Experienced Childhood Sexual Abuse Research Articles

Correlates of Intimate Partner Violence Among Young Women Engaged in Sex Work in Southern Uganda.

Intimate partner violence (IPV) is a significant global public health problem that results in high social and economic costs to individuals and communities. Compared to women in the general population, women engaged in sex work (WESW) are more likely to experience physical, emotional, and sexual IPV. This study examines the correlates of IPV among young WESW with their intimate partners in Southern Uganda. We used baseline data from the Kyaterekera project, a 5 year NIH-funded longitudinal study aimed at reducing HIV risks among 542 WESW in Southern Uganda. To examine the factors associated with IPV, we fitted three separate multi-level Poisson regression models for physical, emotional, and sexual IPV, respectively. Average age was 31.4 years, and 54% of the women reported being victims of at least one form of IPV from their intimate partners. Model one assessed correlates of sexual IPV. Being married women (β = .71, 95% CI [0.24, 1.17]), divorced/separated/widowed (β = .52, [0.02, 1.02]), depressed (β = .04, [0.02, 0.05]), and having any sexually transmitted infections (STIs) (β = .58, [0.14, 1.01]) were associated with sexual IPV. Model two assessed correlates of physical IPV. Experience of childhood sexual abuse (β = .12, [0.04, 0.19]) was associated with an increase in physical IPV, and increasing age reduced its occurrence (β = -.02, [-0.04, -0.001]). Finally, model three assessed emotional IPV. Women with higher education (β = .49, [0.14, 0.85]) and symptoms of depression (β = .02, [0.001, 0.04]) had higher risks for emotional IPV. For WESW, IPV presents an additional potential pathway for HIV and STIs acquisition and transmission through a lack of negotiating power for safe sex. Efforts to reduce violence against WESW should be prioritized as a strategy for enhancing the well-being of WESW.

Influence of childhood trauma, HIV infection, alcohol use disorder, and resilience on health-related quality of life in adulthood

Experience of childhood trauma, especially physical, emotional, and sexual abuse, carries a risk for developing alcohol use disorder (AUD) and engaging in risky behaviors that can result in HIV infection. AUD and HIV are associated with compromised self-reported health-related quality of life (HRQoL) possibly intersecting with childhood trauma. To determine whether poor HRQoL is heightened by AUD, HIV, their comorbidity (AUD + HIV), number of trauma events, or poor resilience, 108 AUD, 45 HIV, 52 AUD + HIV, and 67 controls completed the SF-21 HRQoL, Brief Resilience Scale (BRS), Ego Resiliency Scale (ER-89), and an interview about childhood trauma. Of the 272 participants, 116 reported a trauma history before age 18. Participants had a blood draw, AUDIT questionnaire, and interview about lifetime alcohol consumption. AUD, HIV, and AUD + HIV had lower scores on HRQoL and resilience composite comprising the BRS and ER-89 than controls. Greater resilience was a significant predictor of better quality of life in all groups. HRQoL was differentially moderated in AUD and HIV: more childhood traumas predicted poorer quality of life in AUD and controls, whereas higher T-lymphocyte count contributed to better quality of life in HIV. This study is novel in revealing a detrimental impact on HRQoL from AUD, HIV, and their comorbidity, with differential negative contribution from trauma and beneficial effect of resilience to quality of life. Channeling positive effects of resilience and reducing the incidence and negative impact of childhood trauma may have beneficial effects on health-related quality of life in adulthood independent of diagnosis.

Foster parents’ history of adverse childhood experiences, adult attachment, and parenting stress

BackgroundConnections between parents’ trauma histories, adult attachment, and parenting stress are well established; those who have experienced trauma are more likely to have higher levels of insecure attachment (Jacobvitz & Reisz, 2019) and are more vulnerable to parenting stress (Steele et al., 2016) These processes in foster parents are understudied, even though they care for vulnerable children. This study examined relations between foster parents adverse childhood experiences (ACEs), adult attachment, and parenting stress. This is important to address because foster parents care for vulnerable children who can present unique stressors to caregivers. ObjectiveExamine links between ACEs, adult attachment, and parenting stress in foster parents. Participants & settingParticipants were 55 foster parents from central Texas, US, recruited from a larger RCT study. MethodsParticipants completed the ACEs questionnaire, Experiences in Close Relationships questionnaire, and Parenting Stress Inventory. ResultsFoster parents who reported higher total ACEs were more likely to report higher levels of attachment avoidance and higher levels of overall parenting stress. Foster parents who reported experiencing childhood emotional abuse reported higher levels of attachment anxiety. Those who reported experiencing childhood sexual abuse reported higher levels of parental distress. Lastly, those who reported higher levels of attachment anxiety reported higher levels of parental distress and defensive responding. ConclusionsACEs are an important factor for foster parents, particularly for parenting stress. It is crucial that appropriate support is provided to help foster parents manage parenting stress and provide optimal care for their foster children.

