title: Child Sexual Abuse and Its Relationship With Health Risk Behaviors Among Adolescents and Young Adults in Taipei.
abstract: This study explores the association of child sexual abuse (CSA) with subsequent health risk behaviors among a cross-section of 4354 adolescents and young adults surveyed in urban and rural Taipei. Descriptive analysis and logistic regressions were employed. The overall proportion of CSA was 5.15%, with more females (6.14%) than males (4.16%) likely to experience CSA. CSA was differently associated with multiple adverse health outcomes, after adjusting other factors, such as age, residence, economic status, education, employment status, and household instability. Both males and females with CSA experience were more likely to report drinking, gambling, and suicidal ideation compared with those who had no history of CSA. However, the significant association between CSA and smoking, fighting, and suicidal attempt was not observed among females. Effective interventions are needed to reduce CSA and its adverse effects on adolescent well-being.
authors.affiliation: Fudan University, Shanghai, People's Republic of China Shanghai Institute of Planned Parenthood Research, Shanghai, People's Republic of China.
authors.forename: Qianqian
authors.initials: Q
authors.lastname: Zhu
authors.affiliation: Shanghai Institute of Planned Parenthood Research, Shanghai, People's Republic of China.
authors.forename: Ersheng
authors.initials: E
authors.lastname: Gao
authors.affiliation: Shanghai Institute of Planned Parenthood Research, Shanghai, People's Republic of China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Cheng
authors.affiliation: Bureau of Health Promotion, Department of Health, Taipei, Taiwan.
authors.forename: Yi-Li
authors.initials: YL
authors.lastname: Chuang
authors.affiliation: Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
authors.forename: Laurie S
authors.initials: LS
authors.lastname: Zabin
authors.affiliation: Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
authors.forename: Mark R
authors.initials: MR
authors.lastname: Emerson
authors.affiliation: Shanghai Institute of Planned Parenthood Research, Shanghai, People's Republic of China chaohual@yahoo.com.
authors.forename: Chaohua
authors.initials: C
authors.lastname: Lou
mesh_terms: D000293:Adolescent; D000428:Alcohol Drinking; D002650:Child Abuse, Sexual / Q000523:psychology* / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D005715:Gambling; D015438:Health Behavior; D006801:Humans; D016015:Logistic Models; D008297:Male; D012309:Risk-Taking; D012737:Sex Factors; D012907:Smoking; D059020:Suicidal Ideation; D013406:Suicide, Attempted; D011795:Surveys and Questionnaires; D013624:Taiwan; D014754:Violence; D055815:Young Adult
keywords: Taipei; adolescent; child abuse; health behaviors; sexual