Sexual Assault Victimization in Premature Female Mortalities: Evidence from the National Longitudinal Study of Adolescent to Adult Health

J Psychoactive Drugs. 2024 Apr-Jun;56(2):288-298. doi: 10.1080/02791072.2023.2202346. Epub 2023 Apr 16.

Abstract

Previous research has documented many behavioral problems associated with being a female victim of sexual assault, but little attention has been devoted to whether this experience might be related to premature mortalities. We investigated this utilizing the National Longitudinal Study of Adolescent to Adult Health survey, collected from over 10,000 adolescent females in 1995, whose premature deaths (n = 65) were noted in 2007 in National Death Index records. Significant associations were found between females with a substance misuse history and their premature deaths, but not with being a sexual assault victim. The subset of respondents (n = 208) evincing both these characteristics showed significantly higher risks of dying prematurely, as did those females with early histories of drug misuse alone. Yet, adolescent females with histories of drug misuse who also attempted suicide (n = 214) did not show similar elevated risks of dying prematurely compared to others without these experiences. This exploratory evidence points to an affinity between both being a female sexual assault victim and having an early history of misusing drugs, putting such people at heightened risks for dying prematurely, suggesting the potential benefits of counseling and supportive services for those so affected.

Keywords: Premature death; female sexual assault victim; substance misuse.

MeSH terms

  • Adolescent
  • Adult
  • Crime Victims* / statistics & numerical data
  • Female
  • Health Surveys
  • Humans
  • Longitudinal Studies
  • Mortality, Premature* / trends
  • Risk Factors
  • Sex Offenses* / statistics & numerical data
  • Substance-Related Disorders* / epidemiology
  • Substance-Related Disorders* / mortality
  • Suicide, Attempted / statistics & numerical data
  • United States / epidemiology
  • Young Adult