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Abstract
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Hypothesis: The magnitude of risk would be highest for those reporting both types of abuse compared with those reporting 1 type or none.
OBJECTIVE: To examine the independent associations between physical or sexual abuse or both and self-reported health status, mental health, and health-risk behaviors among a national school-based sample of adolescent girls.
Design: A secondary data analysis of a cross-sectional survey.
Setting: A nationally representative sample of 3015 girls in grades 5 through 12 from 265 public, private, and parochial schools (with an oversampling of urban schools) completed an anonymous survey conducted by the Commonwealth Fund Adolescent Health Survey.
Patients or Other Participants: Girls were eligible for this study if they responded to 2 questions assessing past physical and sexual abuse.
RESULTS: Among the respondents, 246 (8%) reported a history of physical abuse; 140 (5%), sexual abuse; and 160 (5%), both. Logistic regression controlling for grade, ethnicity, family structure, and socioeconomic status found that those who reported both types of abuse compared with those who did not report any were significantly more likely to experience moderate to severe depressive symptoms (adjusted odds ratio [AOR], 5.10), moderate to high levels of life stress (AOR, 3.28), regular smoking (AOR, 5.90), regular alcohol consumption (AOR, 3.76), use of other illicit drugs in the past 30 days (AOR, 3.44), and fair to poor health status (AOR, 1.74). Finally, girls who reported both types of abuse were 2.07 times more likely to report moderate to high depressive symptoms compared with those reporting only sexual abuse (95% confidence interval, 1.14-3.74).
CONCLUSIONS: The magnitude of risk for adolescents reporting both types of abuse compared with no abuse is much greater than that for either abuse type alone. However, compared with both types, no significant increase in risk was detected in those reporting physical abuse only, and only depressive symptoms increased in those reporting sexual abuse only. (Abstract Adapted from Source: Archives of Pediatrics and Adolescent Medicine, 2002. Copyright © 2002 by the American Medical Association)
Health Effects
Psychological Victimization Effects
Juvenile Female
Juvenile Victim
Juvenile Substance Use
Juvenile Behavior
Health Risk Behavior
Juvenile Depression
Substance Use Causes
Behavior Causes
Depression Causes
Drug Use Causes
Alcohol Use Causes
Child Abuse Effects
Child Abuse Victim
Child Behavior
Child Female
Child Victim
Child Depression
Child Substance Use
Child Physical Abuse Effects
Child Physical Abuse Victim
Child Sexual Abuse Victim
Child Sexual Abuse Effects
Sexual Assault Victim
Sexual Assault Effects
Domestic Violence Effects
Domestic Violence Victim
Female Behavior
Female Victim
Female Substance Use
02-03 |