Child sexual abuse and its relationship with health risk behaviors among adolescents and young adults in Taipei

Qianqian Zhu, Ersheng Gao, Yan Cheng, Yi Li Chuang, Laurie S. Zabin, Mark R. Emerson, Chaohua Lou

Research output: Contribution to journalArticle


This study explores the association of child sexual abuse (CSA) with subsequent health risk behaviors among a cross-section of 4354 adolescents and young adults surveyed in urban and rural Taipei. Descriptive analysis and logistic regressions were employed. The overall proportion of CSA was 5.15%, with more females (6.14%) than males (4.16%) likely to experience CSA. CSA was differently associated with multiple adverse health outcomes, after adjusting other factors, such as age, residence, economic status, education, employment status, and household instability. Both males and females with CSA experience were more likely to report drinking, gambling, and suicidal ideation compared with those who had no history of CSA. However, the significant association between CSA and smoking, fighting, and suicidal attempt was not observed among females. Effective interventions are needed to reduce CSA and its adverse effects on adolescent well-being.

Original languageEnglish (US)
Pages (from-to)643-651
Number of pages9
JournalAsia-Pacific Journal of Public Health
Issue number6
StatePublished - Sep 24 2015



  • Taipei
  • adolescent
  • child abuse
  • health behaviors
  • sexual

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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