Mental health after sexual violence: The role of behavioral and demographic risk factors

Lisa M. Vandemark, Martina Mueller

Research output: Contribution to journalArticle

Abstract

Background: Sequelae of sexual violence include a range of physical and emotional problems, and negative mental health outcomes are particularly severe and long lasting. Objectives: To evaluate associations among sociodemographic and behavioral factors and mental health after exposure to sexual violence. Methods: Participants were 780 men and women who experienced sexual violence who participated in the 2005 South Carolina Behavioral Risk Factor Surveillance Survey. The factors analyzed were gender, age, race, income, and education; having health insurance, an identified healthcare provider, and adequate emotional support; and diet, exercise, smoking, and alcohol use. Poor mental health was defined as 5 or more poor mental health days in the past 30 days. Data were analyzed using the SAS Procedures for Analysis of Sample Survey Data. Results: Victims of sexual violence were at greater risk of experiencing 5 or more poor mental health days than those who did not (95% confidence interval for odds ratio = 2.05-3.07, p < .0001). Poor mental health among those who experienced sexual violence was associated with younger age (p = .005), lower income (p = .02), lower educational attainment (p = .0007), lack of emotional support (p = .0001), and lack of health insurance (p = .03). Gender, race, and having an identified healthcare provider were not associated significantly with mental health. Behavioral factors significantly associated with better mental health (after controlling for socio-economic status) were healthy diet (p = .05), exercise (p = .02), and not smoking (p = .0001). Alcohol use was not associated with mental health. Discussion: Treatment after sexual violence should include attention to risk factors including low income, low educational attainment, and lack of emotional support and to the protective influence of behavioral factors including a healthy diet, exercise, and not smoking. Comprehensive integrated models of care addressing mental, physical, and social sequelae of sexual violence are needed.

Original languageEnglish (US)
Pages (from-to)175-181
Number of pages7
JournalNursing Research
Volume57
Issue number3
DOIs
StatePublished - May 2008
Externally publishedYes

Fingerprint

Sex Offenses
Mental Health
Demography
Smoking
Exercise
Health Insurance
Health Personnel
Alcohols
Odds Ratio
Economics
Confidence Intervals
Diet
Education

Keywords

  • Domestic violence
  • Mental health
  • Sexual abuse

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Mental health after sexual violence : The role of behavioral and demographic risk factors. / Vandemark, Lisa M.; Mueller, Martina.

In: Nursing Research, Vol. 57, No. 3, 05.2008, p. 175-181.

Research output: Contribution to journalArticle

Vandemark, Lisa M. ; Mueller, Martina. / Mental health after sexual violence : The role of behavioral and demographic risk factors. In: Nursing Research. 2008 ; Vol. 57, No. 3. pp. 175-181.
@article{6b09698a6ec145949252d877c2bff594,
title = "Mental health after sexual violence: The role of behavioral and demographic risk factors",
abstract = "Background: Sequelae of sexual violence include a range of physical and emotional problems, and negative mental health outcomes are particularly severe and long lasting. Objectives: To evaluate associations among sociodemographic and behavioral factors and mental health after exposure to sexual violence. Methods: Participants were 780 men and women who experienced sexual violence who participated in the 2005 South Carolina Behavioral Risk Factor Surveillance Survey. The factors analyzed were gender, age, race, income, and education; having health insurance, an identified healthcare provider, and adequate emotional support; and diet, exercise, smoking, and alcohol use. Poor mental health was defined as 5 or more poor mental health days in the past 30 days. Data were analyzed using the SAS Procedures for Analysis of Sample Survey Data. Results: Victims of sexual violence were at greater risk of experiencing 5 or more poor mental health days than those who did not (95{\%} confidence interval for odds ratio = 2.05-3.07, p < .0001). Poor mental health among those who experienced sexual violence was associated with younger age (p = .005), lower income (p = .02), lower educational attainment (p = .0007), lack of emotional support (p = .0001), and lack of health insurance (p = .03). Gender, race, and having an identified healthcare provider were not associated significantly with mental health. Behavioral factors significantly associated with better mental health (after controlling for socio-economic status) were healthy diet (p = .05), exercise (p = .02), and not smoking (p = .0001). Alcohol use was not associated with mental health. Discussion: Treatment after sexual violence should include attention to risk factors including low income, low educational attainment, and lack of emotional support and to the protective influence of behavioral factors including a healthy diet, exercise, and not smoking. Comprehensive integrated models of care addressing mental, physical, and social sequelae of sexual violence are needed.",
keywords = "Domestic violence, Mental health, Sexual abuse",
author = "Vandemark, {Lisa M.} and Martina Mueller",
year = "2008",
month = "5",
doi = "10.1097/01.NNR.0000319498.44499.53",
language = "English (US)",
volume = "57",
pages = "175--181",
journal = "Nursing Research",
issn = "0029-6562",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Mental health after sexual violence

T2 - The role of behavioral and demographic risk factors

AU - Vandemark, Lisa M.

