title: The impact of sexual coercion on psychological, physical, and sexual well-being in a representative sample of Australian women.
abstract: It is well established that, compared to other women, women who have been forced or frightened into unwanted sexual activity have poorer psychological, physical, and sexual health. However, it is not clear whether particular experiences of sexual coercion, such as younger age when coerced or number of times coerced, are more likely to lead to poorer health status. This study of a representative sample of Australian women aged 16-59 years was designed to examine such associations. Of the 9134 women recruited for the study, 885 (21%) had been sexually coerced, which was defined as being forced or frightened into unwanted sexual activity. This study showed that any experience of sexual coercion was associated with poorer psychological, physical, and sexual health. The data revealed no consistent associations between health status and particular characteristics of sexual coercion, such as the age when women were coerced, the number of times they had been coerced, or the time since being coerced. Two of the few significant findings were that women who had been coerced more than once reported significantly greater psychosocial distress, and that women first coerced when aged 13-16 reported poorer physical well-being than women first coerced at younger or older ages. There was no significant association between whether women had consulted a psychologist or other professional counselor and better health status. The absence of consistent associations between health status and particular characteristics of sexual coercion indicates a need for care and support services for all women who have been sexually coerced.
authors.affiliation: Department of Psychology, University of Sussex, Brighton BN1 9QH, London. R.De-Visser@sussex.ac.uk
authors.forename: Richard O
authors.initials: RO
authors.lastname: de Visser
authors.forename: Chris E
authors.initials: CE
authors.lastname: Rissel
authors.forename: Juliet
authors.initials: J
authors.lastname: Richters
authors.forename: Anthony M A
authors.initials: AM
authors.lastname: Smith
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D001315:Australia / Q000453:epidemiology; D003068:Coercion; D015897:Comorbidity; D019548:Crime Victims / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D006304:Health Status; D006801:Humans; D008603:Mental Health; D008875:Middle Aged; D012649:Self Concept; D012735:Sexual Dysfunction, Physiological / Q000453:epidemiology* / Q000523:psychology; D020018:Sexual Dysfunctions, Psychological / Q000453:epidemiology* / Q000523:psychology; D011795:Surveys and Questionnaires; D016387:Women's Health