Prevalence of Sexual Violence and its Association with Depression among Male and Female Patients with Risky Drug Use in Urban Federally Qualified Health Centers

Sexual violence (SV) is common; however, the prevalence of SV and its long term sequela vary geographically and among subpopulations within the USA. As such, the aims of this study are the following: (1) to determine the prevalence of SV, (2) to identify correlates of SV, and (3) to determine if SV...

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Veröffentlicht in:Journal of urban health 2018-02, Vol.95 (1), p.111-115
Hauptverfasser: Bone, Curtis W., Goodfellow, Amelia M., Vahidi, Mani, Gelberg, Lillian
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creator Bone, Curtis W.
Goodfellow, Amelia M.
Vahidi, Mani
Gelberg, Lillian
description Sexual violence (SV) is common; however, the prevalence of SV and its long term sequela vary geographically and among subpopulations within the USA. As such, the aims of this study are the following: (1) to determine the prevalence of SV, (2) to identify correlates of SV, and (3) to determine if SV is associated with depression among male and female risky drug users in urban Federally Qualified Health Centers (FQHCs) in Los Angeles. This study includes adult patients of five urban FQHCs who self-reported risky drug use. We identified survivors of SV and those experiencing depression through survey questions that queried, before or after age 18, “Were you ever sexually assaulted, molested or raped?” and with the RAND Mental Health Index (MHI-5). We utilized Pearson’s chi-square tests to assess predictors of SV and logistic regression to assess for an association between SV and depression. Data collection took place from February 2011 to November 2012. Of the 334 study patients, 49% of females and 25% of males reported surviving SV. Exposure to SV, (both before 18 years of age and after 18 years of age) was the strongest predictor of depression among men and women in this study (OR 4.7, p  
doi_str_mv 10.1007/s11524-017-0213-7
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Exposure to SV, (both before 18 years of age and after 18 years of age) was the strongest predictor of depression among men and women in this study (OR 4.7, p  &lt; 0.05). These data demonstrate that sexual violence is prevalent in this urban FQHC population and is strongly associated with depression. Providers should consider screening both men and women with risky drug use for SV while health systems should continue to align mental health and primary care services to appropriately care for these extremely vulnerable patients. 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As such, the aims of this study are the following: (1) to determine the prevalence of SV, (2) to identify correlates of SV, and (3) to determine if SV is associated with depression among male and female risky drug users in urban Federally Qualified Health Centers (FQHCs) in Los Angeles. This study includes adult patients of five urban FQHCs who self-reported risky drug use. We identified survivors of SV and those experiencing depression through survey questions that queried, before or after age 18, “Were you ever sexually assaulted, molested or raped?” and with the RAND Mental Health Index (MHI-5). We utilized Pearson’s chi-square tests to assess predictors of SV and logistic regression to assess for an association between SV and depression. Data collection took place from February 2011 to November 2012. Of the 334 study patients, 49% of females and 25% of males reported surviving SV. Exposure to SV, (both before 18 years of age and after 18 years of age) was the strongest predictor of depression among men and women in this study (OR 4.7, p  &lt; 0.05). These data demonstrate that sexual violence is prevalent in this urban FQHC population and is strongly associated with depression. Providers should consider screening both men and women with risky drug use for SV while health systems should continue to align mental health and primary care services to appropriately care for these extremely vulnerable patients. 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however, the prevalence of SV and its long term sequela vary geographically and among subpopulations within the USA. 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Exposure to SV, (both before 18 years of age and after 18 years of age) was the strongest predictor of depression among men and women in this study (OR 4.7, p  &lt; 0.05). These data demonstrate that sexual violence is prevalent in this urban FQHC population and is strongly associated with depression. Providers should consider screening both men and women with risky drug use for SV while health systems should continue to align mental health and primary care services to appropriately care for these extremely vulnerable patients. Trial Registration Clinical Trials. gov ID NCT01942876, Protocol ID DESPR DA022445, http://www.clinicaltrials.gov</abstract><cop>New York</cop><pub>Springer US</pub><pmid>29340911</pmid><doi>10.1007/s11524-017-0213-7</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Age
Aged
Aged, 80 and over
Aggression
Brief Report
Clinical trials
Crime Victims - statistics & numerical data
Data collection
Depressive Disorder - complications
Drug abuse
Drug use
Drug Users - psychology
Drug Users - statistics & numerical data
Epidemiology
Female
Females
Health care
Health Informatics
Humans
Los Angeles - epidemiology
Male
Medical research
Medicine
Medicine & Public Health
Mental depression
Mental disorders
Mental health
Middle Aged
Patients
Prevalence
Protocol (computers)
Public Health
Rape
Self Report
Sex crimes
Sex Offenses - psychology
Sex Offenses - statistics & numerical data
Sexual assault
Sexual Behavior - psychology
Subpopulations
Substance-Related Disorders - psychology
Surveys and Questionnaires
Urban Population - statistics & numerical data
Violence
Young Adult
title Prevalence of Sexual Violence and its Association with Depression among Male and Female Patients with Risky Drug Use in Urban Federally Qualified Health Centers
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