Childhood sexual abuse,risky sexual behaviors and adverse reproductive health outcomes among Chinese college students |
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| Institution: | 1. Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No.81 Meishan Road, Hefei 230032, Anhui, China;2. Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People''s Republic of China, Hefei, China;3. NHC Key Laboratory of study on abnormal gametes and reproductive tract, No 81 Meishan Road, Hefei 230032, Anhui, China;1. Department of Maternal and Child Health, School of Public Health, Peking University, Beijing, China;2. The Children''s Hospital of Philadelphia, Philadelphia, USA;3. UNICEF China, Beijing, China;4. Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States |
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| Abstract: | BackgroundChildhood sexual abuse (CSA) is a serious public health problem worldwide.ObjectivesWe reported the prevalence of CSA and examined its association with risky sexual behaviors and adverse reproductive health outcomes among college students in China.Participants and settingParticipants were 17,966 college students from 130 colleges in Eastern, Central, and Western China, who completed the online questionnaire in January–August 2015.MethodsData were obtained from a cluster-random Internet-based survey. Multivariate logistic regression analyses were employed: risky sexual behaviors and adverse reproductive health outcomes were outcome variables, and various types of CSA were predictor variables, while adjusting for socio-demographic and lifestyle characteristics.ResultsThe overall prevalence of any type of CSA was 27.5%. Most perpetrators were friends/acquaintances (34.6%) or intimate partners (24.7%) of the victims. Respondents who reported penetrative CSA were strongly associated with regular unprotected sex (odds ratio (OR): 3.0, 95% confidence interval (CI): 2.2–4.0), early sexual debut (OR: 5.5, 95% CI: 3.3–9.1), having genital tract symptoms in the last 12 months (OR: 5.0, 95% CI: 4.1–6.0), unintended pregnancy (OR: 6.2, 95% CI: 4.2–9.0), and induced abortion (OR: 5.5, 95% CI: 3.7–8.2) (for boys, the survey asked about history of unintended pregnancy and induced abortion of their sexual partners). A dose-response relationship was found across non-contact, contact, and penetrative CSA.ConclusionsCSA experience may increase the likelihood of risky sexual behaviors and adverse reproductive health outcomes in victims’ early adulthood. |
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| Keywords: | Childhood sexual abuse Risky sexual behavior Reproductive health |
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