title: Gender differences in the consequences of a coercive sexual experience among adolescents attending alternative schools.
abstract: Of 490 middle and high school students attending alternative schools who participated in this study, 18.2% of females and 6.7% of males reported a past unwanted sexual experience. Relative to nonabused subjects, female and male adolescents who reported a forced sexual experience were more likely to exhibit externalizing problems such as sexual risk behaviors and internalizing problems such as depression and suicidal thoughts in the past two weeks. Females with a history of a coercive sexual experience also had increased odds of drug and alcohol use, and violence-related behaviors. The magnitude of these associations ranged from a twofold increase to a tenfold increase. Controlling for ethnicity, family income, and family support had less impact on the strength of associations between a forced sexual experience and sexual risk behaviors for females than for males. A forced sexual experience remained significantly associated with depression for females and suicidal thoughts for males. Alcohol use in the past 30 days was the only substance use-related problem that remained significant for females. Violence-related behaviors did not remain significant in the presence of control variables for females. Interventions focusing on adolescents with a history of a coercive sexual experience in general, and in alternative schools in particular, are suggested by these results. More research focusing on the differential impact of a coercive sexual experience on males and females is crucial.
authors.affiliation: Teen Health Clinic, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA. rbuzi@bcm.tmc.edu
authors.forename: Ruth S
authors.initials: RS
authors.lastname: Buzi
authors.forename: Susan R
authors.initials: SR
authors.lastname: Tortolero
authors.forename: Robert E
authors.initials: RE
authors.lastname: Roberts
authors.forename: Michael W
authors.initials: MW
authors.lastname: Ross
authors.forename: Christine M
authors.initials: CM
authors.lastname: Markham
authors.forename: Melissa
authors.initials: M
authors.lastname: Fleschler
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D001294:Attitude to Health; D003220:Conflict, Psychological; D019548:Crime Victims / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D000297:Psychology, Adolescent; D012574:Schools; D012737:Sex Factors; D012725:Sexual Behavior / Q000523:psychology* / Q000706:statistics & numerical data; D013334:Students / Q000523:psychology; D019966:Substance-Related Disorders / Q000523:psychology*; D013405:Suicide / Q000523:psychology* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D013781:Texas; D014754:Violence / Q000523:psychology* / Q000706:statistics & numerical data