TY - SER AU - van Roode, Thea AU - Dickson, Nigel AU - Herbison, G. Peter AU - Paul, Charlotte TI - Child sexual abuse and persistence of risky sexual behaviors and negative sexual outcomes over adulthood: findings from a birth cohort PY - 2009/// KW - ABORTION KW - ADULT SURVIVORS OF SEXUAL ABUSE KW - Dunedin Multidisciplinary Health and Development Study KW - FVC KW - HEALTH KW - LONGITUDINAL STUDIES KW - REPRODUCTIVE HEALTH KW - RISK FACTORS KW - SEXUAL HEALTH KW - YOUNG PEOPLE KW - CHILD SEXUAL ABUSE KW - SEXUAL VIOLENCE KW - NEW ZEALAND N1 - Subscriber access: http://dx.doi.org/10.1016/j.chiabu.2008.09.006; Child Abuse & Neglect, 2009, 33(3): 161-172 N2 - This article presents the results of a study to assess the impact of childhood sexual abuse on adult sexual behaviours and outcomes over three age periods. The researchers used data from a longitudinal study of a cohort born in Dunedin, New Zealand in 1972-1973. Information on childhood sexual abuse was requested at age 26, and on sexual behaviours and outcomes at ages 21, 26, and 32. Overall, 465 women and 471 men (92% of the surviving cohort) answered questions about childhood sexual abuse. The study found that contact childhood sexual abuse was reported by 30% of women and 9% of men. For women, sexual abuse was associated with significantly increased rates of number of sexual partners, unhappy pregnancies, abortion, and sexually transmitted infections from age 18 to 21; with rates of these approaching those of non-abused women over time. However, for abused men rates of negative outcomes were not significantly elevated in the youngest age period, but were for number of partners from age 26 to 32 and acquisition of herpes simplex virus type 2 from age 21 to 32. The authors conclude that gender and age are critical when considering the effect of child sexual abuse. The serious early impact of childhood sexual abuse shown for women appears to decrease with age, but abused men appear to carry increased risks into adulthood. The study has implications for practitioners: childhood sexual abuse is common and should be considered when young women present with unwanted pregnancies or seek multiple abortions, and when men continue high risk sexual behaviour into adulthood. Additionally, if childhood sexual abuse is disclosed, sexual risks in adulthood need to be considered UR - http://dx.doi.org/10.1016/j.chiabu.2008.09.006 ER -