Sexual violence in Catalan adolescents: prevalence, associated factors and health consequences

IF 1.5 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Gaceta Sanitaria Pub Date : 2025-01-01 DOI:10.1016/j.gaceta.2025.102455

Helena Gonzalez-Casals , Carmen Vives-Cases , Albert Espelt , Marina Bosque-Prous , Ester Teixidó-Compañó , Gemma Drou-Roget , Cinta Folch

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引用次数: 0

Abstract

Objective

To estimate the prevalence of sexual violence among Catalan adolescents and its associated factors, as well as examining the relationship between experiencing sexual violence and low mood and risky substance use.

Method

Cross-sectional study conducted with 5900 adolescents (53.2% girls). The main study variables were having experienced sexual violence and reporting unhealthy behaviours or health problems (low mood, daily tobacco consumption and alcohol and cannabis risky consumption). Prevalence rates were estimated for all variables, and Poisson regression models with robust variance were used to analyse potential associations with independent variables.

Results

The prevalence of experienced sexual violence was 30%, with differences between boys (14.1%; 95%CI: 12.8-15.4) and girls (43.3%; 95%CI: 41.6-45.0). Having a minority sexual orientation, early onset of sexual relations, being in a higher academic course, having experienced and exercised bullying, and poor relationship with the parents were associated with experienced sexual violence. Experiencing sexual violence was associated with low mood, daily tobacco consumption and risky alcohol and cannabis consumption for both sexes.

Conclusions

Experiencing sexual violence in adolescence is prevalent, particularly among girls and sexual minorities, and is associated with mental health issues and substance use. The study highlights the need for gender-sensitive healthcare policies that address mental health and social support systems. Comprehensive prevention programs must consider the experiences of gender minorities and the psychosocial factors that contribute to the experience of sexual violence.

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加泰罗尼亚青少年中的性暴力：流行程度、相关因素和健康后果

目的评估加泰罗尼亚青少年中性暴力的发生率及其相关因素，并检查经历性暴力与情绪低落和危险物质使用之间的关系。方法对5900名青少年（53.2%为女孩）进行横断面研究。研究的主要变量是经历过性暴力和报告不健康行为或健康问题（情绪低落、每天吸烟、喝酒和吸食大麻）。对所有变量的患病率进行估计，并使用具有稳健方差的泊松回归模型来分析与自变量的潜在关联。结果曾遭受过性暴力的患病率为30%，男生差异为14.1%；95%CI: 12.8-15.4)和女孩(43.3%；95%置信区间:41.6—-45.0)。有少数性取向、过早发生性关系、接受高等教育、经历过欺凌、与父母关系不佳都与经历过性暴力有关。经历过性暴力与情绪低落、每天吸烟以及危险的酒精和大麻消费有关。结论：青春期性暴力现象普遍存在，尤其是在女孩和性少数群体中，并与心理健康问题和药物使用有关。该研究强调需要制定对性别问题有敏感认识的卫生保健政策，以解决精神卫生和社会支持系统的问题。综合预防方案必须考虑到性别少数群体的经历和导致性暴力经历的社会心理因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gaceta Sanitaria 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.10

自引率

5.30%

发文量

审稿时长

29 days

期刊介绍： Gaceta Sanitaria (Health Gazette) is an international journal that accepts articles in Spanish and in English. It is the official scientific journal of the Sociedad Española de Salud Publica y Administración Sanitaria (Spanish Society of Public Health and Health Administration) (SESPAS). The Journal publishes 6 issues per year on different areas of Public Health and Health Administration, including: -Applied epidemiology- Health prevention and promotion- Environmental health- International health- Management and assessment of policies and services- Health technology assessments- Health economics. The editorial process is regulated by a peer review system. It publishes original works, reviews, opinion articles, field and methodology notes, protocols, letters to the editor, editorials, and debates.