Stories of childhood sexual abuse (CSA) among older adults living with HIV (OALH) in South Carolina: a qualitative study

ABSTRACT Childhood sexual abuse (CSA) devastatingly impacts an individual’s behavioral, psychological, and social health. Childhood, a developmental stage directly influenced by the home or school environment, leaves a life-long imprint. Compared with the general population, CSA prevalence is doubled among people living with HIV. Thus, the study aimed to explore CSA circumstances among older adults living with HIV (OALH) in South Carolina (SC). We included 24 OALH aged 50 and above who reported CSA. The data were collected at an immunology center in SC. In-depth semi-structured interviews were conducted, audio-recorded, transcribed, and analyzed using a thematic analysis approach. The iterative analytic process included a discussion of initial thoughts and key concepts, identification, and reconciliation of codes, and naming of emergent themes. Six themes emerged: known perpetrators, re-victimization, “nobody believed me”, “cannot live like others”, lack of CSA disclosure, and interconnections with other adverse childhood experiences (ACEs). CSA experiences and non-disclosure were found to be linked with shame, embarrassment, fear, and trust issues. Hence, trauma-focused interventions are required to resolve these issues and improve the quality of life of OALH with past trauma. Counseling or therapy programs should incorporate psychological and behavioral theoretical models to best target OALH who are CSA survivors.

Childhood Sexual Abuse and Couple Relationships: A Grounded Theory on Healing

Adult survivors of childhood sexual trauma often report higher levels of marital dissolution, less sexual satisfaction, and higher rates of divorce. When it comes to childhood sexual abuse, the trauma often occurs with a known and trusted individual, inevitably connecting the experience of trauma to interpersonal relationships that carry implications for the survivor’s intimate partnership. This study developed a grounded theory of how partners help or hinder healing in couple relationships, when one partner has experienced childhood sexual abuse. The results describe a process model of change hinging on factors that contribute to healing and factors that hinder healing.

The Behavioral Inhibition System as a Mediator between Child Sexual Abuse and Perceived Pornography Addiction in Adulthood

Worldwide, an estimated 12.7% of children have experienced child sexual abuse (CSA). CSA can lead to mental health, emotional, and behavioral consequences that often persist into adulthood such as depression, post-traumatic stress disorder, suicidal ideation, and maladaptive sexual functioning (e.g. sexual avoidance, compulsivity). Research suggests that CSA may lead to unhealthy pornography use, a form of maladaptive sexual functioning, in adulthood, though the psychological pathways governing this relationship are unexplored. In this study, 182 United States-based individuals (mean age 36.637 [SD = 11.333] years, 51.648% men) were surveyed using Amazon MTurk regarding CSA history and perceived cyberpornography addiction. Participants also completed the Reinforcement Sensitivity Theory Personality Questionnaire (RST-PQ). We found that individuals who experienced CSA reported higher perceived cyberpornography addiction scores. Serial mediation model results indicated that the behavioral inhibition system (BIS) mediated the relationship between CSA and perceived cyberpornography addiction. The BIS is a dimension of the RST-PQ which resolves conflicts between the behavioral activation system (coordinates approach behaviors) and the flight-fight-freeze system (coordinates retreat behaviors) and is associated with trait anxiety. These findings contribute to the literature on the costs of CSA and identifies BIS sensitivity as a psychological system that can be targeted in therapeutic settings to reduce maladaptive engagement with pornography by CSA survivors.

Multiple sexual abuse among children in Kaduna State, North-Western Nigeria: Does victim’s gender play a role?

