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Childhood Trauma, Adult Sexual Assault, and Adult Gender Expression among Lesbian and Bisexual Women

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Abstract

Several studies have demonstrated that lesbian and bisexual women are more likely than heterosexual women to report childhood abuse and adult sexual assault. It is unknown, however, which sexual minority women are most likely to experience such abuse. We recruited adult sexual minority women living in the US through electronic fliers sent to listservs and website groups inviting them to complete an online survey (N = 1,243). We examined differences in both childhood abuse and adult sexual assault by women’s current gender identity (i.e., butch, femme, androgynous, or other) and a continuous measure of gender expression (from butch/masculine to femme/feminine), adjusting for sexual orientation identity, age, education, and income. Results indicated that a more butch/masculine current self-assessment of gender expression, but not gender identity, was associated with more overall reported childhood trauma. Although one aspect of gender expression, a more butch/masculine gender role, was associated with adult sexual assault, feminine appearance and a femme gender identity also significantly predicted adult sexual assault. These findings highlight the significance of gender identity and expression in identifying women at greater risk for various abuse experiences.

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References

  • Adams-Curtis, L. E., & Forbes, G. B. (2004). College women’s experiences of sexual coercion: A review of cultural, perpetrator, victim, and situational variables. Trauma, Violence & Abuse, 5, 91–122. doi:10.1177/1524838003262331.

    Article  Google Scholar 

  • Alanko, K., Santtila, P., Witting, K., Varjonen, M., Jern, P., Johansson, A., et al. (2009). Psychiatric symptoms and same-sex sexual attraction and behavior in light of childhood gender atypical behavior and parental relationships. Journal of Sex Research, 46, 494–504. doi:10.1080/00224490902846487.

    Article  PubMed  Google Scholar 

  • Alanko, K., Santtila, P., Salo, B., Jern, P., Johansson, A., & Sandnabba, N. K. (2011). Testing casual models of the relationship between childhood gender atypical behaviour and parent-child relationship. British Journal of Developmental Psychology, 29, 214–233. doi:10.1348/2044-835X.002004.

    Article  PubMed  Google Scholar 

  • Austin, S. B., Jun, H. J., Jackson, B., Spiegelman, D., Rick-Edwards, J., Corliss, H. L., et al. (2008). Disparities in child abuse victimization in lesbian, bisexual, and heterosexual women in the Nurses’ Health Study II. Journal of Women’s Health, 17, 597–606. doi:10.1089/jwh.2007.0450.

    Article  PubMed  Google Scholar 

  • Balsam, K. F., Rothblum, E. D., & Beauchaine, T. P. (2005). Victimization over the life span: A comparison of lesbian, gay, bisexual, and heterosexual siblings. Journal of Consulting and Clinical Psychology, 73, 477–487. doi:10.1037/0022-006X.73.3.477.

    Article  PubMed  Google Scholar 

  • Berdahl, J. L. (2007). The sexual harassment of uppity women. Journal of Applied Psychology, 92, 425–437. doi:10.1037/0021-9010.92.2.425.

    Article  PubMed  Google Scholar 

  • Bernstein, D. P., & Fink, L. (1998). Childhood trauma questionnaire manual. San Antonio: The Psychological Corporation.

    Google Scholar 

  • Bernstein, D. P., Fink, L., Handelsman, L., & Foote, J. (1994). Initial reliability and validity of a new retrospective measure of child abuse and neglect. The American Journal of Psychiatry, 151, 1132–1136.

    PubMed  Google Scholar 

  • Campbell, R., Dworkin, E., & Cabral, G. (2009). An ecological model of the impact of sexual assault on women’s mental health. Trauma, Violence & Abuse, 10, 225–246. doi:10.1177/1524838009334456.

    Article  Google Scholar 

  • Corliss, H. L., Cochran, S. D., & Mays, V. M. (2002). Reports of parental maltreatment during childhood in a United States population-based survey of homosexual, bisexual, and heterosexual adults. Child Abuse & Neglect, 26, 1165–1178. doi:10.1016/S0145-2134(02)00385-X.

    Article  Google Scholar 

  • Cosentino, C. E., Meyer-Bahlburg, H. F. L., Alpert, J. L., & Gaines, R. (1993). Cross-gender behavior and gender conflict in sexually abused girls. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 940–947. doi:10.1097/00004583-199309000-00008.

    Article  PubMed  Google Scholar 

  • D’Augelli, A. R., Grossman, A. H., & Starks, M. T. (2006). Childhood gender atypicality, victimization, and PTSD among lesbian, gay, and bisexual youth. Journal of Interpersonal Violence, 21, 1462–1482. doi:10.1177/0886260506293482.

