title: Relationships between sexual violence and chronic disease: a cross-sectional study.
abstract: BACKGROUND
  Sexual assault is a traumatic event with potentially devastating lifelong effects on physical and mental health. Research has demonstrated that individuals who experience sexual assault during childhood are more likely to engage in risky behaviors later in life, such as smoking, alcohol and drug use, and disordered eating habits, which may increase the risk of developing a chronic disease. Despite the high prevalence and economic burden of sexual assault, few studies have investigated the associations between sexual violence and chronic health conditions in the US. The purpose of this study is to identify associations between sexual violence and health risk behaviors, chronic health conditions and mental health conditions utilizing population based data in Kansas.
  
  
  METHODS
  Secondary analysis was done using data from the 2011 Kansas Behavioral Risk Factor Surveillance System sexual violence module (N = 4,886). Crude and adjusted prevalence rate ratios were computed to examine associations between sexual assault and health risk behaviors, chronic health conditions and mental health conditions, overall and after adjusting for social demographic characteristics. Additional logistic regression models were implemented to examine the association between sexual assault and health risk behaviors with further adjustment for history of anxiety or depression.
  
  
  RESULTS
  There was a significantly higher prevalence of health risk behaviors (heavy drinking, binge drinking and current smoking), chronic health conditions (disability, and current asthma) and mental health conditions (depression, anxiety, and suicidal ideation) among women who ever experienced sexual assault compared to women who did not, even after adjustment for potential confounders.
  
  
  CONCLUSIONS
  Study findings highlight the need for chronic disease prevention services for victims of sexual violence. There are important implications for policies and practices related to primary, secondary, and tertiary prevention, as well as collaborations between sexual violence, chronic disease, and health risk behavior programs.
authors.forename: Jeanie
authors.initials: J
authors.lastname: Santaularia
authors.forename: Monica
authors.initials: M
authors.lastname: Johnson
authors.forename: Laurie
authors.initials: L
authors.lastname: Hart
authors.forename: Lori
authors.initials: L
authors.lastname: Haskett
authors.forename: Ericka
authors.initials: E
authors.lastname: Welsh
authors.affiliation: Kansas Department of Health and Environment, Bureau of Health Promotion, Topeka, KS, USA. bfaseru@kumc.edu.
authors.forename: Babalola
authors.initials: B
authors.lastname: Faseru
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000437:Alcoholism / Q000453:epidemiology; D001007:Anxiety / Q000453:epidemiology; D001249:Asthma / Q000453:epidemiology*; D040343:Behavioral Risk Factor Surveillance System; D063425:Binge Drinking / Q000453:epidemiology; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology; D006233:Persons with Disabilities / Q000706:statistics & numerical data; D005260:Female; D015438:Health Behavior; D006801:Humans; D006937:Hypercholesterolemia / Q000453:epidemiology; D006973:Hypertension / Q000453:epidemiology*; D007615:Kansas / Q000453:epidemiology; D016015:Logistic Models; D001523:Mental Disorders / Q000453:epidemiology*; D008603:Mental Health; D008875:Middle Aged; D015995:Prevalence; D012309:Risk-Taking; D012742:Sex Offenses / Q000706:statistics & numerical data*; D012907:Smoking / Q000453:epidemiology*; D019966:Substance-Related Disorders / Q000453:epidemiology; D059020:Suicidal Ideation; D055815:Young Adult