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Erschienen in: Journal of General Internal Medicine 11/2020

01.09.2020 | Original Research

Early Life Sexual Trauma and Later Life Genitourinary Dysfunction and Functional Disability in Women

verfasst von: Pooja Lalchandani, BA, Nadra Lisha, PhD, Carolyn Gibson, PhD, Alison J. Huang, MD, MAS

Erschienen in: Journal of General Internal Medicine | Ausgabe 11/2020

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Abstract

Background

Past research has examined the health outcomes of early sexual trauma in reproductive age women, but little is known about potential long-term effects in older age.

Objective

To examine associations between early life sexual trauma and later life sexual/genitourinary dysfunction and general functional disability in women.

Design

Cross-sectional analysis of nationally representative observational data from the National Social Life, Health, and Aging Project (2010–2011)

Participants

One thousand seven hundred forty-five US women aged ≥ 50 years

Main Measures

Two forms of early life sexual trauma (childhood sexual abuse and unwanted first sexual experience), sexual/genitourinary dysfunction (pain during sex, lack of pleasure during sex, urinary incontinence, other urinary symptoms), and general functional disability (difficulty performing 7 activities of daily living (ADLs) or 8 instrumental activities of daily living (IADLs)), assessed by interview and questionnaire.

Key Results

Of 1745 women, 11% reported a history of childhood sexual abuse and 39% an unwanted first sexual experience. Childhood sexual abuse was associated with later life sexual/genitourinary dysfunction (pain during sex [OR 1.9, 95% CI 1.1–3.3], other urinary problems [OR 1.9, 95% CI 1.2–3.1]), and difficulty with multiple ADLs/IADLs (walking across the room [OR 1.9, 95% CI 1.2–3.1], getting in or out of bed [OR 2.0, 95% CI 1.2–3.3], bathing [OR 2.0, 95% CI 1.2–3.5], prepping meals [OR 2.4, 95% CI 1.5–3.8], shopping for food [OR 1.6, 95% CI 1.0–2.4], and completing light work [OR 1.6, 95% CI 1.0–2.4]), after adjusting for age, race, and education. Unwanted first sexual experience was associated with later life lack of pleasure with sex (OR 1.7, 95% CI 1.1–2.5) and difficulty with ADLs/IADLs (walking one block [OR 1.5, 95% CI 1.1–2.1], completing light work [OR 1.6, 95% CI 1.1–2.1]) in adjusted analyses.

Conclusions

Early sexual trauma may be an under-recognized marker of risk of aging-related functional decline in women. Findings underline the importance of providing trauma-informed care for women across the aging spectrum.
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Metadaten
Titel
Early Life Sexual Trauma and Later Life Genitourinary Dysfunction and Functional Disability in Women
verfasst von
Pooja Lalchandani, BA
Nadra Lisha, PhD
Carolyn Gibson, PhD
Alison J. Huang, MD, MAS
Publikationsdatum
01.09.2020
Verlag
Springer International Publishing
Erschienen in
Journal of General Internal Medicine / Ausgabe 11/2020
Print ISSN: 0884-8734
Elektronische ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-020-06118-0

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