童年期性虐待与大学生性取向的相关性

张婷婷; 陈俐如; 谢国蝶; 袁梦园; 常俊杰; 李泳汉; 苏普玉

doi:10.16835/j.cnki.1000-9817.2021.05.016

童年期性虐待与大学生性取向的相关性

doi: 10.16835/j.cnki.1000-9817.2021.05.016

1.
中国人民解放军联勤保障部队第九〇一医院临床医院，安徽合肥 230031
2.
安徽医科大学公共卫生学院儿少卫生与妇幼保健学系/出生人口健康教育部重点实验室/人口健康与优生安徽省重点实验室

基金项目:

国家自然科学基金面上项目 81874268

详细信息

作者简介:
张婷婷(1988-)，女，安徽肥东人，大学本科，初级技术师，主要研究方向为儿童青少年卫生

通讯作者:
苏普玉, E-mail: supuyu@ahmu.edu.cn

中图分类号: G 647.8 G 444 B 844.2
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- 被引次数: 0
出版历程
- 收稿日期: 2020-12-15
- 修回日期: 2021-02-20
- 网络出版日期: 2021-05-20
- 刊出日期: 2021-05-25

Difference in the relationship between childhood sexual abuse and sexual orientation among college students

1.
Clinical College, No. 901 Hospital of PLA Joint Logistics Support Force, Heifei (230031), China

摘要

摘要: 目的探讨童年期性虐待与大学生性取向之间的关联及其性别差异，为中国青少年童年期性虐待和性取向研究提供基础数据。方法采用多阶段整群抽样的方法，抽取合肥市4所大学4 034名学生作为研究对象进行问卷调查，调查人口统计学特征、童年期性虐待经历以及性取向。采用Logistic回归模型分析不同类型和不同时期的性虐待经历与大学生性取向之间的关联及性别差异。结果大学生异性向、同性向、双性向、无性向的报告率分别为93.2%，0.7%，3.7%，2.4%。男生发生在小学或更早时期的仅接触性虐待(OR=14.70, 95%CI=5.73~37.72)、同时经历非接触和接触性虐待(OR=4.33, 95%CI=1.91~9.84)与性取向有关；发生在中学时期的仅非接触性虐待(OR=4.20, 95%CI=2.21~7.98)，同时经历非接触和接触性虐待(OR=3.57, 95%CI=1.65~7.70)与性取向有关。女生发生在小学或更早时期的仅非接触性虐待(OR=1.78, 95%CI=1.02~3.13)、同时经历非接触和接触性虐待(OR=3.13, 95%CI=1.35~7.23)与性取向存在关联。结论童年期性虐待经历与大学生性取向存在关联，且存在性别差异，在男生中的关联性相对更强。
- 猥亵儿童 /
- 精神卫生 /
- 同性恋 /
- 异性恋 /
- 回归分析 /
- 学生
Abstract: Objective This study aimed to explore the relationship between childhood sexual abuse (CSA) and sexual orientation among college students, and to explore possible sex difference. Methods By using multi-stage stratified cluster sampling method, 4 034 students were selected from 4 college schools. Self-made questionnaire was used to collect the demographic information, CSA experiences and sexual orientation. Logistic regression models were conducted to examine sex differences in the relationship between different types and timing of CSA and sexual orientation. Results The reporting rates of heterosexual, homosexual, bisexual and asexual orientation of college students were 93.2%, 0.7%, 3.7% and 2.4%, respectively. For males, contact CSA (OR=14.70, 95%CI=5.73-37.72), both contact and noncontact CSA (OR=4.33, 95%CI=1.91-9.84) in elementary school or earlier were associated with sexual orientaion. non-contact CSA (OR=4.20, 95%CI=2.21-7.98), both contact and noncontact CSA (OR=3.57, 95%CI=1.65-7.70) in middle school were related to sexual orientation. However, for females, non-contact CSA (OR=1.78, 95%CI=1.02-3.13) and both contact and non-contact CSA (OR=3.13, 95%CI=1.35-7.23) in elementary school or earlier were associated with sexual orientation. Conclusion CSA experiences are associated with sexual orientation in sex-specific manner, with significant stronger association among males.
- Child abuse, sexual /
- Mental health /
- Homosexuality /
- Heterosexuality /
- Regresstion analysis /
- Students

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表 1 不同人口统计学特征大学生性取向分布比较

Table 1. Distribution of sexual orientation of college students of different demographic characteristics

