Prevalence of childhood sexual abuse among 2508 college students in 6 provinces of China

目的 了解大学生中儿童期性虐待发生情况,探讨性虐待经历与大学生心理健康的关联.方法 采用自填式问卷,于2003年11月至2004年3月对北京、河北、山西、江苏、陕西、安徽6省市6所普通高校中2508名大学生(女生1360人,男生1148人)童年期性虐待经历进行不记名回顾性调查.结果 2508名大学生中,有24.8%的女生和17.6%的男生报告16岁前曾经历过1项或1项以上的性虐待,其中包括非身体接触的性虐待(女生20.0%,男生14.6%)和包括触摸在内的身体接触的性虐待(女生14.1%,男生7.8%).儿童期性虐待经历与是否为独生子女、家庭居住地是农村还是非农村、父母亲文化程度等没有明显的关联.与没有童年期性虐待经历的学生比较,有童年期性虐待经历的学生躯体化症状、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性症状等因子均分偏高.结论 童年期性虐待经历与大学生心理健康问题相关.Objective To assess the prevalence of childhood sexual abuse (CSA) in college students and to explore the association of CSA with youth mental health problem. ethods A retrospective survey was conducted among 2508 students (females 1360, males 1148) in Nov. 2003to Mar. 2004. The students were from 6 colleges/universities in Beijing, Hebei, Shanxi, Jiangsu,Shaanxi and Anhui provinces of China. Results Of the 2508 students, 24.8% of females and 17.6%of males reported one or more types of nonphysical contact CSA (females 20.0% vs.males 14.6%) or/and physical contact CSA (females 14.1% vs. males 7.8% ) before the age of 16 years. Risk of any CSA was not associated with the existence of siblings (one-child vs. two-or more child families),rural/non-rural residence during childhood, or parental education. Compared with their peers who had no CSA, the students with CSA showed significantly higher mean scores of psychological symptoms of somatization, obsessiveness, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation and psychoticism. Conclusion The problem of CSA was not uncommonand there was a significant correlation between CSA experience and students mental health problems.More attention should be paid on CSA prevention and provision of health services for the victims.PubMed中文核心期刊要目总览(PKU)中国科技核心期刊(ISTIC)中国科学引文数据库(CSCD)08866-8693