Abstract
It is well established that, compared to other women, women who have been forced or frightened into unwanted sexual activity have poorer psychological, physical, and sexual health. However, it is not clear whether particular experiences of sexual coercion, such as younger age when coerced or number of times coerced, are more likely to lead to poorer health status. This study of a representative sample of Australian women aged 16–59 years was designed to examine such associations. Of the 9134 women recruited for the study, 885 (21%) had been sexually coerced, which was defined as being forced or frightened into unwanted sexual activity. This study showed that any experience of sexual coercion was associated with poorer psychological, physical, and sexual health. The data revealed no consistent associations between health status and particular characteristics of sexual coercion, such as the age when women were coerced, the number of times they had been coerced, or the time since being coerced. Two of the few significant findings were that women who had been coerced more than once reported significantly greater psychosocial distress, and that women first coerced when aged 13–16 reported poorer physical well-being than women first coerced at younger or older ages. There was no significant association between whether women had consulted a psychologist or other professional counselor and better health status. The absence of consistent associations between health status and particular characteristics of sexual coercion indicates a need for care and support services for all women who have been sexually coerced.
Similar content being viewed by others
Notes
Detailed data are available from the first author.
Detailed data are available from the first author.
Detailed data are available from the first author.
References
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
Arata, C. M. (1999). Repeated sexual victimization and mental disorders in women. Journal of Child Sexual Abuse, 7, 1–17.
Australian Institute of Health and Welfare. (2002). 2001 National drug strategy household survey: Detailed findings. Canberra: Australian Institute of Health and Welfare (Drug Statistics Series No. 11).
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.
Broach, J. L. (2004). Exploring the alcohol-sexual assault link: Pathways from alcohol to assault. Journal of Alcohol and Drug Education, 48, 17–27.
Browne, A., & Finkelhor, D. (1986). Impact of child sexual abuse: A review of the research. Psychological Bulletin, 99, 66–77
Burnam, M. A., Stein, J. A., Golding, J. M., Siegel, J. M., Sorenson, S. B., Forsyth, A. B., et al. (1988). Sexual assault and mental disorders in a community population. Journal of Consulting and Clinical Psychology, 56, 843–850.
Campbell, R., Sefl, T., & Ahrens, C. E. (2004). The impact of rape on women’s sexual health risk behaviors. Health Psychology, 23, 67–64.
Campbell, R., Sefl, T., Barnes, H. E., Ahrens, C. E., Wasco, S. M., & Zaragoza-Diesfield, Y. (1999). Community services for rape survivors: Enhancing psychological well-being or increasing trauma? Journal of Consulting and Clinical Psychology, 67, 847–858.
Choi, K-H., Binson, D. Adelson, M., & Catania, J. A. (1998). Sexual harassment, sexual coercion, and HIV risk among US adults 18–49. AIDS and Behavior, 2, 33–40.
Clinical Research Unit for Anxiety and Depression (CRUfAD). (2000). K10 symptom scale. [website] http://www.crufad.com/ K10/k10info.htm. Sydney: CRUfAD. Accessed 15 September 2000.
Creamer, M., Burgess, P., & McFarlane, A. C. (2001). Post-traumatic stress disorder: Findings from the Australian National Survey of Mental Health and Well-Being. Psychological Medicine, 31, 1237–1247.
de Visser, R. O., Rissel, C. E., Smith, A. M. A., & Richters, J. (2006). Sociodemographic correlates of smoking, drinking, injecting drug use, and sexual risk behaviour in a representative sample of Australian young people. International Journal of Behavioral Medicine, 13, 153–162.
de Visser, R. O., Smith, A. M. A., Rissel, C. E., Richters, J., & Grulich, A. E. (2003). Sex in Australia: Experiences of sexual coercion among a representative sample of adults. Australian & New Zealand Journal of Public Health, 27, 198–203.
Desai, S., Arias, I., Thompson, M. P., & Basile, K. C. (2002). Childhood victimization and subsequent adult revictimization assessed in a nationally representative sample of women and men. Violence and Victims, 17, 639–653.
Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38, 319–345.
Finkelhor, D., & Browne, A. (1985). The traumatic impact of child sexual abuse: A conceptualization. American Journal of Orthopsychiatry, 55, 530–541.
Foa, E. B., & Rothbaum, B. O. (1998). Treating the trauma of rape: Cognitive behavioral therapy for PTSD. New York: Guilford.
Golding, J. M. (1994). Sexual assault history and physical health in randomly selected Los Angeles women. Health Psychology, 13, 130–138.
Gruskin, E. P., Hart, S., Gordon, N., & Ackerson, L. (2001). Patterns of cigarette smoking and alcohol use among lesbians and bisexual women enrolled in a large health maintenance organization. American Journal of Public Health, 91, 976–979.
Hanson, R. F., Saunders, B., Kilpatrick, D., Resnick, H., Crouch, J. A., & Duncan, R. (2001). Impact of childhood rape and aggravated assault on adult mental health. American Journal of Orthopsychiatry, 71, 108–119.