人口统计学特征		男生						女生
人口统计学特征		人数	异性向	同性向	双性向	无性向	χ²值	人数	异性向	同性向	双性向	无性向	χ²值
年级	一	632	600(94.9)	7(1.1)	13(2.1)	12(1.9)	8.12	438	366(83.6)	1(0.2)	48(11.0)	23(5.3)	46.77^**
	二	625	603(96.5)	1(0.2)	14(2.2)	7(1.1)		423	388(91.7)	1(0.2)	22(5.2)	12(2.8)
	三	593	568(95.8)	7(1.2)	10(1.7)	8(1.3)		343	319(93.0)	3(0.9)	17(5.0)	4(1.2)
	四	492	473(96.1)	3(0.6)	11(2.2)	5(1.0)		488	443(90.8)	6(1.2)	14(2.9)	25(5.1)
专业	工学	737	727(32.4)	1(5.6)	8(16.7)	1(3.1)	50.46^**	256	237(15.6)	3(27.3)	6(5.9)	10(15.6)	21.13^**
	理学	515	483(21.5)	10(55.6)	13(27.1)	9(28.1)		446	401(26.5)	2(18.2)	25(24.8)	18(28.1)
	农学	528	492(21.9)	3(16.7)	14(29.2)	19(59.4)		518	446(29.4)	2(18.2)	43(42.6)	27(42.2)
	医学	562	542(24.2)	4(22.2)	13(27.1)	3(9.4)		472	432(28.5)	4(36.4)	27(26.7)	9(14.1)
家庭结构	核心家庭	1 637	1 569(95.8)	12(0.7)	35(2.1)	21(1.3)	1.32	1 170	1 049(89.7)	5(0.4)	72(6.2)	44(3.8)
	大家庭	525	503(95.8)	4(0.8)	9(1.7)	9(1.7)		371	335(90.3)	4(1.1)	17(4.6)	15(4.0)
	单亲家庭	180	172(95.6)	2(1.1)	4(2.2)	2(1.1)		151	132(87.4)	2(1.3)	12(7.9)	5(3.3)
与母亲关系	较差	50	48(96.0)	1(2.0)	1(2.0)	0	3.65	25	20(80.0)	1(4.0)	2(8.0)	2(8.0)	11.57
	一般	359	340(94.7)	4(1.1)	10(2.8)	5(1.4)		251	215(85.7)	2(0.8)	22(8.8)	12(4.8)
	较好	1 933	1 856(96.0)	13(0.7)	37(1.9)	27(1.4)		1 416	1 281(90.5)	8(0.6)	77(5.4)	50(3.5)
与父亲关系	较差	61	52(85.2)	6(9.8)	3(4.9)	0	77.54^**	63	52(82.5)	0	7(11.1)	4(6.3)	11.30
	一般	604	571(94.5)	3(0.5)	17(2.8)	13(1.1)		491	432(88.0)	6(1.2)	36(7.3)	17(3.5)
	较好	1 677	1 621(72.2)	9(50.0)	28(58.3)	19(59.4)		1 138	1 032(90.7)	5(0.4)	58(5.1)	43(3.8)
合计		2 342	2 244(95.8)	18(0.8)	48(2.0)	32(1.4)		1 692	1 516(89.6)	11(0.7)	101(6.0)	64(3.8)
注: ()内数字为构成比/%；** P < 0.01。

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表 2 不同时期有无性虐待大学生非异性向报告率比较

Table 2. Detection of childhood sexual abuse and non-heterosexuality in different periods and its gender differences

性虐待	男生			女生
性虐待	人数	非异性向人数	χ²值	人数	非异性向人数	χ²值
小学或更早时期
无	2 115	73(3.5)	78.08^**	1 530	147(9.6)	12.37^**
仅非接触	155	9(5.8)		101	17(16.8)
仅接触	22	8(36.4)		27	4(14.8)
二者均有	50	8(16.0)		34	8(23.5)
中学时期
无	2 164	71(3.3)	42.48^**	1 574	161(10.2)	3.25
仅非接触	92	7(7.6)		82	9(11.0)
仅接触	21	4(19.0)		15	4(26.7)
二者均有	65	16(24.6)		21	2(9.5)
大学前总性虐待
无	2 025	64(3.2)	79.07^**	1 440	137(9.5)	9.53^*
仅非接触	187	9(4.8)		163	24(14.7)
仅接触	24	5(20.8)		33	7(21.2)
二者均有	106	20(18.9)		56	8(14.3)
注: ()内数字为报告率/%；P < 0.05，*P < 0.01。

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表 3 童年期性虐待经历与大学生性取向关系的多因素Logistic回归分析

Table 3. Multiple Logistic regression of the relationship between childhood sexual abuse and college students' sexual orientation

自变量	选项	男生(n=2 342)			女生(n=1 692)
自变量	选项	β值	OR值(OR值95%CI)	P值	β值	OR值(OR值95%CI)	P值
小学或更早时期	仅非接触	0.50	1.65(0.81~3.39)	0.17	0.58	1.78(1.02~3.13)	0.04
	仅接触	2.69	14.70(5.73~37.72)	< 0.01	0.50	1.65(0.55~4.98)	0.37
	二者均有	1.47	4.33(1.91~9.84)	< 0.01	1.14	3.13(1.35~7.23)	0.01
中学时期	仅非接触	1.44	4.20(2.21~7.98)	< 0.01	0.01	1.01(0.47~2.14)	0.99
	仅接触	0.88	2.42(0.54~10.83)	0.25	0.90	2.46(0.66~9.16)	0.18
	二者均有	1.27	3.57(1.65~7.70)	< 0.01	0.50	1.65(0.53~5.11)	0.39
注：控制了年级、学习成绩、与父亲关系状况、与母亲关系状况；自变量均以无为参照。

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