    Article  PubMed  Google Scholar 

  • Duncan, D. F. (1990). Prevalence of sexual assault victimization among heterosexual and gay/lesbian university students. Psychological Reports, 66, 65–66.

    Article  PubMed  Google Scholar 

  • Dunkley, D. M., Masheb, R. M., & Grilo, C. M. (2010). Childhood maltreatment, depressive symptoms, and body dissatisfaction in patients with binge eating disorder: The mediating role of self-criticism. International Journal of Eating Disorders, 43, 274–281. doi:10.1002/eat.20796.

    PubMed  Google Scholar 

  • Eadie, E. M., Runtz, M. G., & Spender-Rodgers, J. (2008). Posttraumatic stress symptoms as a mediator between sexual assault and adverse health outcomes in undergraduate women. Journal of Traumatic Stress, 21, 540–547. doi:10.1002/jts.20369.

    Article  PubMed  Google Scholar 

  • Elliott, D. M., Mok, D. S., & Briere, J. (2004). Adult sexual assault: Prevalence, symptomatology, and sex differences in the general population. Journal of Traumatic Stress, 17, 203–211. doi:10.1023/B:JOTS.0000029263.11104.23.

    Article  PubMed  Google Scholar 

  • Fink, L. A., Bernstein, D., Handelsman, L., Foote, J., & Lovejoy, M. (1995). Initial reliability and validity of the Childhood Trauma Interview: A new multidimensional measure of childhood interpersonal trauma. The American Journal of Psychiatry, 152, 1329–1335.

    PubMed  Google Scholar 

  • Finzi-Dottan, R., & Karu, T. (2006). From emotional abuse in childhood to psychopathology in adulthood: A path mediated by immature defense mechanisms and self-esteem. The Journal of Nervous and Mental Disease, 194, 616–621. doi:10.1097/01.nmd.0000230654.49933.23.

    Article  PubMed  Google Scholar 

  • Friedman, M. S., Koeske, G. F., Silvestre, A. J., Korr, W. S., & Sites, E. W. (2006). The impact of gender-role nonconforming behavior, bullying, and social support on suicidality among gay male youth. Journal of Adolescent Health, 38, 621–623. doi:10.1016/j.jadohealth.2005.04.014.

    Article  PubMed  Google Scholar 

  • Golding, C. A. (2009). Butch-Femme. In J. C. Hawley (Ed.), LGBTQ America today: An encyclopedia Vol. 1, (pp. 176–179). Westport: Greenwood Press.

    Google Scholar 

  • Harry, J. (1989). Parental physical abuse and sexual orientation in males. Archives of Sexual Behavior, 18, 251–261. doi:10.1007/BF01543199.

    Article  PubMed  Google Scholar 

  • Hedtke, K. A., Ruggiero, K. J., Fitzgerald, M. M., Zinzow, H. M., Saunders, B. E., Resnick, H. S., et al. (2008). A longitudinal investigation of interpersonal violence in relation to mental health and substance use. Journal of Consulting and Clinical Psychology, 76, 633–647. doi:10.1037/0022-006X.76.4.633.

    Article  PubMed  Google Scholar 

  • Hiestand, K. R., & Levitt, H. M. (2005). Butch identity development: The formation of an authentic gender. Feminism and Psychology, 15, 61–85. doi:10.1177/0959353505049709.

    Article  Google Scholar 

  • Hiestand, K. R., Levitt, H. M., & Horne. S. G. (2005, February). Gender identity, internalized homophobia, and feminist identity: Non-heterosexual women’s quest for healthcare. In H. Levitt (Moderator), Research on non-heterosexual women’s experiences: Informing future psychological work. Symposium held at the meeting of the Association for Women in Psychology, Tampa, FL.

  • Hughes, T. L., Szalacha, L. A., Johnson, T. P., Kinnison, K. E., Wilsnack, S. C., & Cho, Y. (2010). Sexual victimization and hazardous drinking among heterosexual and sexual minority women. Addictive Behaviors, 35, 1152–1156. doi:10.1016/j.addbeh.2010.07.004.

    Article  PubMed  Google Scholar 

  • Irish, L., Kobayashi, I., & Delahanty, D. L. (2010). Long-term physical health consequences of childhood sexual abuse: A meta-analytic review. Journal of Pediatric Psychology, 35, 450–461. doi:10.1093/jpepsy/jsp118.

    Article  PubMed  Google Scholar 

  • Koss, M. P., Abbey, A., Campbell, R., Cook, S., Norris, J., Testa, M., et al. (2007). Revising the SES: A collaborative process to improve assessment of sexual aggression and victimization. Psychology of Women Quarterly, 31, 357–370. doi:10.1111/j.1471-6402.2007.00385.x.