Background: Child sexual abuse (CSA) is a human rights violation that affects millions of children globally. Many children continue to suffer sexual abuse, often due to non-disclosure of abuse. Disclosure is influenced by gender and the aim of this study was to assess whether gender was associated with multiple CSA experience. Methods: Data for this study came from a review of 420 medical reports retrieved from one of seven police area commands in Kaduna State, over a period of four years (2018-2021). Chi-square and Fisher’s exact tests were used to check for associations between multiple CSA experience and socio-demographic characteristics of the victims and their assailants at p value less than 0.05. Results: Among all victims, multiple CSA experience was significantly associated with male gender (χ2=11.99, p=0.001) and familiarity with assailant (χ2=13.63, p<0.001). Among male victims only, multiple CSA experience was not significantly associated with age of victim, familiarity with assailant, age of assailant or number of assailants (P>0.05). However, among female victims, multiple CSA experience was significantly associated with older age of victims (χ2=8.57, p=0.036), being familiar with the assailant (χ2=14.78, p<0.001) and older age of assailant (χ2 =8.13, p=0.017). Conclusions: Male gender was significantly associated with multiple CSA experience. Important associations between multiple CSA experience and socio-demographic characteristics of both the victims and their assailants were demonstrated among female but not male victims. More studies are needed to further understand these associations and provide recommendations.

Prevalence of and Factors Associated With Intimate Partner Violence Victimhood Among Men Who Have Sex With Men in Guangzhou, China.

Intimate partner violence (IPV) has been a concern among men who have sex with men (MSM), but less attention has been paid to the factors associated with this population in China. We investigated the prevalence of and factors associated with IPV victimhood among MSM in Guangzhou, China. Men who have sex with men were recruited from May to November 2017, and data were collected using an anonymous electronic questionnaire. χ2 Tests and nonconditional logistic regressions were used to explore the factors associated with IPV victimhood. A total of 129 in 976 MSM (13.22%) reported experiencing IPV victimhood. Multivariable logistic regression analysis showed that individuals who had condomless anal intercourse (CAI; adjusted odds ratio [aOR], 1.47; 95% confidence interval [CI], 1.00-2.17) or had sex with a female partner (aOR, 1.81; 95% CI, 1.15-2.83) in the past 6 months were at a higher risk of IPV victimhood. Participants who had ever experienced child sexual abuse (CSA) were more likely to experience IPV (aOR, 1.97; 95% CI, 1.32-2.94). Individuals who used rush poppers before sex had a higher risk of IPV (aOR, 1.79; 95% CI, 1.21-2.63). In addition, ever having sex with a female sex partner (aOR, 1.65; 95% CI, 1.04-2.60), ever having used rush poppers before sex (aOR, 1.79; 95% CI, 1.22-2.64) in the past 6 months, and ever having experienced CSA (aOR, 2.01; 95% CI, 1.35-3.01) were associated with experiencing more types of IPV. Intimate partner violence victimhood was relatively common among MSM in Guangzhou, particularly among those who had CAI, experienced CSA, had sex with a female partner, used rush poppers before sex, and with less education.

“The problem is that a kibbutz is standing in front of you and you have no name or face for it”: Child sexual abuse risk factors and disclosure in the collective kibbutz community

The socio-cultural context is a significant factor in understanding the phenomenon of child sexual abuse (CSA). The kibbutz is a unique form of community in Israel, which was previously a closed community with high cohesion and close personal connections between its members, who shared common beliefs and values. This study aimed to examine the experiences and perspectives of adults who had been sexually abused as children in the kibbutz. Fifteen adults (14 women and one man) sexually abused as children in a kibbutz between the 1960s and 1990s were interviewed for the study. Semi-structured in-depth interviews were conducted and analyzed according to the thematic analysis approach. The findings indicated that participants perceived the kibbutz as an independent and distinct entity in the CSA experience. Furthermore, due to the image of the kibbutz community, the wish to protect its reputation, and the trust and familiarity among the kibbutz community, CSA was denied and silenced. The participants discussed the kibbutz’s responsibility for CSA and the hardship of acknowledging that CSA happened at the Kibbutz. This study contributes significantly to the testimony and giving voice to survivors of CSA in kibbutz whose voices have not been heard. Despite the changes that have taken place in the kibbutz over the years, as well as the increased awareness of protection against sexual abuse, there is still room to acknowledge and validate past abuse experiences and apologize to the survivors, as well as risks for CSA that are still prevalent today.

Paths of disclosure – The process of sharing experiences of child sexual abuse

AbstractThe objective was to explore how children and young people retrospectively described disclosure of child sexual abuse in relation to their own agency. Data consists of semi‐structured interviews with 14 participants that had disclosed sexual abuse during childhood. Interviews were audio recorded, transcribed and analysed with thematical analysis. Participants' descriptions of their own agency in relation to disclosure of child sexual abuse, shows that both silence and disclosure can be active choices. By offering children choices trusting them to make decisions for themselves, their sense of control can be increased.

