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Self-rated Health in Relation to Rape and Mental Health Disorders in a National Sample of College Women
Authors:Heidi M Zinzow PhD  Ananda B Amstadter PhD  Jenna L McCauley PhD  Kenneth J Ruggiero PhD  Heidi S Resnick PhD  Dean G Kilpatrick PhD
Institution:1. Department of Psychology , Clemson University , Clemson, South Carolina;2. Virginia Institute for Psychiatric and Behavioral Genetics , Virginia Commonwealth University , Richmond, Virginia;3. National Crime Victims Research and Treatment Center , Medical University of South Carolina , Charleston, South Carolina
Abstract:Abstract

Objective: The purpose of this study was to employ a multivariate approach to examine the correlates of self-rated health in a college sample of women, with particular emphasis on sexual assault history and related mental health outcomes. Participants: A national sample of 2,000 female college students participated in a structured phone interview between January and June 2006. Methods: Interview modules assessed demographics, posttraumatic stress disorder, major depressive episode, substance use, rape experiences, and physical health. Results: Logistic regression analyses showed that poor self-rated health was associated with low income (odds ratio OR] = 2.70), lifetime posttraumatic stress disorder (OR = 2.47), lifetime major depressive episode (OR = 2.56), past year illicit drug use (OR = 2.48), and multiple rape history (OR = 2.25). Conclusions: These findings highlight the need for university mental health and medical service providers to assess for rape history, and to diagnose and treat related psychiatric problems in order to reduce physical morbidity.
Keywords:depression  physical health  posttraumatic stress disorder  sexual assault  substance use
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