Childhood Sexual Trauma and Subjective Cognitive Decline: An Assessment of Racial/Ethnic and Sexual Orientation Disparities

Author:

Brown Monique J.1234ORCID,Amoatika Daniel1,Addo Prince Nii Ossah1ORCID,Kaur Amandeep1,Haider Mohammad Rifat5,Merrell Melinda A.36,Crouch Elizabeth36

Affiliation:

1. Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA

2. South Carolina SmartState Center for Healthcare Quality, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA

3. Rural and Minority Health Research Center, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA

4. Office for the Study on Aging, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA

5. Department of Health Policy and Management, College of Public Health, University of Georgia, Athens, GA, USA

6. Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA

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.

Funder

National Institute of Mental Health

Publisher

SAGE Publications

Subject

Geriatrics and Gerontology,Gerontology

Reference59 articles.

1. American College of Obstetricians and Gynecologists (ACOG). (2022). Adult manifestations of childhood sexual abuse. https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2011/08/adult-manifestations-of-childhood-sexual-abuse

2. American Psychiatric Association. (2023). What is Depression? https://www.psychiatry.org/patients-families/depression/what-is-depression

3. Childhood Sexual Abuse Among Black Women and White Women From Two-Parent Families

4. Disparities in Adverse Childhood Experiences among Sexual Minority and Heterosexual Adults: Results from a Multi-State Probability-Based Sample

5. 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

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