Sean Esteban McCabe1, Tonda L Hughes2, Sarah Beal3, Rebecca J Evans-Polce4, Luisa Kcomt5, Curtiss Engstrom6, Brady T West7, Phil Veliz8, Kate Leary9, Vita V McCabe10, Carol J Boyd11. 1. Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI 48109, USA; Institute for Research on Women and Gender, University of Michigan, 1136 Lane Hall, 204 S. State St., Ann Arbor, MI 48109, USA; Institute for Healthcare Policy and Innovation, University of Michigan, North Campus Research Complex (NCRC), Building 16, 2800 Plymouth Rd., Ann Arbor, MI 48109, USA; Survey Research Center, Institute for Social Research, University of Michigan, 4118 ISR Building, 426 Thompson St., Ann Arbor, MI 48104, USA; Rogel Cancer Center, University of Michigan, CCGC 6-303, 1500 E. Medical Center Dr., Ann Arbor, MI 48109, USA. Electronic address: plius@umich.edu. 2. School of Nursing, Columbia University, 560 W. 168th St., New York, NY 10032, USA; Department of Psychiatry, Columbia University, 1051 Riverside Dr., New York, NY 10032, USA. Electronic address: th2696@cumc.columbia.edu. 3. Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH 45229, USA; Department of Pediatrics, University of Cincinnati College of Medicine, 3230 Eden Ave., Cincinnati, OH 45267, USA. Electronic address: Sarah.Beal@cchmc.org. 4. Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI 48109, USA. Electronic address: bjevans@umich.edu. 5. Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI 48109, USA; School of Social Work, Wayne State University, 5447 Woodward Avenue, Detroit, MI 48202, USA. Electronic address: kcomt@wayne.edu. 6. Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI 48109, USA; Survey Research Center, Institute for Social Research, University of Michigan, 4118 ISR Building, 426 Thompson St., Ann Arbor, MI 48104, USA. Electronic address: cwengstr@umich.edu. 7. Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI 48109, USA; Institute for Healthcare Policy and Innovation, University of Michigan, North Campus Research Complex (NCRC), Building 16, 2800 Plymouth Rd., Ann Arbor, MI 48109, USA; Survey Research Center, Institute for Social Research, University of Michigan, 4118 ISR Building, 426 Thompson St., Ann Arbor, MI 48104, USA. Electronic address: bwest@umich.edu. 8. Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI 48109, USA; Institute for Research on Women and Gender, University of Michigan, 1136 Lane Hall, 204 S. State St., Ann Arbor, MI 48109, USA; Survey Research Center, Institute for Social Research, University of Michigan, 4118 ISR Building, 426 Thompson St., Ann Arbor, MI 48104, USA. Electronic address: ptveliz@umich.edu. 9. Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI 48109, USA. Electronic address: kathcleo@umich.edu. 10. Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI 48109, USA; Department of Psychiatry, University of Michigan, 1500 E Medical Center Dr., Ann Arbor, MI 48109, USA; Department of Surgery, University of Michigan, 1500 E Medical Center Dr., Ann Arbor, MI 48109, USA. Electronic address: vmccabe@umich.edu. 11. Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI 48109, USA; Institute for Research on Women and Gender, University of Michigan, 1136 Lane Hall, 204 S. State St., Ann Arbor, MI 48109, USA; Department of Psychiatry, University of Michigan, 1500 E Medical Center Dr., Ann Arbor, MI 48109, USA. Electronic address: caroboyd@umich.edu.
