Abstract
This study examined self-reported adult sexual functioning in individuals reporting a history of childhood sexual abuse (CSA) in a representative sample of the Australian population. A sample of 1793 persons, aged 18–59 years, were randomly selected from the electoral roll for Australian states and territories in April 2000. Respondents were interviewed about their health status and sexual experiences, including unwanted sexual experiences before the age of 16 years. More than one-third of women and approximately one-sixth of men reported a history of CSA. Women were more likely than men to report both non-penetrative and penetrative experiences of CSA. For both sexes, there was a significant association between CSA and symptoms of sexual dysfunction. In assessing the specific nature of the relationship between sexual abuse and sexual dysfunction, statistically significant associations were, in general, evident for women only. CSA was not associated with the level of physical or emotional satisfaction respondents experienced with their sexual activity. The total number of lifetime sexual partners was significantly and positively associated with CSA for females, but not for males; however, the number of sexual partners in the last year was not related to CSA. CSA in the Australian population is common and contributes to significant impairment in the sexual functioning of adults, especially women. These consequences appear not to extend to the other areas of sexual activity considered in this study.
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Alexander, P. C., & Lupfer, S. L. (1987). Family characteristics and long-term consequences associated with sexual abuse. Archives of Sexual Behavior, 16, 235–245.
Bachmann, G. A., Moeller, T. P., & Benett, J. (1988). Childhood sexual abuse and the consequences in adult women. Obstetrics and Gynaecology, 71, 631–642.
Bancroft, J. (2002). The medicalization of female sexual dysfunction: The need for caution. Archives of Sexual Behavior, 31, 451–455.
Bancroft, J., Graham, C. A., & McCord, C. (2001). Conceptualizing women's sexual problems. Journal of Sex & Marital Therapy, 27, 95–103.
Bancroft, J., Loftus, J., & Long, J. S. (2003). Distress about sex: A national survey of women in heterosexual relationships. Archives of Sexual Behavior, 32, 193–208.
Bauserman, R., & Rind, B. (1997). Psychological correlates of male child and adolescent sexual experiences with adults: A review of the nonclinical literature. Archives of Sexual Behavior, 26, 105–141.
Beitchman, J. H., Zucker, K. J., Hood, J. E., daCosta, G. A., Akman, D., & Cassavia, E. (1992). A review of the long-term effects of child sexual abuse. Child Abuse and Neglect, 16, 101–118.
Briere, J. (1984). The long-term effects of childhood sexual abuse on later psychological functioning: Defining a post-sexual abuse syndrome. Paper presented at the Third National Conference on Sexual Victimization of Children, Washington, DC.
Briere, J., Evans, D., Runtz, M., & Wall, T. (1988). Symptomology in men who were molested as children: A comparison study. American Journal of Orthopsychiatry, 58, 457–461.
Briere, J., & Runtz, M. (1987). Post sexual abuse trauma: Data and implications for clinical practice. Journal of Interpersonal Violence, 2, 367–379.
Browne, A., & Finkelhor, D. (1986). Impact of child sexual abuse: A review of the research. Psychological Bulletin, 99, 66–77.
DiLillo, D. (2001). Interpersonal functioning among women reporting a history of childhood sexual abuse: Empirical findings and methodological issues. Clinical Psychology Review, 21, 553–576.
Dunne, M. P. (2001). Sampling considerations. In M. Wiederman, & B. Whitley (Eds.), Handbook for conducting research on human sexuality (pp. 85–112). Hillsdale, NJ: Erlbaum.
Dunne, M. P., Martin, N. G., Bailey, J. M., Heath, A. C., Bucholz, K. K., Madden, P. A. F., et al. (1997). Participation bias in a sexuality survey: Psychological and behavioural characteristics of responders and non-responders. International Journal of Epidemiology, 26, 844–854.
Dunne, M. P., Purdie, D. M., Cook, M. D., Boyle, F. M., & Najman, J. M. (2003). Is child sexual abuse declining? Evidence from a population-based survey of men and women in Australia. Child Abuse and Neglect, 27, 141–152.
Fergusson, D. M., & Mullen, P. E. (1999). Childhood sexual abuse: An evidence based perspective. Thousand Oaks, CA: Sage.
Finkelhor, D. (1979). What's wrong with sex between adults and children? Ethics and the problem of sexual abuse. American Journal of Orthopsychiatry, 49, 692–697.
Finkelhor, D., Hotaling, G. T., Lewis, I. A., & Smith, C. (1989). Sexual abuse and its relationship to later sexual satisfaction, marital status, religion, and attitudes. Journal of Interpersonal Violence, 4, 379–399.
Fleming, J. (1997). Prevalence of childhood sexual abuse in a community sample of Australian women. Medical Journal of Australia, 166, 65–68.
Fleming, J., Mullen, P. E., Sibthorpe, B., & Bammer, G. (1999). The long-term impact of childhood sexual abuse in Australian women. Child Abuse and Neglect, 23, 145–159.