    Article  Google Scholar 

  • Krause, E. D., & Roth, S. (2011). Child sexual abuse history and feminine gender-role identity. Sex Roles, 64, 32–42. doi:10.1007/s11199-010-9855-6.

    Article  Google Scholar 

  • Kury, H., Chouaf, S., Obergfell-Fuchs, J., & Woessner, G. (2004). The scope of sexual victimization in Germany. Journal of Interpersonal Violence, 19, 589–602. doi:10.1177/0886260504262967.

    Article  PubMed  Google Scholar 

  • Landolt, M. A., Bartholomew, K., Saffrey, C., Oram, D., & Perlman, D. (2004). Gender nonconformity, childhood rejection, and adult attachment: A study of gay men. Archives of Sexual Behavior, 33, 117–128. doi:10.1023/B:ASEB.0000014326.64934.50.

    Article  PubMed  Google Scholar 

  • Laws, A., & Golding, J. M. (1996). Sexual assault history and eating disorder symptoms among White, Hispanic, and African-American women and men. American Journal of Public Health, 86, 579–582. doi:10.2105/AJPH.86.4.579.

    Article  PubMed  Google Scholar 

  • Lehavot, K., & Simoni, J. M. (2011). The impact of minority stress on mental health and substance use among sexual minority women. Journal of Consulting and Clinical Psychology, 79, 159–170. doi:10.1037/a0022839.

    Article  PubMed  Google Scholar 

  • Lehavot, K., King, K. M., & Simoni, J. M. (2011). Development and validation of a gender expression measure for sexual minority women. Psychology of Women Quarterly, 35, 381–400. doi:10.1177/0361684311413554.

    Article  Google Scholar 

  • Levitt, H. M., & Bigler, M. (2003). Facilitating lesbian gender exploration. In J. S. Whitman & C. J. Boyd (Eds.), The therapist’s notebook for lesbian, gay, and bisexual clients: Homework, handouts, and activities for use in psychotherapy (pp. 183–186). New York: The Hawthorn Press, Inc.

    Google Scholar 

  • Levitt, H. M., & Bridges, S. K. (2007). Gender expression in bisexual women: Therapeutic issues and considerations. In B. A. Firestein (Ed.), Becoming visible: Counseling bisexuals across the lifespan (pp. 297–310). New York: Columbia University Press.

    Google Scholar 

  • Levitt, H. M., & Hiestand, K. R. (2004). A quest for authenticity: Contemporary butch gender. Sex Roles, 50, 605–621. doi:10.1023/B:SERS.0000027565.59109.80.

    Article  Google Scholar 

  • Levitt, H. M., & Horne, S. G. (2002). Explorations of lesbian-queer genders: Butch, femme, androgynous, or “other”. Journal of Lesbian Studies, 6, 25–39.

    Article  Google Scholar 

  • Levitt, H. M., Gerrish, E. A., & Hiestand, K. R. (2003). The misunderstood gender: A model of modern femme identity. Sex Roles, 48, 99–113. doi:10.1023/A:1022453304384.

    Article  Google Scholar 

  • Lippa, R. A. (2008). The relation between childhood gender nonconformity and adult masculinity-femininity and anxiety in heterosexual and homosexual men and women. Sex Roles, 59, 684–693. doi:10.1007/s11199-008-9476-5.

    Article  Google Scholar 

  • Long, S. M., Ullman, S. E., Long, L. M., Mason, G. E., & Starzynski, L. L. (2007). Women’s experiences of male-perpetrated sexual assault by sexual orientation. Violence and Victims, 22, 684–701. doi:10.1891/088667007782793138.

    Article  PubMed  Google Scholar 

  • McMullin, D., Wirth, R. J., & White, J. W. (2007). The impact of sexual victimization on personality: A longitudinal study of gendered attributes. Sex Roles, 56, 403–414. doi:10.1007/s11199-006-9179-8.

    Article  Google Scholar 

  • Moore, M. R. (2006). Lipstick or timberlands? Meanings of gender presentation in black lesbian communities. Journal of Women in Culture and Society, 32, 113–139. doi:10.1086/505269.

    Article  Google Scholar 

  • Nestle, J. (1992). The femme question. In J. Nestle (Ed.), The persistent desire: A femme-butch reader (pp. 138–146). Boston: Alyson.

    Google Scholar 

  • Pedhazur, E. J. (1997). Multiple regression in behavioral research: Explanation and prediction (3rd ed.). Forth Worth: Harcourt Brace College Publishers.