AU - Mueller, Martina

PY - 2008/5

Y1 - 2008/5

N2 - Background: Sequelae of sexual violence include a range of physical and emotional problems, and negative mental health outcomes are particularly severe and long lasting. Objectives: To evaluate associations among sociodemographic and behavioral factors and mental health after exposure to sexual violence. Methods: Participants were 780 men and women who experienced sexual violence who participated in the 2005 South Carolina Behavioral Risk Factor Surveillance Survey. The factors analyzed were gender, age, race, income, and education; having health insurance, an identified healthcare provider, and adequate emotional support; and diet, exercise, smoking, and alcohol use. Poor mental health was defined as 5 or more poor mental health days in the past 30 days. Data were analyzed using the SAS Procedures for Analysis of Sample Survey Data. Results: Victims of sexual violence were at greater risk of experiencing 5 or more poor mental health days than those who did not (95% confidence interval for odds ratio = 2.05-3.07, p < .0001). Poor mental health among those who experienced sexual violence was associated with younger age (p = .005), lower income (p = .02), lower educational attainment (p = .0007), lack of emotional support (p = .0001), and lack of health insurance (p = .03). Gender, race, and having an identified healthcare provider were not associated significantly with mental health. Behavioral factors significantly associated with better mental health (after controlling for socio-economic status) were healthy diet (p = .05), exercise (p = .02), and not smoking (p = .0001). Alcohol use was not associated with mental health. Discussion: Treatment after sexual violence should include attention to risk factors including low income, low educational attainment, and lack of emotional support and to the protective influence of behavioral factors including a healthy diet, exercise, and not smoking. Comprehensive integrated models of care addressing mental, physical, and social sequelae of sexual violence are needed.

AB - Background: Sequelae of sexual violence include a range of physical and emotional problems, and negative mental health outcomes are particularly severe and long lasting. Objectives: To evaluate associations among sociodemographic and behavioral factors and mental health after exposure to sexual violence. Methods: Participants were 780 men and women who experienced sexual violence who participated in the 2005 South Carolina Behavioral Risk Factor Surveillance Survey. The factors analyzed were gender, age, race, income, and education; having health insurance, an identified healthcare provider, and adequate emotional support; and diet, exercise, smoking, and alcohol use. Poor mental health was defined as 5 or more poor mental health days in the past 30 days. Data were analyzed using the SAS Procedures for Analysis of Sample Survey Data. Results: Victims of sexual violence were at greater risk of experiencing 5 or more poor mental health days than those who did not (95% confidence interval for odds ratio = 2.05-3.07, p < .0001). Poor mental health among those who experienced sexual violence was associated with younger age (p = .005), lower income (p = .02), lower educational attainment (p = .0007), lack of emotional support (p = .0001), and lack of health insurance (p = .03). Gender, race, and having an identified healthcare provider were not associated significantly with mental health. Behavioral factors significantly associated with better mental health (after controlling for socio-economic status) were healthy diet (p = .05), exercise (p = .02), and not smoking (p = .0001). Alcohol use was not associated with mental health. Discussion: Treatment after sexual violence should include attention to risk factors including low income, low educational attainment, and lack of emotional support and to the protective influence of behavioral factors including a healthy diet, exercise, and not smoking. Comprehensive integrated models of care addressing mental, physical, and social sequelae of sexual violence are needed.

KW - Domestic violence

KW - Mental health

KW - Sexual abuse

UR - http://www.scopus.com/inward/record.url?scp=44649151759&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=44649151759&partnerID=8YFLogxK

U2 - 10.1097/01.NNR.0000319498.44499.53

DO - 10.1097/01.NNR.0000319498.44499.53

M3 - Article

C2 - 18496103

AN - SCOPUS:44649151759

VL - 57

SP - 175

EP - 181

JO - Nursing Research

JF - Nursing Research

SN - 0029-6562

IS - 3

ER -