Fromuth, M. (1986). The relationship of childhood sexual abuse with later psychological and sexual adjustment in a sample of college women. Child Abuse and Neglect, 10, 5–15.
Greenwald, E., Leitenberg, H., Cado, S., & Tarran, M. J. (1990). Childhood sexual abuse: Long-term effects on psychological and sexual functioning in a nonclinical and nonstudent sample of adult women. Child Abuse and Neglect, 14, 503–513.
Herman, J., & Hirschman, L. (1981). Father-daughter incest. Cambridge, MA: Harvard University Press.
Holmes, G. R., Offen, L., & Waller, G. (1997). See no evil, hear no evil, speak no evil: Why do relatively few male victims of childhood sexual abuse receive help for abuse-related issues in adulthood? Clinical Psychology Review, 17, 69–88.
Holmes, W. C., & Slap, G. B. (1998). Sexual abuse of boys: Definition, prevalence, correlates, sequelae, and management. Journal of the American Medical Association, 280, 1855–1862.
Langmade, C. (1983). The impact of pre- and postpubertal onset of incest experiences in adult women as measured by sex anxiety, sex guilt, sexual satisfaction and sexual behavior. Dissertation Abstracts International, 44, 917B.
Laumann, E., Paik, A., & Rosen, R. C. (1999). Sexual dysfunction in the United States: Prevalence and predictors. Journal of the American Medical Association, 281, 537–544.
Mazza, D., Dennerstein, L., Garamszegi, C. V., & Dudley, E. C. (2001). The physical, sexual and emotional violence history of middle-aged women: A community-based prevalence study. Medical Journal of Australia, 175, 199–201.
Mazza, D., Dennerstein, L., & Ryan, V. (1996). Physical, sexual and emotional violence against women: A general practice-based prevalence study. Medical Journal of Australia, 164, 14–17.
McKean, E. A., Muller, K. L., & Lang, E. L. (1992). The 1992 National Health and Social Life Survey (NHSLS) Users' Manual for the CD-ROM. Los Altos, CA: Sociometrics.
McKlennan, W. (1998). Census of population and housing: Socio-economic indexes for areas (Catalogue No. 2039.0). Canberra: Australian Bureau of Statistics.
Mieselman, K. (1978). Incest: A psychological study of causes and effects with treatment recommendation. San Francisco, CA: Jossey-Bass.
Mullen, P. E., Martin, J. L., Anderson, J. C., Romans, S. E., & Herbison, G. P. (1994). The effect of child sexual abuse on social, interpersonal and sexual function in adult life. British Journal of Psychiatry, 165, 35–47.
Najman, J. M., Dunne, M. P., Boyle, F. M., Cook, M. D., & Purdie, D. M. (2003). Sexual dysfunction in the Australian population. Australian Family Physician, 32, 951–954.
Nelson, E. C., Heath, A. C., Madden, P. A. F., Cooper, M. L., Dinwiddie, S. H., Bucholz, K. K., et al. (2002). Association between self-reported childhood sexual abuse and adverse psychosocial outcomes: Results from a twin study. Archives of General Psychiatry, 59, 139–145.
Paolucci, E. O., Genuis, M. L., & Violato, C. (2001). A meta-analysis of the published research on the effects of child sexual abuse. Journal of Psychology, 135, 17–36.
Purdie, D. M., Dunne, M. P., Boyle, F. M., Cook, M. D., & Najman, J. M. (2002). Health and demographic characteristics of respondents in an Australian national sexuality survey: Comparison with population norms. Journal of Epidemiology and Community Health, 56, 748–753.
Rind, B., & Tromovitch, P. (1997). A meta-analytic review of findings from national samples on psychological correlates of child sexual abuse. Journal of Sex Research, 34, 237–255.
Rind, B., Tromovitch, P., & Bauserman, R. (1998). A meta-analytic examination of the assumed properties of child sexual abuse using college samples. Psychological Bulletin, 124, 22–53.
Roesler, T., & McKenzie, N. (1994). Effects of childhood trauma on psychological functioning in adults sexually abused as children. Journal of Nervous and Mental Disease, 182, 145–150.
Rumstein-McKean, O., & Hunsley, J. (2001). Interpersonal and family functioning of female survivors of childhood sexual abuse. Clinical Psychology Review, 21, 471–490.
Tharinger, D. (1990). Impact of child sexual abuse on developing sexuality. Professional Psychology: Research and Practice, 21, 331–337.
Tsai, M., & Wagner, N. (1978). Therapy groups for women sexually molested as children. Archives of Sexual Behavior, 7, 417–427.
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Najman, J.M., Dunne, M.P., Purdie, D.M. et al. Sexual Abuse in Childhood and Sexual Dysfunction in Adulthood: An Australian Population-Based Study. Arch Sex Behav 34, 517–526 (2005). https://doi.org/10.1007/s10508-005-6277-6
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DOI: https://doi.org/10.1007/s10508-005-6277-6