Sex and sexual orientation disparities in adverse childhood experiences and early age at sexual debut in the United States: Results from a nationally representative sample

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dc.contributor.authorBrown, M. J., Masho, S. W., Perera, R. A., Mezuk, B., & Cohen, S. A.
dc.date.accessioned2015-08-25T14:21:03Z
dc.date.available2015-08-25T14:21:03Z
dc.date.issued2015
dc.description.abstractAdverse childhood experiences (ACEs) have been linked to early sexual debut, which has been found to be associated with multiple adverse health outcomes. Sexual minorities and men tend to have earlier sexual debut compared to heterosexual populations and women, respectively. However, studies examining the association between ACEs and early sexual debut among men and sexual minorities are lacking. The aim of this study was to examine the sex and sexual orientation disparities in the association between ACEs and age at sexual debut. Data were obtained from Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions. Logistic and linear regression model were used to obtain crude and adjusted estimates and 95% confidence intervals adjusting for age, race/ethnicity, income, education, insurance and marital status for the association between ACEs (neglect, physical/psychological abuse, sexual abuse, parental violence, and parental incarceration and psychopathology) and early sexual debut. Analyses were stratified by sex and sexual orientation. Larger effect estimates depicting the association between ACEs and sexual debut were seen for women compared to men, and among sexual minorities, particularly among men who have sex with men (MSM) and women who have sex with women (WSW), compared to heterosexuals. Sexual health education programs with a focus on delaying sexual debut among children and adolescents should also consider addressing ACEs, such as neglect, physical, psychological and sexual abuse, witnessing parental violence, and parental incarceration and psychopathology. Public health practitioners, researchers and sexual health education curriculum coordinators should consider these differences by sex and sexual orientation when designing these programs. (Author Abstract)en_US
dc.identifier.citationBrown, M. J., Masho, S. W., Perera, R. A., Mezuk, B., & Cohen, S. A. (2015). Sex and sexual orientation disparities in adverse childhood experiences and early age at sexual debut in the United States: Results from a nationally representative sample. Child abuse & neglect., 46, 89-102.en_US
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4527947/pdf/nihms701684.pdf
dc.identifier.urihttp://hdl.handle.net/11212/2430
dc.language.isoen_USen_US
dc.publisherChild Abuse & Neglecten_US
dc.subjectchild abuseen_US
dc.subjectlong term effectsen_US
dc.subjectsame sexen_US
dc.subjectgayen_US
dc.subjectbisexualen_US
dc.subjectlesbianen_US
dc.subjecthomosexualen_US
dc.subjectresearchen_US
dc.subjectsex educationen_US
dc.titleSex and sexual orientation disparities in adverse childhood experiences and early age at sexual debut in the United States: Results from a nationally representative sampleen_US
dc.typeArticleen_US

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