- To determine the prevalence of childhood physical or sexual abuse in women seen in primary care practices ; to identify physical and psychologic problems associated with that abuse ; and to compare the effects of childhood physical vs sexual abuse and childhood vs adult abuse.
- Cross-sectional, self-administered, anonymous survey.
- Four community-based, primary care internal medicine practices.
- A total of 1931 women of varied age and marital, educational, and economic status examined from February through July 1993.
- Prevalence of physical and sexual abuse, physical symptoms, psychological symptoms (Symptom Checklist-22), alcohol abuse (CAGE questions), and street drug use.
- Of the 1931 respondents, 424 (22.0%) reported childhood or adolescent physical or sexual abuse.
Compared with women who reported never having experienced abuse (n=1257), women who reported abuse as children but not adults (n=204) had more physical symptoms (mean±SE, 6.2±0.2 vs 4.0±0.9 ; P<. 001) and had higher scores for depression, anxiety, somatization, and interpersonal sensitivity (low self-esteem) (P<. 001) ; were more likely to be abusing drugs (prevalence ratio [PR], 4.7 ; 95% confidence interval [Cl], 2.9-7.6) or to have a history of alcohol abuse (PR, 2.2 ; 95% Cl, 1.5-3.2) ; were more likely to have attempted suicide (PR, 3.7 ; 95% Cl, 2.6-5.1) ; and were more likely to have had a psychiatric admission (PR, 3. (...)
Mots-clés Pascal : Enfant maltraité, Abus sexuel, Prévalence, Symptome positif, Difficulté psychologique, Etude transversale, Etude comparative, Adulte, Homme, Comportement approche, Femelle, Système nerveux pathologie, Psychopathologie, Education santé
Mots-clés Pascal anglais : Child abuse, Sexual abuse, Prevalence, Positive symptom, Psychological difficulty, Cross sectional study, Comparative study, Adult, Human, Approach behavior, Female, Nervous system diseases, Psychopathology, Health education
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0299424
Code Inist : 002B18F02. Création : 15/07/1997.