童年期性侵犯受害女性的性健康状况  

Sexual health status of female victims of childhood sexual abuse

作　　者：吴海雅 梅锦荣 Ng Hoi Nga;Boey Kam Weng(Research Unit of Love,Marriage and Family,Caritas Institute of Higher Education,Hong Kong 999077,China)

机构地区：[1]香港明爱专上学院爱、婚姻及家庭研究组,999077 [2]香港大学社会工作及社会行政学系

出　　处：《中国健康心理学杂志》2022年第1期75-79,共5页China Journal of Health Psychology

基　　金：香港教育资助委员会研究资助局资助(编号:UGC_FDS11_H03_16)。

摘　　要：目的:评估童年期受性侵犯受害女性的性健康状况,并与没有受性侵犯的女性比较分析。方法:采用横断法方式,通过问卷调查从多方面搜集数据。性健康狀況,分别由正性自我概念(性自尊、性效能、性满意)和负性自我概念(性焦虑、性抑郁、性惧怕)加以测量。并以情境性自我概念(性动机和性意识)补充数据的分析。结果:共1025人完成问卷,746人(男302人,女444人)回答了有关童年受性侵犯的条目,76人(10.2%)表明童年曾受性侵犯,56人为女性,占被性侵犯者的73.7%(有效问卷共53份)。单因子共变异量分析(协变量为年龄)表明,女性受害者正性的性健康不受影响,但对性生活有较大的焦虑[F_((1,439))=17.20,P<.001],较严重的性抑郁[F_((1,439))=35.57,P<.001]以及较大的性惧怕[F_((1,439))=4.49,P<.05]。然而受害女性却同时表现较强烈的性欲望[χ^(2)=33.46,P<.001]和较频密的性活动[χ^(2)=26.51,P<001],受害者情境性自我概念(性动机和性意识)显著偏高。结论:童年期受性侵犯受害者性焦虑、性抑郁、性惧怕偏高,性健康低下。虽然表现较强烈的性欲望和较高的性活动次数,但低下的性健康状况却给生活质量带来深远广泛的负面影响。Objective:To compare the sexual health status of women who reported a history of childhood sexual abuse(CSA)and women without a history of CSA.Methods:A cross-sectional questionnaire survey was conducted to collect data via convenience sampling.Sexual health status was measured by positive sexual self-concept(sexual esteem,sexual efficacy,and sexual satisfaction),negative sexual self-concept(sexual anxiety,sexual depression,and sexual fear).Situational sexual self-concept(sexual motivation and sexual consciousness)was included for supplementary analysis.Results:A total of 1025 respondents completed the questionnaire,of which 746 participants(302 males,444 females)responded to the item of CSA.A total of 76 respondents reported a history of CSA,56(73.7%)were women victims(with a total of 53 valid questionnaires).ANCOVA(with age as covariate)revealed that CSA victims showed higher levels of sexual anxiety[F_((1,439))=7.20,P<0.001],sexual depression[F_((1,439))=35.57,P<0.001],and sexual fear[F_((1,439))=4.49,P<0.05].CSA victims exhibited greater sexual desires[χ^(2)(3)=33.46,P<0.001]and engaged in more frequent sexual activities[χ^(2)(3)=26.51,P<0.001].Their situational sexual self-concept,i.e.,sexual motivation and sexual consciousness were also significantly higher.Conclusion:Female victims of CSA show poorer sexual health status in terms of higher levels sexual anxiety,sexual depression,and sexual fear.Though they exhibit greater sexual desire and greater sexual frequency,their poor sexual health status is likely to exert hazardous and pervasive effects on their quality of life.

关 键 词：童年性侵犯 性健康状况 性自我概念 女性受害者 

分 类 号：R395.9[哲学宗教—心理学]