Background

Adverse childhood experiences (ACEs) have been shown to be associated with adult physical, psychological, and socioeconomic well-being, indicative of poor health-related quality of life (HRQoL). However, the association between child sexual abuse (CSA) and adult HRQoL, independent of other ACEs, has been less well examined.

Objectives

To examine associations between self-reported CSA, including the nature of CSA, and adult HRQoL.

Participants

Data are from 10,624 respondents to CSA and HRQoL questions on the 2015 Texas Behavioral Risk Factor Surveillance System survey.

Methods

Analyses included chi square and t-tests to compare sociodemographic and HRQoL differences among those with and without history of CSA. Multivariable logistic regressions were used to evaluate associations between nature of CSA and HRQoL, controlling for covariates.

Results

The prevalence of self-reported CSA in the sample was 10.3%. Compared to the non-exposed group, individuals exposed to CSA were more likely to report their general health as poor (AOR, 1.51; 95% CI, 1.09–2.09), report 14 or more physical unhealthy days (AOR, 1.46; 95% CI, 1.06–2.02), 14 or more mental unhealthy days (AOR, 1.86; 95% CI, 1.30–2.64), and 14 or more activity limitation days (AOR, 2.22; 95% CI, 1.58–3.10) in a month. HRQoL outcomes were worse for respondents who reported being forced to have sex as a child compared with those who reported being touched or forced to touch someone.

Conclusions

Self-reported CSA is associated with lower HRQoL. The association varies by the nature of reported sexual abuse. Understanding the long-term impacts of CSA can inform adult treatment options and policies to prevent and treat CSA.

中文翻译：

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儿童性虐待和不良儿童经历对成人健康相关生活质量的影响

背景

不良童年经历 (ACE) 已被证明与成人的身体、心理和社会经济福祉有关，表明与健康相关的生活质量 (HRQoL) 较差。然而，独立于其他 ACE 的儿童性虐待 (CSA) 与成人 HRQoL 之间的关联尚未得到很好的研究。

目标

检查自我报告的 CSA（包括 CSA 的性质）与成人 HRQoL 之间的关联。

参与者

数据来自 2015 年德克萨斯州行为风险因素监测系统调查中 CSA 和 HRQoL 问题的 10,624 名受访者。

方法

分析包括卡方和t检验，以比较有和没有 CSA 病史的人的社会人口统计学和 HRQoL 差异。多变量逻辑回归用于评估 CSA 的性质和 HRQoL 之间的关联，控制协变量。

结果

样本中自我报告的 CSA 的患病率为 10.3%。与未暴露组相比，暴露于 CSA 的个体更有可能报告其总体健康状况不佳（AOR，1.51；95% CI，1.09-2.09），报告身体不健康天数为 14 天或更多（AOR，1.46；95%） CI, 1.06–2.02)、14 天或更多精神不健康天数 (AOR, 1.86; 95% CI, 1.30–2.64) 和 14 天或更多活动受限天数 (AOR, 2.22; 95% CI, 1.58–3.10) . 与报告被触摸或被迫触摸某人的受访者相比，报告在儿童时期被迫发生性行为的受访者的 HRQoL 结果更差。

结论

自我报告的 CSA 与较低的 HRQoL 相关。该关联因所报告的性虐待的性质而异。了解 CSA 的长期影响可以为成人治疗方案和预防和治疗 CSA 的政策提供信息。