Child Abuse and Neglect, 29(11), November 2005, pp.1265-1279.
Publisher:
Elsevier
There were two aims: first, to examine the relationship between prior sexual abuse and three types of adult risky sexual behaviours [(1) ever traded sex for drugs or money, (2) had unprotected sex in the past 6 months, and (3) frequency of unprotected sex in the past 6 months among persons with severe mental illness (SMI), and second, to examine the potential mediating effects of adult rape, substance use, and PTSD. Using a pooled sample of individuals with SMI (N = 609), logistic and negative binomial regression analyses were used to investigate the impact of prior sexual abuse on these adult risky sexual behaviours. Childhood sexual abuse was associated with having ever traded sex for money and having engaged in unprotected sex in the past 6 months. However, childhood sexual abuse was inversely associated with the number of times males had unprotected sex in the past 6 months. Results differed between males and females and the impact of potential mediators also varied by gender and type of outcome studied. These findings suggest a complex link between childhood sexual abuse and adult risky sexual behaviours in persons with SMI. Clinical assessments of child abuse sequelae should include a variety of indicators and parameters of adult risky sexual behavior, as persons with SMI are at an increased risk of engaging in high-risk sexual behaviors and tend to have a higher exposure to childhood sexual abuse than does the general population.
There were two aims: first, to examine the relationship between prior sexual abuse and three types of adult risky sexual behaviours [(1) ever traded sex for drugs or money, (2) had unprotected sex in the past 6 months, and (3) frequency of unprotected sex in the past 6 months among persons with severe mental illness (SMI), and second, to examine the potential mediating effects of adult rape, substance use, and PTSD. Using a pooled sample of individuals with SMI (N = 609), logistic and negative binomial regression analyses were used to investigate the impact of prior sexual abuse on these adult risky sexual behaviours. Childhood sexual abuse was associated with having ever traded sex for money and having engaged in unprotected sex in the past 6 months. However, childhood sexual abuse was inversely associated with the number of times males had unprotected sex in the past 6 months. Results differed between males and females and the impact of potential mediators also varied by gender and type of outcome studied. These findings suggest a complex link between childhood sexual abuse and adult risky sexual behaviours in persons with SMI. Clinical assessments of child abuse sequelae should include a variety of indicators and parameters of adult risky sexual behavior, as persons with SMI are at an increased risk of engaging in high-risk sexual behaviors and tend to have a higher exposure to childhood sexual abuse than does the general population.
Subject terms:
mental health problems, prostitution, risk, survivors, behaviour, child sexual abuse, drug misuse;
The authors examine associations between childhood sexual abuse (CSA) and substance abuse, the role of mental health indicators as mediators in these associations and whether or not associations differ by gender. Data are from 14,063 respondents aged 18–76 years from the 2004–2005 Canadian Gender, Alcohol, and Culture: An International Study (GENACIS). Multiple logistic regression models were used to examine associations between CSA and substance abuse variables, controlling for socio-demographic factors. Odds were adjusted by indicators of mental health to assess if these variables mediated associations between CSA and substance abuse. Tests of interactions between sex and CSA were conducted to see if gender differences exist in associations. In 2004/2005, CSA was reported by 14% of women and 5% of men. CSA was associated with heavy drinking, hazardous drinking, and the use of marijuana, other illicit drugs, and off-label drugs. Associations were only very marginally attenuated when controlling for depression and self-perceived emotional/mental health. In all cases previously observed significant associations persisted. Evidence of gender differences in associations between CSA and substance abuse was negligible. Preventing CSA may also reduce substance abuse.
(Edited publisher abstract)
The authors examine associations between childhood sexual abuse (CSA) and substance abuse, the role of mental health indicators as mediators in these associations and whether or not associations differ by gender. Data are from 14,063 respondents aged 18–76 years from the 2004–2005 Canadian Gender, Alcohol, and Culture: An International Study (GENACIS). Multiple logistic regression models were used to examine associations between CSA and substance abuse variables, controlling for socio-demographic factors. Odds were adjusted by indicators of mental health to assess if these variables mediated associations between CSA and substance abuse. Tests of interactions between sex and CSA were conducted to see if gender differences exist in associations. In 2004/2005, CSA was reported by 14% of women and 5% of men. CSA was associated with heavy drinking, hazardous drinking, and the use of marijuana, other illicit drugs, and off-label drugs. Associations were only very marginally attenuated when controlling for depression and self-perceived emotional/mental health. In all cases previously observed significant associations persisted. Evidence of gender differences in associations between CSA and substance abuse was negligible. Preventing CSA may also reduce substance abuse.
