Struggling to survive: sexual assault, poverty, and mental health outcomes of African American women.
A substantial body of research documents the mental health consequences of sexual assault including, but not limited to, depression, posttraumatic stress disorder, substance use, and suicidality. Far less attention has been given to the mental health effects of sexual assault for ethnic minority women or women living in poverty. Given African American women's increased risk for sexual assault and increased risk for persistent poverty, the current study explores the relationship between income and mental health effects within a sample of 413 African American sexual assault survivors. Hierarchical regression analyses revealed that after controlling for childhood sexual abuse there were positive relationships between poverty and mental health outcomes of depression, posttraumatic stress disorder, and illicit drug use. There was no significant relationship between poverty and suicidal ideation. Counseling and research implications are discussed.
Bryant-Davis
Thema
T
Graduate School of Education and Psychology, Pepperdine University, Encino, CA 91436, USA. tbryant@pepperdine.edu
Ullman
Sarah E
SE
Tsong
Yuying
Y
Tillman
Shaquita
S
Smith
Kimberly
K
D000293:Adolescent; D000328:Adult; D054523:Adult Survivors of Child Abuse / Q000523:psychology; D001741:Black or African American / Q000523:psychology*; D000368:Aged; D002650:Child Abuse, Sexual / Q000523:psychology; D003866:Depressive Disorder / Q000209:etiology; D005260:Female; D006801:Humans; D016015:Logistic Models; D008875:Middle Aged; D011203:Poverty / Q000523:psychology*; D011902:Rape / Q000523:psychology* / Q000534:rehabilitation; D012044:Regression Analysis; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology; D019966:Substance-Related Disorders / Q000209:etiology; D013405:Suicide / Q000523:psychology; D017741:Survivors / Q000523:psychology; D014481:United States; D055815:Young Adult
J Behav Health Serv Res. 2005 Apr-Jun;32(2):215-26
15834269
Violence Against Women. 1997 Aug;3(4):361-81
12349144
Cultur Divers Ethnic Minor Psychol. 2004 Feb;10(1):5-22
14992627
Obstet Gynecol. 2000 Jan;95(1):55-60
10636503
Am J Psychiatry. 2008 Dec;165(12):1566-75
19015233
Issues Ment Health Nurs. 2003 Apr-May;24(3):333-52
12623689
J Interpers Violence. 2004 Nov;19(11):1252-76
15534329
Am Psychol. 2005 Oct;60(7):687-96
16221002
Child Abuse Negl. 2001 Jul;25(7):973-88
11523872
J Consult Clin Psychol. 1999 Jun;67(3):362-6
10369056
Psychol Assess. 2001 Dec;13(4):503-20
11793894
J Fam Psychol. 2000 Dec;14(4):585-99
11132482
J Consult Clin Psychol. 1985 Jun;53(3):422-3
3874219
Violence Vict. 2001 Oct;16(5):553-64
11688929
J Psychiatr Res. 2008 Aug;42(10):815-21
18035375
Suicide Life Threat Behav. 2009 Feb;39(1):47-57
19298150
Am J Psychiatry. 2005 Feb;162(2):319-23
15677597
J Natl Med Assoc. 2006 Oct;98(10):1630-6
17052054
J Abnorm Psychol. 2001 Aug;110(3):392-400
11502082
Am J Orthopsychiatry. 2007 Jul;77(3):386-91
17696667
J Interpers Violence. 2006 Jun;21(6):820-39
16672743
Am J Epidemiol. 1977 Sep;106(3):203-14
900119
J Consult Clin Psychol. 1999 Apr;67(2):252-9
10224736
J Consult Clin Psychol. 1997 Oct;65(5):834-47
9337502
Violence Against Women. 2007 Mar;13(3):285-97
17322272
Soc Psychiatry Psychiatr Epidemiol. 2005 Mar;40(3):175-85
15742221
J Consult Clin Psychol. 2003 Aug;71(4):692-700
12924674
Am J Addict. 2008 Mar-Apr;17(2):135-44
18393057
J Consult Clin Psychol. 2008 Apr;76(2):194-207
18377117
J Consult Clin Psychol. 1987 Apr;55(2):162-70
3494755
Womens Health Issues. 2007 Mar-Apr;17(2):101-6
17403467
J Trauma Stress. 2001 Apr;14(2):369-89
11469163
Trauma Violence Abuse. 2009 Oct;10(4):330-57
19578029
J Womens Health. 1998 Apr;7(3):371-8
9580917
Am J Prev Med. 1994 Mar-Apr;10(2):77-84
8037935
Am J Public Health. 2007 Jan;97(1):11-2
17138903
Violence Vict. 2002 Feb;17(1):85-91
11991159
J Health Care Poor Underserved. 2007 Nov;18(4):931-49
17982216
Child Abuse Negl. 2008 Aug;32(8):785-96
18760474
Am Psychol. 2000 Nov;55(11):1319-25
11280941