- 作者：Tonda L. Hughes ; Timothy P. Johnson ; Sharon C. Wilsnack ; Laura A. Szalacha
- 关键词：Childhood abuse ; Alcohol abuse ; Psychological distress ; Lesbian ; Sexual orientation
- 刊名：Child Abuse and Neglect
- 出版年：2007
- 出版时间：July 2007
- 年：2007
- 卷：31
- 期：7
- 页码：769-789
- 全文大小：444 K
Methodology
Structural equation modeling was used to evaluate relationships between childhood sexual and physical abuse and parenting variables and latent measures of lifetime alcohol abuse and psychological distress in a large community-based sample of lesbians.
Results
Childhood sexual abuse (CSA) directly predicted lifetime alcohol abuse, and childhood physical abuse (CPA) directly predicted lifetime psychological distress. In addition, CSA indirectly increased the risk of lifetime alcohol abuse through its negative effect on age at first heterosexual intercourse. Childhood physical abuse had only indirect effects on lifetime alcohol abuse through its strong relationship to lifetime psychological distress. Parental drinking problems and parental strictness directly predicted lifetime psychological distress; parental drinking problems indirectly predicted lifetime alcohol abuse through the mediators of age of drinking onset and lifetime psychological distress. White lesbians, younger lesbians, and those with lower levels of education were at greatest risk of psychological distress.
Conclusion
While the cross-sectional design precludes causal conclusions, study findings—especially those related to CSA—are consistent with previous research on predominantly heterosexual women in the general population. Lesbians who experienced CSA were at heightened risk of lifetime alcohol abuse and those who experienced CPA were at heightened risk of lifetime psychological distress relative to lesbians without abuse histories. Given the dearth of research on childhood abuse and sexual orientation, studies are needed that examine the similarities and differences between lesbians’ and heterosexual women's experiences of, and responses to, childhood abuse.