Childhood Sexual Trauma and Subjective Cognitive Decline: An Assessment of Racial/Ethnic and Sexual Orientation Disparities
- PMID: 37218145
- PMCID: PMC10523896
- DOI: 10.1177/07334648231175299
Childhood Sexual Trauma and Subjective Cognitive Decline: An Assessment of Racial/Ethnic and Sexual Orientation Disparities
Abstract
Prior studies examining the association between childhood sexual abuse (CSA) and subjective cognitive decline (SCD) are limited. The aim of this study was to examine the racial/ethnic and sexual orientation disparities in the association between CSA and SCD. Using data from the 2019 Behavioral Risk Factor Surveillance System Survey, crude and multivariable logistic regression models were used to determine the association between CSA and SCD adjusting for sociodemographic characteristics, diabetes, hypertension, and depression. There were statistically significant differences in CSA status by age, gender, income, education, employment, and health status (depression). Black and Hispanic/Latine respondents had a stronger relationship between CSA and SCD compared to White populations. Also, sexual minority populations had a stronger relationship between CSA and SCD compared to heterosexual populations. Health disparities exist in the association between CSA and SCD. Trauma-informed interventions should be implemented among affected populations.
Keywords: childhood sexual abuse; cognition; disparities; race/ethnicity; sexual orientation.
Conflict of interest statement
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References
-
- American College of Obstetricians and Gynecologists (ACOG). (2022). Adult manifestations of childhood sexual abuse. https://www.acog.org/clinical/clinical-guidance/committee-opinion/articl...
-
- American Psychiatric Association. (2023). What is Depression? https://www.psychiatry.org/patients-families/depression/what-is-depression
-
- Arreola SG, Neilands TB, Pollack LM, Paul JP, & Catania JA (2005). Higher prevalence of childhood sexual abuse among Latino men who have sex with men than Non-Latino men who have sex with men: Data from the Urban Men’s Health Study. Child abuse & neglect, 29(3), 285–290. 10.1016/j.chiabu.2004.09.003 - DOI - PubMed
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