    Google Scholar 

  • Ploderl, M., & Fartacek, R. (2007). Childhood gender nonconformity and harassment as predictors of suicidality among gay, lesbian, bisexual, and heterosexual Austrians. Archives of Sexual Behavior, 38, 400–410. doi:10.1007/s10508-007-9244-6.

    Article  PubMed  Google Scholar 

  • Rosario, M., Schrimshaw, E. W., & Hunter, J. (2008). Butch/femme differences in substance use and abuse among young lesbian and bisexual women: Examination and potential explanations. Substance Use & Misuse, 43, 1002–1015. doi:10.1080/10826080801914402.

    Article  Google Scholar 

  • Rosario, M., Schrimshaw, E. W., Hunter, J., & Levy-Warren, A. (2009). The coming-out process of young lesbian and bisexual women: Are there butch/femme differences in sexual identity development? Archives of Sexual Behavior, 38, 34–49. doi:10.1007/s10508-007-9221-0.

    Article  PubMed  Google Scholar 

  • Rosen, L. N., & Martin, L. (1998). Long-term effects of childhood maltreatment history on gender-related personality characteristics. Child Abuse & Neglect, 22, 197–211. doi:10.1016/S0145-2134(97)00171-3.

    Article  Google Scholar 

  • Rothman, E. F., Exner, D., & Baughman, A. L. (2011). The prevalence of sexual assault against people who identify as gay, lesbian, or bisexual in the United States: A systematic review. Trauma, Violence & Abuse, 12, 55–66. doi:10.1177/1524838010390707.

    Article  Google Scholar 

  • Schafer, J. L., & Graham, J. W. (2002). Missing data: Our view of the state of the art. Psychological Methods, 7, 147–177. doi:10.1037//1082-989X.7.2.147.

    Article  PubMed  Google Scholar 

  • Scheer, S., Parks, C., McFarland, W., Page-Shafer, K., Delgado, V., Ruiz, J., et al. (2003). Self-reported sexual identity, sexual behaviors and health risks: Examples from a population-based survey of young women. Journal of Lesbian Studies, 7, 69–83.

    Article  Google Scholar 

  • Simpson, T. L., & Miller, W. R. (2002). Concomitance between childhood sexual and physical abuse and substance use problems: A review. Clinical Psychology Review, 22, 27–77. doi:10.1016/S0272-7358(00)00088-X.

    Article  PubMed  Google Scholar 

  • Singh, D., Vidaurri, M., Zambarano, R. J., & Dabbs, J. M. (1999). Lesbian erotic role identification: Behavioral, morphological, and hormonal correlates. Journal of Personality and Social Psychology, 76, 1035–1049. doi:10.1037/0022-3514.76.6.1035.

    Article  PubMed  Google Scholar 

  • Stein, M. B., & Barrett-Connor, E. (2000). Sexual assault and physical health: Findings from a population-based study of older adults. Psychosomatic Medicine, 62, 838–843.

    PubMed  Google Scholar 

  • Stoddard, J. P., Dibble, S. L., & Fineman, N. (2009). Sexual and physical abuse: A comparison between lesbians and their heterosexual sisters. Journal of Homosexuality, 56, 407–420. doi:10.1080/00918360902821395.

    Article  PubMed  Google Scholar 

  • Stoltenborgh, M., van Izendoorn, M. H., Euser, E. M., & Bakermans-Kranburg, M. J. (2011). A global perspective on child sexual abuse: Meta-analysis of prevalence around the world. Child Maltreatment, 16, 79–101. doi:10.1177/1077559511403920.

    Article  PubMed  Google Scholar 

  • Synovitz, L. B., & Byrne, T. J. (1998). Antecedents of sexual victimization: Factors discriminating victims from nonvictims. Journal of American College Health, 46, 151–154. doi:10.1080/07448489809595602.

    Article  PubMed  Google Scholar 

  • Widom, C. S., DuMont, K., & Czaja, S. J. (2007). A prospective investigation of major depressive disorder and comorbidity in abused and neglected children grown up. Archives of General Psychiatry, 64, 49–56.

    Article  PubMed  Google Scholar 

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Acknowledgments

This research was supported by a Centers for Disease Control Grant for Public Health Research Dissertation (R36 CD000996) award to Keren Lehavot.

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Lehavot, K., Molina, Y. & Simoni, J.M. Childhood Trauma, Adult Sexual Assault, and Adult Gender Expression among Lesbian and Bisexual Women. Sex Roles 67, 272–284 (2012). https://doi.org/10.1007/s11199-012-0171-1

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