title: Prevalence of sexual violence and posttraumatic stress disorder in an urban African-American population.
abstract: Sexual violence is prevalent nationally and contributes to psychopathology in the general population. Despite elevated traumatic event exposure among economically disadvantaged urban-dwelling African-Americans, there is insufficient information on lifetime sexual violence exposure and associated psychopathology in this population. In 2008-2009, 1,306 African-Americans from a Detroit household probability sample reported on lifetime rape and sexual assault and past-month and lifetime posttraumatic stress disorder (PTSD). Lifetime sexual violence prevalence was 26.3 % for women and 5.1 % for men. Relative to non-victims, sexual violence victims: reported more other traumatic events; had 4 times greater unadjusted odds of past-month and lifetime PTSD; had 1.6 times greater adjusted odds of lifetime PTSD only after controlling for other traumatic events. Sexual violence was associated with increased risk for lifetime PTSD and exposure to other traumas. Findings highlight a need to screen for sexual violence and PTSD among urban African-Americans.
authors.affiliation: Columbia University Mailman School of Public Health, 722 W. 168th Street, Room 1513, New York, NY, 10032, USA, klw2153@columbia.edu.
authors.forename: Kate
authors.initials: K
authors.lastname: Walsh
authors.forename: Karestan C
authors.initials: KC
authors.lastname: Koenen
authors.forename: Allison E
authors.initials: AE
authors.lastname: Aiello
authors.forename: Monica
authors.initials: M
authors.lastname: Uddin
authors.forename: Sandro
authors.initials: S
authors.lastname: Galea
mesh_terms: D001741:Black or African American / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012742:Sex Offenses / Q000523:psychology / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology*; D014505:Urban Population / Q000706:statistics & numerical data