“It was wrapped in a kind of normalcy”: The lived experience and consequences in adulthood of survivors of female child sexual abuse

BackgroundSurvivors' surveys on the frequency of sexual offenses committed by women indicated a prevalence rate of 9.9 % to 11.6 %. Nevertheless, only a few studies have explored the long-term consequences of abuse on survivors. ObjectivesExamine the lived experiences and the long-term consequences of child sexual abuse committed by women. ParticipantsFifteen adult participants who experienced child sexual abuse conducted by female offenders participated in the study. MethodsThe Interpretive Phenomenological Approach was applied to semi-structured interviews. ResultsThree central themes emerged: types of abuse, characteristics of the perpetrator, and consequences of abuse. Most survivors experienced direct or indirect forms of sexual abuse committed by their mothers. In most cases, the offenders masked their abuse in caregiving, disciplinary or playful behavior. The survivors perceived their mothers as narcissistic, controlling, hostile, and having tremendous difficulties with separation. The survivors reported the need to engage in extensive negative long-lasting psychopathologies, which they attributed partly to having been invalidated and silenced by society. Many participants expressed fears of re-enacting the survivor or perpetrator role, which has led to difficulties in various relationships. They described an altered perception of their bodies as shameful and repulsive, manifesting in self-harm, eating disorders, and the elimination of signs of femininity. ConclusionThis complex form of sexual abuse hampers the internalization and the construction of positive feminine, masculine, and parental identities.

Is the Risk for Sexual Revictimization Cumulative? AProspective Examination.

Sexual abuse during childhood is associated with risk for sexual assault as an adult, known as revictimization. Although multiple experiences of sexual assault in adulthood are also common, it is unclear how risk trajectories might continue to evolve in emerging adulthood, defined as ages 18-25. Clarifying risk trajectories is important to inform the development of targeted risk reduction interventions. To fill this gap, we examined cumulative risk for sexual assault in emerging adult women following multiple experiences of childhood sexual abuse (CSA) and adulthood sexual assault (ASA). Women (n=447; aged 18-25years at enrollment) completed behaviorally specific assessments of unwanted sexual experiences at up to 9 time points across 3years. Logistic regression was used to predict any sexual assault during the 3-year period as a function of victimization history at baseline. A multilevel logistic regression analysis among ASA survivors was then used to determine whether each successive ASA increased risk for further victimization. Extending prior research, findings revealed that the risk for sexual assault during the 3-year study was greater for women reporting more prior experiences of CSA and ASA. Unexpectedly, each ASA increased the risk for a subsequent ASA to a lesser extent among women with more experiences of CSA. Findings suggest that the risk for sexual revictimization can be cumulative, but that risk does not increase indefinitely. Future research should investigate the points at which survivors of multiple assaults may begin to experience a decreased risk for later assaults, as well as the factors associated with change in risk status (e.g., removal from violent environments or relationships, changes in institutional policies). Such research could inform intervention targets.

Child Sexual Abuse and Employment Earnings in Adulthood: A Prospective Canadian Cohort Study

Child sexual abuse remains a worldwide concern with devastating consequences on an individual's life. This longitudinal study investigates the associations between child sexual abuse (official reports versus retrospective self-reports) and subgroups by perpetrator identity (intrafamilial and extrafamilial), severity (penetration/attempted penetration, fondling/touching, noncontact), and chronicity (single, multiple episodes) and employment earnings in adulthood in a cohort followed for over 30 years. The Quebec Longitudinal Study of Kindergarten Children database was linked to child protection services (official reports of sexual abuse) and to Canadian government tax returns (earned income). The sample included 3,020 individuals in Quebec French-language school kindergartens in 1986/1988, followed until 2017, and assessed with retrospective self-reports at age 22 years. Tobit regressions were used for associations with earnings (ages 33-37 years), adjusting for sex and family socioeconomic characteristics in 2021-2022. Individuals who experienced child sexual abuse had lower annual earnings. Those with retrospective self-reported sexual abuse (n=340) earned $4,031 (95% CI= -7,134, -931) less annually at ages 33-37 years than nonabused individuals (n=1,320), with pronounced differences for those with official reports (n=20), earning $16,042 (95% CI= -27,465, -4,618) less. Individuals self-reporting intrafamilial sexual abuse earned $4,696 (95% CI= -9,316, -75) less than those who experienced extrafamilial sexual abuse, whereas those self-reporting penetration/attempted penetration earned $6,188 (95% CI= -12,248, -129) less than those who experienced noncontact sexual abuse. Earnings gaps were highest for severest child sexual abuse (official reports, intrafamilial, penetrative). Future studies should investigate the underlying mechanisms. Improving support for victims of child sexual abuse could yield socioeconomic returns.

