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    Child Maltreatment and Risky Sexual Behavior: Indirect Effects Through Trauma Symptoms and Substance Use

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    Author
    Thompson, R.
    Lewis, T.
    Neilson, E.C.
    English, D.J.
    Litrownik, A.J.
    Margolis, B.
    Proctor, L.
    Dubowitz, H.
    Date
    2017
    Journal
    Child Maltreatment
    Publisher
    SAGE Publications Inc.
    Type
    Article
    
    Metadata
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    See at
    https://doi.org/10.1177/1077559516674595
    Abstract
    Risky sexual behavior is a serious public health problem. Child sexual abuse is an established risk factor, but other forms of maltreatment appear to elevate risky behavior. The mechanisms by which child maltreatment influence risk are not well understood. This study used data from 859 high-risk youth, followed through age 18. Official reports of each form of maltreatment were coded. At age 16, potential mediators (trauma symptoms and substance use) were assessed. At age 18, risky sexual behavior (more than four partners, unprotected sex, unassertiveness in sexual refusal) was assessed. Neglect significantly predicted unprotected sex. Substance use predicted unprotected sex and four or more partners but did not mediate the effects of maltreatment. Trauma symptoms predicted unprotected sex and mediated effects of emotional maltreatment on unprotected sex and on assertiveness in sexual refusal and the effects of sexual abuse on unprotected sex. Both neglect and emotional maltreatment emerged as important factors in risky sexual behavior. Trauma symptoms appear to be an important pathway by which maltreatment confers risk for risky sexual behavior. Interventions to reduce risky sexual behavior should include assessment and treatment for trauma symptoms and for history of child maltreatment in all its forms. Copyright The Author(s) 2016.
    Sponsors
    Supported by grant 1R01DA031189 from the National Institute of Drug Abuse.
    Keyword
    adolescents
    sexual behavior problems
    youth
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85009207924&doi=10.1177%2f1077559516674595&partnerID=40&md5=b669a13c66ac12001d0625b98fa62970; http://hdl.handle.net/10713/11815
    ae974a485f413a2113503eed53cd6c53
    10.1177/1077559516674595
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    Dr. Howard Dubowitz

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