Skip to main content

Advertisement

Log in

The Impact of Sexual Coercion on Psychological, Physical, and Sexual Well-Being in a Representative Sample of Australian Women

  • Original Paper
  • Published:
Archives of Sexual Behavior Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Notes

  1. Detailed data are available from the first author.

  2. Detailed data are available from the first author.

  3. 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  CAS  Google Scholar 

  • Broach, J. L. (2004). Exploring the alcohol-sexual assault link: Pathways from alcohol to assault. Journal of Alcohol and Drug Education, 48, 17–27.

    Google Scholar 

  • Browne, A., & Finkelhor, D. (1986). Impact of child sexual abuse: A review of the research. Psychological Bulletin, 99, 66–77

    Article  PubMed  CAS  Google Scholar 

  • 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.

    Article  PubMed  CAS  Google Scholar 

  • Campbell, R., Sefl, T., & Ahrens, C. E. (2004). The impact of rape on women’s sexual health risk behaviors. Health Psychology, 23, 67–64.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  CAS  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  CAS  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38, 319–345.

    Article  PubMed  CAS  Google Scholar 

  • Finkelhor, D., & Browne, A. (1985). The traumatic impact of child sexual abuse: A conceptualization. American Journal of Orthopsychiatry, 55, 530–541.

    Article  PubMed  CAS  Google Scholar 

  • Foa, E. B., & Rothbaum, B. O. (1998). Treating the trauma of rape: Cognitive behavioral therapy for PTSD. New York: Guilford.

    Google Scholar 

  • Golding, J. M. (1994). Sexual assault history and physical health in randomly selected Los Angeles women. Health Psychology, 13, 130–138.

    Article  PubMed  CAS  Google Scholar 

  • 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.

    Article  PubMed  CAS  Google Scholar 

  • 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.

    Article  PubMed  CAS  Google Scholar 

  • 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.

    Article  PubMed  CAS  Google Scholar 

  • 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.

    Article  PubMed  CAS  Google Scholar 

  • 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.

    Article  PubMed  CAS  Google Scholar 

  • 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.

    Article  PubMed  CAS  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  CAS  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  CAS  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  CAS  Google Scholar 

  • Sinclair, B. B., & Gold, S. R. (1997). The psychological impact of withholding disclosure of child sexual abuse. Violence and Victims, 12, 137–145.

    PubMed  CAS  Google Scholar 

  • 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.

    Article  Google Scholar 

  • StataCorp. (2002). Stata: Release 7.0. College Station, TX: Stata Corporation.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • van Berlo, W., & Ensink, B. (2000). Problems with sexuality after sexual assault. Annual Review of Sex Research, 11, 235–257.

    PubMed  CAS  Google Scholar 

Download references

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

Authors

Corresponding author

Correspondence to Richard O. de Visser.

Rights and permissions

Reprints 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

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10508-006-9129-0

Keywords

Navigation