The Impact of Childhood Sexual Abuse on Women's Sexual Health: A Comprehensive Review

Abstract Background Intersectional stigma is based upon co-occurring and intersecting identities or conditions and occurs at multiple levels of influence. Intersectional stigma has been repeatedly associated with poor health behaviors and outcomes. The effect of intersectional stigma among older adults are particularly challenging due to issues related to ageism, loss of social support, and comorbidities. We examined the impact of multiple stigmas on older adults living with HIV who are victims of childhood sexual abuse. Methods Semi-structured interviews were conducted with a purposefully selected heterogeneous sample of 24 adults living with HIV who are 50 years and older in South Carolina. Interviews were audio-recorded, transcribed verbatim, and coded using thematic analysis. Results Participants shared experiences and perceptions of stigma and discrimination most commonly related to their HIV status and sexuality at the interpersonal/familial and community levels. Four themes emerged to explain the impact of intersectional stigma: depression, lack of HIV disclosure, limited support, and reduced intimacy. Conclusion The complexity of multiple stigmas profoundly shapes life experiences, opportunities, and mental health of older adults living with HIV. This study highlights that public health programs need to consider the impact of intersectional stigma in order to promote the wellbeing of and improve quality of life for older adults living with HIV. Disclosures All Authors: No reported disclosures

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Sexual Health in Spanish People with Intellectual Disability: the Impact of the Lockdown due to COVID-19

Sexuality Research and Social Policy ◽

10.1007/s13178-021-00621-7 ◽

2021 ◽

Author(s):

M. Dolores Gil-Llario ◽

Irene Díaz-Rodríguez ◽

Vicente Morell-Mengual ◽

Beatriz Gil-Juliá ◽

Rafael Ballester-Arnal

Keyword(s):

Sexual Abuse ◽

Sexual Behavior ◽

Sexual Health ◽

Intellectual Disabilities ◽

Sexual Activity ◽

Policy Implications ◽

The People ◽

People With Intellectual Disabilities ◽

Technological Improvements ◽

The Impact

Abstract Introduction The lockdown due to COVID-19 affected the sexual health of the people with intellectual disabilities by differentially modifying the frequency and characteristics of people’s sexual activity depending on whether or not they lived with a partner during this period. The aim of this study was to analyze the extent to which the sexual behavior of people with intellectual disabilities (with and without a partner) was affected during the lockdown. Methods The sample consisted of 73 people with intellectual disabilities between 21 and 63 years old (M = 39.63; SD = 10.11). The variables analyzed were the physical, social, and technological environment during the lockdown, sexual appetite, sexual behavior, online sexual activity, and sexual abuse. The data were collected between the months of May and June of 2020. Results The lockdown increased the sexual appetite of a third of the sample (38%), especially the youngest participants. Sexual activity focused on autoeroticism and online behavior, particularly sending nude images of oneself (88%) and viewing pornography (83.6%). Rates of sexual abuse during this period were relatively high (6.8%). Conclusions The sexual activity of people with ID was important during the lockdown, and they had to adapt to the circumstances of isolation in a similar way to the general population. Technological improvements in terms of devices and connection quality at home allowed their sexual behavior to be reoriented, opening the door to new risks for the sexual health of people with ID. Policy Implications Cybersex and the increase in sexual abuse due to confinement are aspects that should be included in programs to improve the sexual health of this group.

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Sexual Revictimization: The Impact of Attachment Anxiety, Accumulated Trauma, and Response to Childhood Sexual Abuse Disclosure

Violence and Victims ◽

10.1891/0886-6708.vv-d-13-00098 ◽

2015 ◽

Vol 30 (1) ◽

pp. 49-65 ◽

Cited By ~ 22

Author(s):

Inbal Brenner ◽

Galit Ben-Amitay

Keyword(s):

Sexual Abuse ◽

Childhood Sexual Abuse ◽

Child Neglect ◽

Attachment Anxiety ◽

Sexual Revictimization ◽

Abuse Disclosure ◽

Sexual Abuse Disclosure ◽

Environmental Responses ◽

Childhood Traumas ◽

The Impact

It has been proposed that a complexity of personal, interpersonal, and environmental factors is related to sexual revictimization among childhood sexual abuse survivors. In this study, we investigated the relations between attachment dimensions, exposure to accumulated childhood traumas, reaction to childhood sexual abuse disclosure, and adult sexual revictimization. Participants were 60 Israeli women with histories of childhood sexual abuse. Seventy percent of the women reported adult sexual revictimization. Revictimization was related to higher attachment anxiety but not to higher attachment avoidance. Revictimization was also related to emotional and physical child abuse but not to emotional and physical child neglect. Revictimization rates were higher among women who had received negative environmental responses following childhood sexual abuse disclosure than among women who had received supportive reactions and those who had not disclosed childhood sexual abuse at all. Findings were significant even after controlling for severity of childhood sexual abuse. The findings emphasize the role of various contextual-interpersonal factors on revictimization vulnerability among the survivors of childhood sexual abuse.

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Virginia Woolf: The Impact of Childhood Sexual Abuse on Her Life and Work, and: Who Killed Virginia Woolf?: A Psychobiography, and: Virginia Woolf: A Study of the Short Fiction, and: Virginia Woolf: Strategist of Language (review)

MFS Modern Fiction Studies ◽

10.1353/mfs.0.0773 ◽

1991 ◽

Vol 37 (2) ◽

pp. 300-305

Author(s):

Roger Poole

Keyword(s):

Sexual Abuse ◽

Childhood Sexual Abuse ◽

Virginia Woolf ◽

Short Fiction ◽

The Impact

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The effects of ageing on female genital and sexual health

British Journal of Nursing ◽

10.12968/bjon.2019.28.18.1192 ◽

2019 ◽

Vol 28 (18) ◽

pp. 1192-1195

Author(s):

Dawne Garrett ◽

Sandra Lawton

Keyword(s):

Sexual Health ◽

Older Women ◽

Women’S Sexual Health ◽

Functional Aspects ◽

Starting Point ◽

The Social ◽

Reflective Questions ◽

Skin Conditions ◽

The Impact ◽

Female Genital

This article will explore the impact of ageing on sexual function in older women and will reflect on the social influences on women's sexual ageing, identify the effects of ageing on sexual activity, particularly on genital skin, and consider the concerns from the perspective of older women. The article will then focus on vulval skin conditions and the functional aspects of living with these conditions. Finally, the article provides a starting point for nurses to consider their own knowledge, skills and attitudes through a series of reflective questions and recommendations for those working with older women to aid the identification of issues relating to older women's sexual health and vulval skin conditions, leading to further discussions to promote genital health.

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