The impact of childhood sexual abuse and adverse childhood experiences on adult health related quality of life

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dc.contributor.authorDowning, N. R., Akinlotan, M., & Thornhill, C. W.
dc.date.accessioned2021-07-14T19:31:21Z
dc.date.available2021-07-14T19:31:21Z
dc.date.issued2021
dc.description.abstractBackground Adverse childhood experiences (ACEs) have been shown to be associated with adult physical, psychological, and socioeconomic well-being, indicative of poor health-related quality of life (HRQoL). However, the association between child sexual abuse (CSA) and adult HRQoL, independent of other ACEs, has been less well examined. Objectives To examine associations between self-reported CSA, including the nature of CSA, and adult HRQoL. Participants Data are from 10,624 respondents to CSA and HRQoL questions on the 2015 Texas Behavioral Risk Factor Surveillance System survey. Methods Analyses included chi square and t-tests to compare sociodemographic and HRQoL differences among those with and without history of CSA. Multivariable logistic regressions were used to evaluate associations between nature of CSA and HRQoL, controlling for covariates. Results The prevalence of self-reported CSA in the sample was 10.3%. Compared to the non-exposed group, individuals exposed to CSA were more likely to report their general health as poor (AOR, 1.51; 95% CI, 1.09–2.09), report 14 or more physical unhealthy days (AOR, 1.46; 95% CI, 1.06–2.02), 14 or more mental unhealthy days (AOR, 1.86; 95% CI, 1.30–2.64), and 14 or more activity limitation days (AOR, 2.22; 95% CI, 1.58–3.10) in a month. HRQoL outcomes were worse for respondents who reported being forced to have sex as a child compared with those who reported being touched or forced to touch someone. Conclusions Self-reported CSA is associated with lower HRQoL. The association varies by the nature of reported sexual abuse. Understanding the long-term impacts of CSA can inform adult treatment options and policies to prevent and treat CSA.en_US
dc.identifier.citationDowning, N. R., Akinlotan, M., & Thornhill, C. W. (2021). The impact of childhood sexual abuse and adverse childhood experiences on adult health related quality of life. Child Abuse & Neglect, 120, 105181.en_US
dc.identifier.urihttps://www.sciencedirect.com/science/article/pii/S0145213421002544
dc.identifier.urihttp://hdl.handle.net/11212/5168
dc.language.isoenen_US
dc.publisherChild Abuse & Neglecten_US
dc.subjectAdverse Childhood Experiencesen_US
dc.subjectchild sexual abuseen_US
dc.subjectquality of lifeen_US
dc.subjectresearchen_US
dc.titleThe impact of childhood sexual abuse and adverse childhood experiences on adult health related quality of lifeen_US
dc.typeArticleen_US

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