Hughes, T. L., Johnson, T., & Wilsnack, S. C. (2001). Sexual assault and alcohol abuse: A comparison of lesbians and heterosexual women. Journal of Substance Abuse, 13, 515–532.
Humphrey, J. A., & White, J. W. (2000). Women’s vulnerability to sexual assault from adolescence to young adulthood. Journal of Adolescent Health, 27, 419–424.
Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: A review of 27 community studies. Journal of Health and Social Behavior, 38, 21–37.
Jacobi, F., Wittchen, H.-U., Hölting, C., Höfler, M., Pfister, H., Müller, N., et al. (2004). Prevalence, co-morbidity and correlates of mental disorders in the general population. Psychological Medicine, 34, 597–611.
Laumann, E. O., Gagnon, J. H., Michael, R. T., & Michaels, S. (1994). The social organization of sexuality: Sexual practices in the United States. Chicago: University of Chicago Press.
Leskin, G. A., & Sheikh, J. I. (2002). Lifetime trauma history and panic disorder: Findings from the National Comorbidity Survey. Journal of Anxiety Disorders, 16, 599–603.
Marx, B. P., Calhoun, K. S., Wilson, A. E., & Meyerson, L. A. (2001). Sexual revictimization prevention: An outcome evaluation. Journal of Consulting and Clinical Psychology, 69, 25–32.
Messman-Moore, T. L., & Long, P. J. (2003). The role of childhood sexual abuse sequelae in the sexual revictimization of women: An empirical review and theoretical reformulation. Clinical Psychology Review, 23, 537–571.
Miranda, R., Meyerson, L. A., Long, P. J., Marx, B. P., & Simpson, S. M. (2002). Sexual assault and alcohol use: Exploring the self-medication hypothesis. Violence and Victims, 17, 205–217.
Najman, J. M., Dunne, M. P., Purdie, D. M., Boyle, F. M., & Coxeter, P. D. (2005). Sexual abuse in childhood and sexual dysfunction in adulthood: An Australian population-based study. Archives of Sexual Behavior, 34, 517–526.
Neumann, D. A., Houskamp, B. M., Pollock, V. E., & Briere, J. (1996). The long-term sequelae of childhood sexual abuse in women: A meta-analytic review. Child Maltreatment, 1, 6–16.
Resnick, H., Acierno, R., Kilpatrick, D. G., & Holmes, M. (2005). Description of an early intervention to prevent substance abuse and psychopathology in recent rape victims. Behavior Modification, 29, 156–188.
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 assumed properties of child sexual abuse using college samples. Psychological Bulletin, 124, 22–53.
Rothbaum, B. O., & Foa, E. B. (1993). Subtypes of posttraumatic stress disorder and duration of symptoms. In J. R. Davidson & E. B. Foa (Eds.), Posttraumatic stress disorder: DSM-IV and beyond (pp. 23–35) Washington, DC: American Psychiatric Press.
Ruggiero, K. J., Smith, D. W., Hanson, R. F., Resnick, H. S., Saunders, B. E., Kilpatrick, D. G., et al. (2004). Is disclosure of childhood rape associated with mental health outcome? Results from the National Women’s Study. Child Maltreatment, 9, 62–77.
Silverman, J. G., Raj, A., Mucci, L. A., & Hathaway, J. E. (2001). Dating violence against adolescent girls and associated substance use, unhealthy weight control, sexual risk behavior, pregnancy, and suicidality. Journal of the American Medical Association, 286, 572–579.
Sinclair, B. B., & Gold, S. R. (1997). The psychological impact of withholding disclosure of child sexual abuse. Violence and Victims, 12, 137–145.
Smith, A., Rissel, C., Richters, J., Grulich, A. E., & de Visser, R. (2003). Sex in Australia: The rationale and methods of the Australian Study of Health and Relationships. Australian & New Zealand Journal of Public Health, 27, 106–117.
StataCorp. (2002). Stata: Release 7.0. College Station, TX: Stata Corporation.
Stein, M. B., Lang, A. J., Laffaye, C., Satz, L. E., Lenox, R. J., & Dresselhaus, T. R. (2004). Relationship of sexual assault history to somatic symptoms and health anxiety in women. General Hospital Anxiety, 26, 178–183.
Ullman, S. E., & Filipas, H. H. (2001). Correlates of formal and informal support seeking in sexual assault victims. Journal of Interpersonal Violence, 16, 1028–1047.
van Berlo, W., & Ensink, B. (2000). Problems with sexuality after sexual assault. Annual Review of Sex Research, 11, 235–257.
Acknowledgments
This study was supported by funding from the Commonwealth Department of Health and Ageing, the Victorian Health Promotion Foundation, the health departments of New South Wales, Queensland and Western Australia, and the Central Sydney Area Health Service. Thanks to Andrew Grulich for his contribution to the study. We are grateful that participants shared so freely the sometimes intimate aspects of their personal lives.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
de Visser, R.O., Rissel, C.E., Richters, J. et al. The Impact of Sexual Coercion on Psychological, Physical, and Sexual Well-Being in a Representative Sample of Australian Women. Arch Sex Behav 36, 676–686 (2007). https://doi.org/10.1007/s10508-006-9129-0
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10508-006-9129-0