diagnostic categories were independently associated with revictimization risk, with different patterns of vulnerability emerging depending on the nature of revictimization. Overall, CSA victims are vulnerable to a range of revictimization experiences later in life. Findings have implications for the identification of particular groups of sexually abused children at heightened risk for revictimization and the role mental health services may play in mitigating risk.

中文翻译：

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儿童性虐待和再受害风险：儿童人口统计、性虐待特征和精神疾病的影响。

大约一半的儿童性虐待 (CSA) 受害者报告说在以后的生活中再次受到性侵害；然而，关于导致性和非性形式再次受害的因素的严格证据有限。本文研究了 CSA 与一系列再受害经历之间的关系。它还检查了其他个人层面因素（人口统计学、CSA 特征、精神疾病）在再次受害风险中的作用。该研究比较了一项前瞻性纵向研究的数据，该研究涉及 2,759 名据称在 1964 年至 1995 年间经历过接触性 CSA 的澳大利亚儿童（<17 岁），以及一个性别和年龄匹配的对照组。在每种情况下，根据法医专家的意见，CSA 都被认为可能发生了。受虐待儿童和比较平均年龄为 35 岁，他们一生的官方犯罪受害历史和公共心理健康服务记录是从全州人口级行政数据库中提取的。与比较相比，CSA 受害者的再受害率明显更高，人际再受害（即性侵犯、身体攻击、暴力威胁和跟踪）的几率显着升高。CSA 与身体攻击的关系受性别影响，女性受害者的关联性更强。在 CSA 受害者中，受害者性别、指标滥用年龄和几个精神病学诊断类别与再受害风险独立相关，根据再受害的性质出现不同的脆弱性模式。总体，CSA 受害者在以后的生活中很容易受到一系列再受害经历的影响。调查结果对识别特定的性虐待儿童群体具有较高的再次受害风险以及心理健康服务在减轻风险方面可能发挥的作用具有重要意义。