| Titre : | Adult-onset vulvodynia in relation to childhood violence victimization. (2005) |
| Auteurs : | HARLOW (Bernard-L) : USA. Obstetrics and Gynecology Epidemiology Center. Brigham and Women's Hospital. Harvard Medical School. Boston. MA. ; STEWART (Elizabeth-Gunther) : USA. Harvard Vanguard Medical Associates. Department of Obstetrics and Gynecology. Harvard Medical School. Boston. MA. |
| Type de document : | Article |
| Dans : | American journal of epidemiology (vol. 161, n° 9, 2005) |
| Pagination : | 871-880 |
| Langues: | Anglais |
| Mots-clés : | Adulte ; Victime ; Homme ; Enfance maltraitée ; Violence ; Enquête cas témoin ; Maltraitance ; Femme ; Epidémiologie ; Antécédent médical |
| Résumé : | [BDSP. Notice produite par INIST-CNRS 3UcbR0xA. Diffusion soumise à autorisation]. Researchers have failed to find a consistent association between childhood victimization and vulvodynia, a debilitating, unexplained vulvar pain condition. However, selection bias associated with case ascertainment, and differential reporting bias between clinic-based cases and controls, may explain in part the inconsistent findings. In 2000-2003, the authors identified 125 women experiencing symptoms of vulvar pain consistent with vulvodynia and 125 age-and community-matched controls from the Boston, Massachusetts-area general population. Telephone-administered questionnaires were used to obtain medical, psychiatric, and reproductive histories. Self-administered surveys assessed childhood exposure (age<12 years) to physical and sexual abuse and to poor family support. After author adjustment for socioeconomic position, women with vulvar pain versus controls were 2.6 times more likely to report never/rarely receiving childhood family support, such as comfort, encouragement, and love (95% confidence interval (Cl) : 1.3,5.1). Adult-onset vulvodynia was strongly associated with abuse as a child more than a few times physically (odds ratio (OR)=4.1,95% Cl : 1.7,10.0) or sexually (OR=6.5,95% Cl : 1.2,35.1). When abused women were compared with those with no history of abuse, the association was largely confined to those harmed by a primary family member (OR=3.6,95% Cl : 1.6,8.0 for physical abuse ; OR=4.4,95% Cl : 0.9,22.9 for sexual abuse). Additional population-based studies of clinically confirmed cases of vulvodynia are needed to replicate this association. |
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