Narratives of child sexual abuse—Conceptualizing relational complexities

AbstractThis qualitative study consisted of 14 in‐depth, retrospective interviews with Norwegian participants over the age of 18 who experienced child sexual abuse. Through narrative analysis, study findings shed light on three analytical ideas: ‘confusing closeness and ambivalent feelings’, ‘relational complexities’ and ‘relationally trapped’. The results illustrate participants' views, feelings and understandings regarding child sexual abuse and their relationship with the perpetrator. Findings suggest that the narratives brought forward for the interviewees included current views, but also past experiences and future anticipation. The results are furthermore understood through a holistic view, including relational, contextual and material conditions.

The Associations between Self-Silencing and Delinquency in Adolescent Who Experienced Child Sexual Abuse

ABSTRACT A large body of research reveals that child sexual abuse is an adverse experience associated with many negative socioemotional and behavioral consequences during adolescence. Notably, adolescent victims of child sexual abuse are more likely to engage in delinquent behavior, which has importance for their adaptation later in life. While research on the psychological antecedents of delinquent behavior has independently considered each core feature of silencing the self (i.e., low assertiveness and self-expression, conflict avoidance, presenting a non-authentic self, anger, and hostility), it has failed to jointly consider these as potential predictors of delinquent behaviors in adolescent victims of child sexual abuse. The purpose of this study was to examine the associations between the two dimensions of self-silencing (i.e., divided self and silencing the self) and delinquency in adolescent victims of child sexual abuse. A sample of 110 adolescents seeking services following child sexual abuse completed self-reported questionnaires, and case files were analyzed to gather information regarding child sexual abuse severity. Hierarchical regression analyses revealed that, after controlling for the effect of age, gender, parental monitoring, and child sexual abuse severity, self-silencing was positively associated with delinquent behaviors, affiliation with delinquent peers, as well as alcohol and drug use. Divided self contributed to the prediction of aggressive behaviors. Implementing interventions aimed at increasing adolescents’ assertiveness, conflict management skills, and emotion regulation and promoting congruence between their behaviors and authentic selves may lower their involvement in delinquency.

Does Forgiveness Enhance Or Detract From Relationship Quality Among Sexual Abuse Survivors?

ABSTRACT Many women experience childhood sexual abuse (CSA) during their childhood and CSA often negatively impacts adult’s romantic relationships. Consequently, it is important to understand the protective factors that buffer against the detrimental impact of CSA on the quality of women’s romantic relationships. Forgiveness may be one such factor. The current study looked at trait forgiveness as a moderator of CSA and overall relationship quality, positive relationship quality, and negative relationship quality. A sample of 171 women completed an online survey. Using hierarchical regression, forgiveness was found to moderate the association between CSA and overall relationship quality and negative relationship quality, but not positive relationship quality. Findings indicate that the interaction between CSA and forgiveness was significant, but higher levels of forgiveness actually decreased overall relationship quality and increased negative relationship quality. The relationship between CSA and overall reports of relationship quality and negative relationship quality were stable at low levels of forgiveness, but when forgiveness was high overall relationship quality decreased and negative relationship quality increased. CSA was also directly associated with lower levels of positive relationship quality. Findings from the study indicate continued conceptual refinement when considering CSA, forgiveness, and relationship quality.

“Every patriarch has his prostitute”: the prostituted woman in Virginia Woolf’s writings

ABSTRACT The marginalized figure of the prostituted woman haunts Virginia Woolf's writings throughout her career. Lola Mendoza in The Voyage Out, Florinda and Laurette in Jacob's Room, Nell and her friends in Orlando, and the musings on prostitution in Three Guineas all indicate that, despite her status as the privileged daughter of an educated gentleman, Woolf empathized with women who were ostracized by society because they sold their bodies for money. That profound empathy stems from Woolf's childhood experiences of sexual abuse at the hands of her half-brothers. Like many survivors of childhood sexual abuse, Woolf was given presents by her abuser to reward her for her cooperation and to ensure her silence. That particular tactic frequently makes the abused child feel complicit in her own abuse. Consequently, Woolf identified with prostitutes, as Leonard's nickname for her, “Aspasia,” suggests. In Three Guineas, Woolf writes from her position as a prostituted woman (or girl, really) while resisting its abjection. Unlike her fellow modernists, Woolf directs our sympathy toward society's traditional scapegoat and documents that the prostitution of women is the inevitable result of the systematic oppression of women at every level of society.