(Edited publisher abstract)
Subject terms:
child sexual abuse, substance misuse, gender, alcohol misuse, mental health problems, drug misuse, survivors, young adults, adults;
BAIDEN Philip, STEWART Shannon L., Den DUNNEN Wendy
Journal article citation:
Journal of Substance Use, 19(1/2), 2014, pp.18-24.
Publisher:
Taylor and Francis
Objective: The purpose of this study was to examine the association between childhood abuse (emotional, physical and sexual abuse) and cannabis use among adolescents with mental health needs. Methods: Data on 3681 adolescent in-patients, 12–18 years old, were obtained from the Resident Assessment Instrument for Mental Health (RAI-MH). Using logistic regression, we estimated the odds of using cannabis by adolescents who experienced childhood abuse after controlling for age, gender, Aboriginal origin, problems with addiction, history of criminal justice involvement and symptoms of depression and mania. Results: There were 1844 adolescents, representing 50.1%, who reported using cannabis within the last 12 months. Controlling for demographic and patient characteristics, we found that cannabis use in the past year was strongly associated with childhood sexual and physical abuse. Compared to non-abused females, females who experienced sexual and physical abuse were more likely to have used cannabis. For males, the experience of physical abuse was marginally associated with cannabis use. Conclusion: The current data demonstrate the strong association between childhood sexual and physical abuse and cannabis use with a particularly strong association for females. Efforts aimed at treating cannabis use in adolescents who present with mental health needs should also consider their abuse histories.
(Publisher abstract)
Objective: The purpose of this study was to examine the association between childhood abuse (emotional, physical and sexual abuse) and cannabis use among adolescents with mental health needs. Methods: Data on 3681 adolescent in-patients, 12–18 years old, were obtained from the Resident Assessment Instrument for Mental Health (RAI-MH). Using logistic regression, we estimated the odds of using cannabis by adolescents who experienced childhood abuse after controlling for age, gender, Aboriginal origin, problems with addiction, history of criminal justice involvement and symptoms of depression and mania. Results: There were 1844 adolescents, representing 50.1%, who reported using cannabis within the last 12 months. Controlling for demographic and patient characteristics, we found that cannabis use in the past year was strongly associated with childhood sexual and physical abuse. Compared to non-abused females, females who experienced sexual and physical abuse were more likely to have used cannabis. For males, the experience of physical abuse was marginally associated with cannabis use. Conclusion: The current data demonstrate the strong association between childhood sexual and physical abuse and cannabis use with a particularly strong association for females. Efforts aimed at treating cannabis use in adolescents who present with mental health needs should also consider their abuse histories.
(Publisher abstract)
Subject terms:
child abuse, young people, mental health problems, needs, drug misuse, emotional abuse, physical abuse, child sexual abuse;
The objective of this study was to describe the prevalence of various types of childhood maltreatment (sexual, physical and emotional abuse and physical or emotional neglect) and to examine the links between childhood maltreatment and later health and functioning. The Childhood Trauma Questionnaire, a 28-item validated instrument, was used to retrospectively assess childhood maltreatment in a community-recruited cohort of adult HIV-seropositive illicit drug users living in Vancouver (n=233; 83 women). Logistic regression was used to estimate relationships between sub-types of childhood maltreatment with various social-demographic, drug-using and clinical characteristics. Moderate or severe emotional childhood abuse was reported by 51.9% of participants, emotional neglect by 36.9%, physical abuse by 51.1%, physical neglect by 46.8% and sexual abuse by 41.6%. Analyses revealed that emotional, physical and sexual abuse were independently associated with greater odds of recent incarceration. Emotional abuse and neglect were independently associated with depression. There was no association between any form of childhood maltreatment and clinical HIV variables, including viral load, CD4+ count and antiretroviral therapy. These results confirm the high prevalence of childhood abuse experienced by HIV positive illicit drug users and the need for evidence-based resources to address the deleterious effect it has on the health and social functioning.
