Gender differences in the association between childhood sexual abuse and risky sexual behaviours: a systematic review and meta-analysis

Abajobir, Amanuel Alemu, Kisely, Steve, Maravilla, Joemer Calderon, Williams, Gail and Najman, Jake Moses (2017) Gender differences in the association between childhood sexual abuse and risky sexual behaviours: a systematic review and meta-analysis. Child Abuse and Neglect, 63 4: 249-260. doi:10.1016/j.chiabu.2016.11.023


Author Abajobir, Amanuel Alemu
Kisely, Steve
Maravilla, Joemer Calderon
Williams, Gail
Najman, Jake Moses
Title Gender differences in the association between childhood sexual abuse and risky sexual behaviours: a systematic review and meta-analysis
Journal name Child Abuse and Neglect   Check publisher's open access policy
ISSN 1873-7757
0145-2134
Publication date 2017-01-01
Year available 2016
Sub-type Article (original research)
DOI 10.1016/j.chiabu.2016.11.023
Open Access Status Not yet assessed
Volume 63
Issue 4
Start page 249
End page 260
Total pages 12
Place of publication Oxford, United Kingdom
Publisher Elsevier
Language eng
Abstract This meta-analytic review examines the association between childhood sexual abuse and risky sexual behaviours with sub-group analyses by gender. Systematic searches of electronic databases including MEDLINE, PubMed, EMBASE, and PsycINFO were performed using key terms. We used a priori criteria to include high quality studies and control for heterogeneities across eligible studies. The review was registered with PROSPERO and used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The final meta-analysis applied fixed-effects model to generate pooled odds ratio (OR). Subgroup analyses were conducted to identify potential methodological moderators. The meta-analysis included 8 eligible studies (N=38,989, females=53.1%). The overall syndemic of risky sexual behaviors at adulthood was 1.59 times more common in childhood sexual abuse victims. There was a similar association between childhood sexual abuse in general and subsequent risky sexual behaviors in both females and males. However, in cases of substantiated childhood sexual abuse, there was a greater odds of risky sexual behaviors in females (OR=2.72) than males (OR=1.69). The magnitude of association of childhood sexual abuse and risky sexual behaviors was similar for males and females regardless of study time, study quality score and method of childhood sexual abuse measurement. There were nonsignificant overall and subgroup differences between males and females. Childhood sexual abuse is a significant risk factor for a syndemic of risky sexual behaviors and the magnitude is similar both in females and males. More research is needed to explore possible mechanisms of association.
Formatted abstract
This meta-analytic review examines the association between childhood sexual abuse and risky sexual behaviours with sub-group analyses by gender. Systematic searches of electronic databases including MEDLINE, PubMed, EMBASE, and PsycINFO were performed using key terms. We used a priori criteria to include high quality studies and control for heterogeneities across eligible studies. The review was registered with PROSPERO and used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The final meta-analysis applied fixed-effects model to generate pooled odds ratio (OR). Subgroup analyses were conducted to identify potential methodological moderators. The meta-analysis included 8 eligible studies (N = 38,989, females = 53.1%). The overall syndemic of risky sexual behaviors at adulthood was 1.59 times more common in childhood sexual abuse victims. There was a similar association between childhood sexual abuse in general and subsequent risky sexual behaviors in both females and males. However, in cases of substantiated childhood sexual abuse, there was a greater odds of risky sexual behaviors in females (OR = 2.72) than males (OR = 1.69). The magnitude of association of childhood sexual abuse and risky sexual behaviors was similar for males and females regardless of study time, study quality score and method of childhood sexual abuse measurement. There were nonsignificant overall and subgroup differences between males and females. Childhood sexual abuse is a significant risk factor for a syndemic of risky sexual behaviors and the magnitude is similar both in females and males. More research is needed to explore possible mechanisms of association.
Keyword Childhood sexual abuse
Meta-analysis
Risky sexual behaviour
Syndemic
Q-Index Code C1
Q-Index Status Provisional Code
Grant ID K01 AA018146-03
Institutional Status UQ

 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 0 times in Thomson Reuters Web of Science Article
Scopus Citation Count Cited 1 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Tue, 10 Jan 2017, 11:29:53 EST by System User on behalf of Learning and Research Services (UQ Library)