Exploring Sexual Orientation Disparities Regarding the Interplay of Childhood Sexual Abuse, Self-Reported Diabetes Status, and Depression Among Adults in the United States.

IF 1.4 4区心理学 Q3 FAMILY STUDIES

Journal of Child Sexual Abuse Pub Date : 2024-01-01 Epub Date: 2023-10-17 DOI:10.1080/10538712.2023.2270518

Sumaita Choudhury, Paul G Yeh, Kaitlyn L Zajack-Garcia, Christine M Markham

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引用次数: 0

Abstract

Previous research has revealed a strong link between the experience of childhood sexual abuse (CSA) and diabetes in adulthood. Moreover, research has shown that sexual minorities (SM) are exposed to adverse childhood experiences (ACEs) (i.e. CSA) and experience depression at higher rates than their heterosexual counterparts. Thus, it is imperative to further investigate the role of depression and the differential associations of exposure to ACEs with diabetes prevalence by sexual orientation. We explored sexual orientation disparities regarding the relationship between CSA and diabetes and examined the moderating role of depression. A total of 29,903 participants from the 2021 Behavioral Risk Factor Surveillance System (BRFSS) were included in this study. Secondary data analysis was conducted using the survey data, and weighted logistic regression and moderation analysis were performed. Heterosexuals who experienced CSA (AOR = 1.25; p < .05) and SM who experienced CSA (AOR = 2.13; p < .05) reported higher odds of having diabetes. Among heterosexuals, depression (AOR = 1.38; p < .001) was significantly associated with having diabetes. Additionally, depression was a significant moderator among heterosexuals with and without CSA. Further understanding of the impact of ACEs on diabetes among specific subgroups of SM should be assessed in future studies.

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探讨美国成年人儿童性虐待、自我报告的糖尿病状况和抑郁症之间的性取向差异。

先前的研究揭示了儿童性虐待（CSA）经历与成年后糖尿病之间的密切联系。此外，研究表明，性少数群体（SM）比异性恋群体更容易接触不良童年经历（ACE）（即CSA）和抑郁。因此，有必要进一步研究抑郁症的作用，以及接触ACE与性取向糖尿病患病率的差异关联。我们探讨了CSA与糖尿病之间的性取向差异，并研究了抑郁症的调节作用。本研究共纳入了来自2021年行为风险因素监测系统（BRFSS）的29903名参与者。使用调查数据进行二次数据分析，并进行加权逻辑回归和适度分析。经历CSA（AOR = 1.25；p p p

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来源期刊

Journal of Child Sexual Abuse Multiple-

CiteScore

3.20

自引率

10.50%

发文量

期刊介绍： The Journal of Child Sexual Abuse is interdisciplinary and provides an essential interface for researchers, academicians, attorneys, clinicians, and practitioners. The journal advocates for increased networking in the sexual abuse field, greater dissemination of information and research, a higher priority for this international epidemic, and development of effective assessment, intervention, and prevention programs. Divided into sections to provide clear information, the journal covers research issues, clinical issues, legal issues, prevention programs, case studies, and brief reports, focusing on three subject groups - child and adolescent victims of sexual abuse or incest, adult survivors of childhood sexual abuse or incest, and sexual abuse or incest offenders.