Old crimes reported in new bottles: the disclosure of child sexual abuse on Twitter through the case #MeTooInceste

Movements such as #MeToo have shown how an online trend can become the vehicle for collectively sharing personal experiences of sexual victimisation that often remains unreported to the criminal justice system. These social media trends offer new opportunities to social scientists who investigate complex phenomena that, despite existing since time immemorial, are still taboo and difficult to access. They also bring technical difficulties, as the challenge to identify reports of victimisation, and new questions about the characteristic of the events, the role that victimisation testimonies play and the capacity to detect them by analysing their characteristics. To address these issues, we collected 91,501 tweets under the hashtag #MeTooInceste, posted from the 20 to 27 January 2021. A model was fitted using Latent Dirichlet Allocation that detected 1688 tweets disclosing experiences of child sexual abuse, with an accuracy of 91.3% [± 3%] and a recall of 93.1% [± 5%]. We performed Conjunctive Analysis of Case Configurations on the tweets identified as disclosures of victimisation and found that long tweets posted by users with small accounts, without URL or picture, were more likely to be related to disclosure of child sexual abuse. We discuss the possibilities of these trends and techniques offer for research and practice.

The lifetime prevalence of child sexual abuse assessed in young adults in Lithuania

ObjectiveWe examined the prevalence of different types of childhood sexual abuse (CSA) in Lithuania focusing on how these experiences were related to victim's age and relationship to the perpetrator. MethodsThe participants came from a representative household survey of youth aged 18–29 and the sample consisted of 2000 participants (47.7 % women) with a mean age of 23.9 years (SD = 3.6). The ISPCAN Child Abuse Screening Tool Retrospective version (ICAST-R, Dunne et al., 2009) for young adults was used to investigate childhood exposure to CSA. Both current sociodemographic information and information on circumstances during childhood (e.g., number of siblings, family members with whom the participant lived between 7 and 12 year of age) were collected. ResultsThe prevalence of any CSA experience before the age of 18 was 15.9 %, with higher rates for women (13.5 % and 18.5 % for men and women, respectively). Being spoken to in a sexual way or sexual things being written about the person was the most prevalent form of CSA. In contrast, number of victims that reported sexual intercourse was much lower. The most common type of perpetrator was another young person. Intrafamilial CSA was rare with higher risk in step-relationships. ConclusionsOur study provides representative prevalence estimates of the CSA in a region for which such estimates were not previously available. These Lithuanian estimates correspond well with previous literature. Importantly, the findings point to peers being an important perpetrator group in CSA cases. This and other findings can inform the planning of relevant policy measures and actions to both prevent CSA and investigate cases effectively.

Association between childhood sexual abuse and early sexual debut among Chinese adolescents: The role of sexual and reproductive health education.

Despite accumulating evidence of the long-term impacts of childhood sexual abuse (CSA), few studies have investigated the association between CSA and early sexual debut among adolescents. In this study, we examine the relationship between CSA and early initiation of sexual intercourse among Chinese youth, and the role of school-based sex education in this association, based on a nationally representative survey. Data were collected from the Survey of Youth Access to Reproductive Health in China (YARHC) conducted in 2009. Multivariable logistic regression models were used to investigate the association between CSA experience and early sexual debut, and the interaction terms between sexual and reproductive health education and CSA were included to examine the role of education in the association between CSA and early sexual debut. Among 4,907 sexually experienced youth, 1,062 (21.6%) made their early sexual debut. After adjusting for sociodemographic characteristics, it was found that CSA experience was significantly associated with early sexual debut, with an adjusted odds ratio of 3.13 (95% CI: 1.67-5.87). Receiving any type of sexuality education (reproductive health, sexually transmitted disease (STD) and HIV prevention, or contraception use) was not associated with a decreased risk of early sexual debut. Our results indicate a greater risk of early sexual debut among Chinese adolescents with a history of CSA, and only 46.7% sexually experienced youth had received prior sex education, which suggested an inadequacy of school-based sexuality education. To reduce this risk, targeted intervention with timely and adequate sexuality education for both early starters of sexual intercourse and CSA victims is warranted in China.