The long-term impact of childhood sexual abuse in australian women

Fleming, Jillian; Mullen, Paul E.; Sibthorpe, Beverley; Bammer, Gabriele

doi:10.1016/s0145-2134(98)00118-5

Cited by 238 publications

(183 citation statements)

References 35 publications

Supporting

Mentioning

164

Contrasting

Unclassified

Order By: Relevance

“…This finding is consistent with other studies that a history of emotional/physical abuse and sexual abuse can have a pervasive effect on health regardless of whether the outcome of interest is sexual health, general health, or the utilization of health services. [3][4][5][6][7] However, the effects of each of these types of abuse may vary across racial/ethnic groups.…”

Section: Discussionmentioning

confidence: 99%

The Sexual Concerns of African American, Asian American, and White Women Seeking Routine Gynecological Care

Nusbaum

Braxton²,

Strayhorn³

2005

The Journal of the American Board of Family Medicine

View full text Add to dashboard Cite

Purpose: Because of limited knowledge regarding the sexual health of minority women, we described the types and frequency of sexual concerns among African American, Asian American, and white women.Methods: The sexual concerns of eligible women who received their health care at a large military health care facility in Washington State were determined from December 1992 through January 1993 through the use of a questionnaire on women's sexual health that was developed by one of the authors.Results: A high and similar prevalence of sexual concerns was reported among these women. The prevalence of certain sexual concerns among white, African American, and Asian American women differed significantly. A history of sexual coercion or physical/emotional abuse was strongly associated with a high prevalence of sexual concerns for each racial and ethnic group. Sexuality plays an integral role in health, quality of life, and general well-being. For women, the risk of unwanted pregnancy, sexually transmitted diseases, and sexual exploitation are threats to their sexual health. Family physicians must consider women's sexual concerns to provide comprehensive health services. In addition, family physicians must consider the variation in sexual concerns that may exist among different racial and ethnic groups of women.Nusbaum et al 1 found a high prevalence of sexual concerns among women seeking routine gynecological care at 2 outpatient military clinics including lack of interest in sex, difficulty with orgasm, inadequate lubrication, dyspareunia, body image concerns, unmet sexual needs, the need for information about sexual issues, physical and sexual abuse, and sexual coercion. However, this study did not explore possible differences in sexual concern across racial and/or ethnic groups. We found only one study, by Laumann, 2 that compared self-reported sexual dysfunction of a national probability sample of white, African American, Hispanic, and another category of women. Of the 5 reported categories of sexual dysfunction, compared with white women, African American and Hispanic American women were significantly less likely to report trouble with lubrication during intercourse. However, the limited categories of sexual concerns fails to provide a more comprehensive understanding of the sexual concerns of women from different racial and ethnic backgrounds. Based on limited knowledge of the diversity of sexual concerns among women of different racial/ ethnic backgrounds, physicians may generalize the sexual concerns of one group to all women thus providing suboptimal sexual health care. To address the limited knowledge and variation of sexual concerns among racial and ethnically diverse women, this study identified the types and preva-

show abstract

Section: Discussionmentioning

confidence: 99%

The Sexual Concerns of African American, Asian American, and White Women Seeking Routine Gynecological Care

Nusbaum

Braxton²,

Strayhorn³

2005

The Journal of the American Board of Family Medicine

View full text Add to dashboard Cite

show abstract

“…This study is limited in having no prospective measures of parental indifference, or physical, sexual or psychological abuse which may have important and long lasting long term effects on adult psychiatric disorders (Brown & Harris, 1993;Bifulco & Moran, 1998;Mullen et al, 1993Mullen et al, , 1994Mullen et al, , 1988Widom, 1998;Fleming, Mullen, Sibthorpe, & Bammer, 1999). A retrospective question at 43 years did identify a small number of women who may have suffered abuse or serious neglect of some kind in childhood (Rodgers, 1996).…”

Section: Persisting Effects Of Family Background and Child And Adolesmentioning

confidence: 99%

Lifetime risk factors for women's psychological distress in midlife

Kuh

Hardy

Rodgers

et al. 2002

Social Science & Medicine

View full text Add to dashboard Cite

“…These rates far exceed the rates of child maltreatment found in the general population which average 1.22% (U.S. Department of Health and Human Services, 2000). Several studies have also found that the more severe the abuse in childhood, the greater the likelihood of adult psychopathology (Bryer et al, 1987;Fergusson et al, 1996;Fleming et al, 1999;Mullen et al, 1993;Pettigrew and Burcham, 1997;Read, 1998). Adult psychiatric patients with histories of childhood maltreatment have been shown to have an earlier age at fi rst hospitalization, an increased number of hospitalizations, higher rates of relapse, higher instances of seclusion and/or restraints, and have been shown to be at greater risk for suicide (Beck and Van der Kolk, 1987;Beictchman et al, 1992;Goff et al, 1991;Pettigrew and Burcham, 1997;Read et al, 2001a).…”

Section: Introductionmentioning

confidence: 99%