The objective of this study was to describe the prevalence of various types of childhood maltreatment (sexual, physical and emotional abuse and physical or emotional neglect) and to examine the links between childhood maltreatment and later health and functioning. The Childhood Trauma Questionnaire, a 28-item validated instrument, was used to retrospectively assess childhood maltreatment in a community-recruited cohort of adult HIV-seropositive illicit drug users living in Vancouver (n=233; 83 women). Logistic regression was used to estimate relationships between sub-types of childhood maltreatment with various social-demographic, drug-using and clinical characteristics. Moderate or severe emotional childhood abuse was reported by 51.9% of participants, emotional neglect by 36.9%, physical abuse by 51.1%, physical neglect by 46.8% and sexual abuse by 41.6%. Analyses revealed that emotional, physical and sexual abuse were independently associated with greater odds of recent incarceration. Emotional abuse and neglect were independently associated with depression. There was no association between any form of childhood maltreatment and clinical HIV variables, including viral load, CD4+ count and antiretroviral therapy. These results confirm the high prevalence of childhood abuse experienced by HIV positive illicit drug users and the need for evidence-based resources to address the deleterious effect it has on the health and social functioning.
Subject terms:
HIV AIDS, mental health problems, physical abuse, child abuse, child neglect, child sexual abuse, drug misuse, emotional abuse;
Child Abuse and Neglect, 18(9), September 1994, pp.747-761.
Publisher:
Elsevier
Adult homosexual and bisexual men attending urban sexually transmitted disease clinics were interviewed regarding abusive sexual contacts during childhood and adolescence. Sexual abuse was found to be significantly associated with mental health counselling and hospitalisation, psychoactive substance use, depression, suicidal thought or actions, social support, sexual identity development, HIV risk behaviour and the risk of sexually transmitted diseases including HIV infection. Data suggest that sexual abuse may have a wide-ranging influence on the quality of life and health risk behaviour of homosexual men.
Adult homosexual and bisexual men attending urban sexually transmitted disease clinics were interviewed regarding abusive sexual contacts during childhood and adolescence. Sexual abuse was found to be significantly associated with mental health counselling and hospitalisation, psychoactive substance use, depression, suicidal thought or actions, social support, sexual identity development, HIV risk behaviour and the risk of sexually transmitted diseases including HIV infection. Data suggest that sexual abuse may have a wide-ranging influence on the quality of life and health risk behaviour of homosexual men.
Subject terms:
HIV AIDS, mental health, mental health problems, quality of life, risk, self-harm, sexually transmitted infections, suicide, adolescence, adults, bisexual people, child abuse, child sexual abuse, depression, drug misuse, health;
Anthology looking at the diverse experiences of young people in a multi-cultural society and of those who work with them. Contains chapters on: dyslexia; space, respect and support; young parents; racism and respect; incest survivors; eating disorders; AIDS; homelessness; young carers; school exclusion; community service; Saturday school; peer education about drugs; advocacy; bullying; crime; mental health; acting as an appropriate adult; fostering young people; and sexual health. Also contains papers from a teacher, youth worker, probation officer, residential social worker and GP's point of view. Aimed at all those training to work with young people as well as those already doing so.
Anthology looking at the diverse experiences of young people in a multi-cultural society and of those who work with them. Contains chapters on: dyslexia; space, respect and support; young parents; racism and respect; incest survivors; eating disorders; AIDS; homelessness; young carers; school exclusion; community service; Saturday school; peer education about drugs; advocacy; bullying; crime; mental health; acting as an appropriate adult; fostering young people; and sexual health. Also contains papers from a teacher, youth worker, probation officer, residential social worker and GP's point of view. Aimed at all those training to work with young people as well as those already doing so.
Subject terms:
HIV AIDS, incest, homeless people, homelessness, mental health problems, parents, probation service, racism, residential child care, residential social workers, school exclusion, social care provision, teachers, teenage parents, young carers, young people, youth justice, advocacy, appropriate adult, carers, black and minority ethnic people, bullying, child sexual abuse, community service, drug misuse, dyslexia, eating disorders, education, general practitioners;
homosexuality, learning disabilities, mental health problems, physical disabilities, probation, poverty, psychotherapy, rape, research methods, residential care, schizophrenia, severe mental health problems, single parent families, suicide, unemployment, violence, women, young offenders, youth work, adoption, alcohol misuse, bereavement, black and minority ethnic people, child abuse, child sexual abuse, custodial institutions, counselling, divorce, drug misuse, foster care, groupwork;