Men's self-definitions of abusive childhood sexual experiences, and potentially related risky behavioral and psychiatric outcomes
Identifieur interne : 001E92 ( Main/Exploration ); précédent : 001E91; suivant : 001E93Men's self-definitions of abusive childhood sexual experiences, and potentially related risky behavioral and psychiatric outcomes
Auteurs : William C. Holmes [États-Unis]Source :
- Child abuse & neglect [ 0145-2134 ] ; 2008.
Descripteurs français
- Pascal (Inist)
- Autoévaluation, Expérience personnelle, Traumatisme infantile, Enfant maltraité, Abus sexuel, Hétérosexualité, Homosexualité, Facteur risque, Prise risque, SIDA, Virus immunodéficience humaine, Comportement sexuel, Maladie sexuellement transmissible, Symptomatologie, Etat de stress posttraumatique, Homme, Mâle.
- Wicri :
- topic : Maladie sexuellement transmissible, Homme.
English descriptors
- KwdEn :
Abstract
Objectives: To estimate how many heterosexual and gay/bisexual men self-define abusive childhood sexual experiences (CSEs) to be childhood sexual abuse (CSA) and to assess whether CSA self-definition is associated with risky behavioral and psychiatric outcomes in adulthood. Methods: In Philadelphia County, 197 (66%) of 298 recruited men participated in a telephone survey. They were screened for CSEs and then asked if they self-defined abusive CSEs to be CSA; they also were asked about risk behavior histories and post-traumatic stress disorder (PTSD) and depression symptoms. Results: Of 43 (22%) participants with abusive CSEs, 35% did not and 65% did self-define abusive CSEs to be CSA ("Non-Definers" and "Definers," respectively). Heterosexual and gay/bisexual subgroups' CSA self-definition rates did not significantly differ. When self-definition subgroups were compared to those without CSEs ("No-CSEs"), Non-Definers had lower perceived parental care (p = .007) and fewer siblings (p = .03), Definers had more Hispanics and fewer African Americans (p = .04), and No-CSEs had fewer gay/bisexual men (p = .002) and fewer reports of physical abuse histories (p = .02) than comparison groups. Non-Definers reported more sex under the influence (p=.001) and a higher mean number of all lifetime sex partners (p=.004) as well as (only) female sex partners (p = .05). More Non-Definers than Definers reported having experienced penetrative sex as part of their CSA (83% vs. 35%, p =.006). Different explanations about self-definition were provided by subgroups. Conclusions: Many men with abusive CSEs do not self-define these CSEs to be CSA, though not in a way that differs by sexual identity. The process by which men self-define their abusive CSEs to be CSA or not appears to be associated not only with self-explanations that differ by self-definition subgroup, but also with behavioral outcomes that impart risk to Non-Definers.
Affiliations:
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Le document en format XML
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<term>Child abuse</term>
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<term>Heterosexuality</term>
<term>Homosexuality</term>
<term>Human</term>
<term>Human immunodeficiency virus</term>
<term>Male</term>
<term>Personal experience</term>
<term>Posttraumatic stress disorder</term>
<term>Risk factor</term>
<term>Risk taking</term>
<term>Self evaluation</term>
<term>Sexual abuse</term>
<term>Sexual behavior</term>
<term>Sexually transmitted disease</term>
<term>Symptomatology</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Autoévaluation</term>
<term>Expérience personnelle</term>
<term>Traumatisme infantile</term>
<term>Enfant maltraité</term>
<term>Abus sexuel</term>
<term>Hétérosexualité</term>
<term>Homosexualité</term>
<term>Facteur risque</term>
<term>Prise risque</term>
<term>SIDA</term>
<term>Virus immunodéficience humaine</term>
<term>Comportement sexuel</term>
<term>Maladie sexuellement transmissible</term>
<term>Symptomatologie</term>
<term>Etat de stress posttraumatique</term>
<term>Homme</term>
<term>Mâle</term>
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<front><div type="abstract" xml:lang="en">Objectives: To estimate how many heterosexual and gay/bisexual men self-define abusive childhood sexual experiences (CSEs) to be childhood sexual abuse (CSA) and to assess whether CSA self-definition is associated with risky behavioral and psychiatric outcomes in adulthood. Methods: In Philadelphia County, 197 (66%) of 298 recruited men participated in a telephone survey. They were screened for CSEs and then asked if they self-defined abusive CSEs to be CSA; they also were asked about risk behavior histories and post-traumatic stress disorder (PTSD) and depression symptoms. Results: Of 43 (22%) participants with abusive CSEs, 35% did not and 65% did self-define abusive CSEs to be CSA ("Non-Definers" and "Definers," respectively). Heterosexual and gay/bisexual subgroups' CSA self-definition rates did not significantly differ. When self-definition subgroups were compared to those without CSEs ("No-CSEs"), Non-Definers had lower perceived parental care (p = .007) and fewer siblings (p = .03), Definers had more Hispanics and fewer African Americans (p = .04), and No-CSEs had fewer gay/bisexual men (p = .002) and fewer reports of physical abuse histories (p = .02) than comparison groups. Non-Definers reported more sex under the influence (p=.001) and a higher mean number of all lifetime sex partners (p=.004) as well as (only) female sex partners (p = .05). More Non-Definers than Definers reported having experienced penetrative sex as part of their CSA (83% vs. 35%, p =.006). Different explanations about self-definition were provided by subgroups. Conclusions: Many men with abusive CSEs do not self-define these CSEs to be CSA, though not in a way that differs by sexual identity. The process by which men self-define their abusive CSEs to be CSA or not appears to be associated not only with self-explanations that differ by self-definition subgroup, but also with behavioral outcomes that impart risk to Non-Definers.</div>
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<region><li>Pennsylvanie</li>
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