Trial reportPloS one2019
Adverse childhood experiences (ACEs) are associated with forced and very early sexual initiation among Black women accessing publicly funded STD clinics in Baltimore, MD.
Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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Who cites it
19 citing papers in PubMed.
- Black Women Living with HIV: A Latent Profile Analysis of Intersectional Adversities, Resilience, and Mental Health.AIDS patient care and STDs · 2022Trial
- Adverse Childhood Experiences and Adolescent Early Non-Coital Sexual and Relationship Behaviors: A Latent Class Analysis.The Journal of early adolescence · 2025Article
- The Use of HIV Prevention Strategies and Services Reported by Black Women with a Risk for and with HIV in the United States.AIDS and behavior · 2025Article
- Factors associated with early sexual onset and delaying sex in rural middle school youth.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Investigating the Mediating Role of Mental Disorders in the Relationship Between Early Sexual Intercourse and Intentional Self-Harm: A Two-Step and Multivariable Mendelian Randomization Study.Brain and behavior · 2024Article
- Adverse Childhood Experiences Predicting Psychological Distress among Black Youth: Exploring Self-Control as a Moderator.Journal of child & adolescent trauma · 2024Article
- Sexual health variation among gang-involved youth in Washington state: Social ecological implications for research and practice.Perspectives on sexual and reproductive health · 2024Article
- Unpacking the Impact of Early Adverse Childhood Experiences on Early Onset of Sexual Intercourse Among an Urban Birth Cohort of Early Adolescents.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023Article
- Not Who You Are, But Who You Are With: Re-examining Women's Less Satisfying Sexual Debuts.Archives of sexual behavior · 2023Article
- Longitudinal Patterns of Multidimensional Violence Exposure and Adolescent Early Sexual Initiation.Archives of sexual behavior · 2023Article
- An examination of the association between forced sex history and reproductive coercion experiences among Black women attending STD clinics in Baltimore, MD, USA.Reproductive health · 2023Article
- Characterising a syndemic among black women at risk for HIV: the role of sociostructural inequity and adverse childhood experiences.Sexually transmitted infections · 2023Article
- Childhood Adversity and Risky Behaviors among Chinese Rural Young Adults: The Mediation Effect of Perceived Stress and Moderation Effect of Social Support.International journal of environmental research and public health · 2022Article
- Sexual violence history predicts changes in vaginal immune parameters during sexual arousal.Brain, behavior, and immunity · 2022Article
- The Effect of Adverse Mental Health and Resilience on Perceived Stress by Sexual Violence History.International journal of environmental research and public health · 2022Article
- Association between First Sexual Intercourse and Sexual Violence Victimization, Symptoms of Depression, and Suicidal Behaviors among Adolescents in the United States: Findings from 2017 and 2019 National Youth Risk Behavior Survey.International journal of environmental research and public health · 2021Article
- Adverse childhood events and cognitive function among young adults: Prospective results from the national longitudinal study of adolescent to adult health.Child abuse & neglect · 2021Article
- Early Sexual Debut and the Effects on Well-Being among South African Adolescent Girls and Young Women Aged 15 to 24 Years.International journal of sexual health : official journal of the World Association for Sexual Health · 2021Article
- Intimate Partner Violence and the Role of Child Maltreatment and Neighborhood Violence: A Retrospective Study of African American and US Caribbean Black Women.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
purposeTo examine the association between adverse childhood experiences (ACEs) and early sexual initiation.
methodsWe analyzed retrospective data of (n = 241) Black women recruited from public STD clinics in Baltimore, MD. Multinomial logistic and linear regression models estimated associations between ACEs and early sexual initiation; contextual variables at initiation were examined as mediators.
resultsTwelve percent of our sample reported very early sexual initiation (11-12 years) and 29% reported early sexual initiation (13-14 years). Each additional ACE reported was associated with greater risk of very early sexual initiation (RRR = 1.49; 95%CI:1.23,1.80). Specifically, emotional abuse (RRR = 3.71; 95%CI:1.55,8.89), physical abuse (RRR = 9.45; 95%CI:3.56,25.12), sexual abuse (RRR = 8.60; 95%CI:3.29,22.51), witnessing maternal abuse (RRR = 5.56; 95%CI:2.13,14.52), and household substance misuse (RRR = 3.21; 95%CI:1.38,7.47) at or before the age of 18 were associated with very early sexual initiation. As for context of initiation, age at sexual initiation was younger if the man at initiation was a non-partner (ß = -0.88; 95%CI:-1.36,-0.40), was ≥3 years older (ß = -1.30; 95%CI:-1.82,-0.77), had pressured or forced sexual intitiation (ß = -1.09; 95%CI:-1.58,-0.59), and was under the influence of drugs/alcohol (ß = -0.97; 95%CI:-1.62,-0.32). Contextual variables at first sex, including being pressured or forced, and the man being ≥3 years older fully mediated the association between ACEs and early sexual initiation.
conclusionsThis study highlights the critical need to develop interventions that reduce the impact of ACEs on women's health and delay age at sexual initiation. Health education efforts are needed for clinicians and parents to identify and prevent childhood abuse and to identify and report sexual coercion and abuse for girls and adolescents.
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