Abstract
BACKGROUND: Childhood sexual abuse (CSA) contributes to increased risk of substance use and mental health disorders in the general population. OBJECTIVE: To assess the prevalence and associations of CSA and suicide attempts, substance use, and mental health disorders as a function of sex (female, male) and sexual orientation (lesbian, gay, bisexual, heterosexual-identified with same-sex attraction and/or behavior, heterosexual-identified without same-sex attraction and/or behavior, and unsure). PARTICIPANTS AND SETTING: Data were collected using structured diagnostic face-to-face interviews in a nationally representative sample of 36,309 US adults. METHODS: We used descriptive statistics and logistic regression modeling to analyze data from the 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC-III). RESULTS: Childhood sexual abuse was most prevalent among sexual minorities, especially bisexual females. Nearly one-third of bisexual females (30.6%) reported experiencing two or more types of CSA, p < .001. Among all participants, exposure to one or more types of CSA was associated with greater odds of lifetime suicide attempts, Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) alcohol, tobacco or other drug use disorder, and mental health disorders, after adjusting for other childhood adversity/maltreatment and general life stressors. CONCLUSIONS: Sexual minority females and males in the US are more likely than their heterosexual counterparts to report CSA. Higher risk of suicide attempts and DSM-5 alcohol, tobacco, other drug use, and mental health disorders in adulthood was directly associated with CSA, particularly among bisexual females. Health professionals working with individuals who have experienced CSA should assess these risks and intervene as needed.
BACKGROUND: Childhood sexual abuse (CSA) contributes to increased risk of substance use and mental health disorders in the general population. OBJECTIVE: To assess the prevalence and associations of CSA and suicide attempts, substance use, and mental health disorders as a function of sex (female, male) and sexual orientation (lesbian, gay, bisexual, heterosexual-identified with same-sex attraction and/or behavior, heterosexual-identified without same-sex attraction and/or behavior, and unsure). PARTICIPANTS AND SETTING: Data were collected using structured diagnostic face-to-face interviews in a nationally representative sample of 36,309 US adults. METHODS: We used descriptive statistics and logistic regression modeling to analyze data from the 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC-III). RESULTS: Childhood sexual abuse was most prevalent among sexual minorities, especially bisexual females. Nearly one-third of bisexual females (30.6%) reported experiencing two or more types of CSA, p < .001. Among all participants, exposure to one or more types of CSA was associated with greater odds of lifetime suicide attempts, Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) alcohol, tobacco or other drug use disorder, and mental health disorders, after adjusting for other childhood adversity/maltreatment and general life stressors. CONCLUSIONS: Sexual minority females and males in the US are more likely than their heterosexual counterparts to report CSA. Higher risk of suicide attempts and DSM-5 alcohol, tobacco, other drug use, and mental health disorders in adulthood was directly associated with CSA, particularly among bisexual females. Health professionals working with individuals who have experienced CSA should assess these risks and intervene as needed.
Authors: Deborah S Hasin; Dvora Shmulewitz; Malka Stohl; Eliana Greenstein; Christina Aivadyan; Kara Morita; Tulshi Saha; Efrat Aharonovich; Jeesun Jung; Haitao Zhang; Edward V Nunes; Bridget F Grant Journal: Drug Alcohol Depend Date: 2015-04-06 Impact factor: 4.492
Authors: Bridget F Grant; Rise B Goldstein; Sharon M Smith; Jeesun Jung; Haitao Zhang; Sanchen P Chou; Roger P Pickering; Wenjun J Ruan; Boji Huang; Tulshi D Saha; Christina Aivadyan; Eliana Greenstein; Deborah S Hasin Journal: Drug Alcohol Depend Date: 2014-12-08 Impact factor: 4.492
Authors: Deborah S Hasin; Eliana Greenstein; Christina Aivadyan; Malki Stohl; Efrat Aharonovich; Tulshi Saha; Rise Goldstein; Edward V Nunes; Jeesun Jung; Haitao Zhang; Bridget F Grant Journal: Drug Alcohol Depend Date: 2014-12-18 Impact factor: 4.492
Authors: Shanta R Dube; Robert F Anda; Vincent J Felitti; Valerie J Edwards; Janet B Croft Journal: Addict Behav Date: 2002 Sep-Oct Impact factor: 3.913