{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T04:41:45Z","timestamp":1777783305811,"version":"3.51.4"},"reference-count":59,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2023,5,22]],"date-time":"2023-05-22T00:00:00Z","timestamp":1684713600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["K01MH115794"],"award-info":[{"award-number":["K01MH115794"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Appl Gerontol"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:p>Prior studies examining the association between childhood sexual abuse (CSA) and subjective cognitive decline (SCD) are limited. The aim of this study was to examine the racial\/ethnic and sexual orientation disparities in the association between CSA and SCD. Using data from the 2019 Behavioral Risk Factor Surveillance System Survey, crude and multivariable logistic regression models were used to determine the association between CSA and SCD adjusting for sociodemographic characteristics, diabetes, hypertension, and depression. There were statistically significant differences in CSA status by age, gender, income, education, employment, and health status (depression). Black and Hispanic\/Latine respondents had a stronger relationship between CSA and SCD compared to White populations. Also, sexual minority populations had a stronger relationship between CSA and SCD compared to heterosexual populations. Health disparities exist in the association between CSA and SCD. Trauma-informed interventions should be implemented among affected populations.<\/jats:p>","DOI":"10.1177\/07334648231175299","type":"journal-article","created":{"date-parts":[[2023,5,23]],"date-time":"2023-05-23T02:48:21Z","timestamp":1684810101000},"page":"2129-2138","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Childhood Sexual Trauma and Subjective Cognitive Decline: An Assessment of Racial\/Ethnic and Sexual Orientation Disparities"],"prefix":"10.1177","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9552-244X","authenticated-orcid":false,"given":"Monique J.","family":"Brown","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA"},{"name":"South Carolina SmartState Center for Healthcare Quality, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA"},{"name":"Rural and Minority Health Research Center, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA"},{"name":"Office for the Study on Aging, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Amoatika","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5859-2983","authenticated-orcid":false,"given":"Prince Nii Ossah","family":"Addo","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amandeep","family":"Kaur","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad Rifat","family":"Haider","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management, College of Public Health, University of Georgia, Athens, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melinda A.","family":"Merrell","sequence":"additional","affiliation":[{"name":"Rural and Minority Health Research Center, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA"},{"name":"Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Crouch","sequence":"additional","affiliation":[{"name":"Rural and Minority Health Research Center, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA"},{"name":"Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,5,22]]},"reference":[{"key":"bibr1-07334648231175299","unstructured":"American College of Obstetricians and Gynecologists (ACOG). (2022). Adult manifestations of childhood sexual abuse. https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2011\/08\/adult-manifestations-of-childhood-sexual-abuse"},{"key":"bibr2-07334648231175299","unstructured":"American Psychiatric Association. (2023). What is Depression? https:\/\/www.psychiatry.org\/patients-families\/depression\/what-is-depression"},{"key":"bibr3-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1177\/1077559506289186"},{"key":"bibr4-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0054691"},{"key":"bibr5-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2004.09.003"},{"key":"bibr6-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1177\/07399863970191004"},{"key":"bibr7-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2021.2017848"},{"key":"bibr101-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1177\/089826439700900202"},{"key":"bibr8-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2020.1861214"},{"key":"bibr9-07334648231175299","doi-asserted-by":"publisher","DOI":"10.3928\/00989134-20220110-01"},{"key":"bibr10-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2015.02.019"},{"key":"bibr11-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-016-1553-0"},{"key":"bibr12-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2021.2007354"},{"key":"bibr13-07334648231175299","doi-asserted-by":"publisher","DOI":"10.3233\/JAD-190869"},{"key":"bibr16-07334648231175299","unstructured":"Centers for Disease Control and Prevention. (2019). CDC - BRFSS. Centers for disease Control and prevention. https:\/\/www.cdc.gov\/brfss\/index.html"},{"key":"bibr17-07334648231175299","unstructured":"Centers for Disease Control and Prevention. (2020). Preventing child sexual abuse violence prevention. https:\/\/www.cdc.gov\/violenceprevention\/childsexualabuse\/fastfact.html"},{"key":"bibr18-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1080\/19359705.2019.1644570"},{"key":"bibr19-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/cky134"},{"key":"bibr20-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2021.105181"},{"key":"bibr21-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2016.09.011"},{"key":"bibr103-07334648231175299","unstructured":"Espinoza R (2014). Out and visible: The experiences and attitudes of lesbian, gay, bisexual and transgender older adults, ages 45\u201375. Retrieved from Sage (Services and Advocacy for GLBT Elders) website: http:\/\/www.sageusa.org\/resources\/outandvisible.cfm"},{"key":"bibr22-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnac086"},{"key":"bibr23-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1002\/trc2.12197"},{"key":"bibr24-07334648231175299","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.190009"},{"key":"bibr25-07334648231175299","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare8030347"},{"key":"bibr26-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-042125"},{"key":"bibr27-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-021-11068-1"},{"key":"bibr28-07334648231175299","doi-asserted-by":"publisher","DOI":"10.3233\/JAD-210123"},{"key":"bibr100-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(19)30286-X"},{"key":"bibr29-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610217001636"},{"key":"bibr30-07334648231175299","unstructured":"Hospice of the Western Reserve. (2023). Trauma informed care for persons with dementia, brain failure and cognitive impairment. https:\/\/www.nhpco.org\/wp-content\/uploads\/TIC_persons_with_dementia_etc.pdf"},{"key":"bibr31-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsp118"},{"key":"bibr32-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2021.10.015"},{"key":"bibr33-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(19)30368-0"},{"key":"bibr34-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1080\/1360786031000045872"},{"key":"bibr35-07334648231175299","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S165399"},{"key":"bibr36-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1080\/19359705.2015.1127191"},{"key":"bibr37-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1186\/s13195-019-0527-7"},{"key":"bibr38-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0000000000000394"},{"key":"bibr39-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2018.06.3063"},{"key":"bibr40-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2015.12.007"},{"key":"bibr41-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1177\/1533317515592331"},{"key":"bibr42-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2018.2537"},{"key":"bibr43-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2016.09.012"},{"key":"bibr44-07334648231175299","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2020.00344"},{"key":"bibr45-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1176\/jnp.18.1.45"},{"key":"bibr46-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1002\/gps.5092"},{"key":"bibr47-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1007\/s10865-016-9742-x"},{"key":"bibr48-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2017.05.008"},{"key":"bibr49-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2010.09.007"},{"key":"bibr50-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1136\/jech.2009.095109"},{"key":"bibr51-07334648231175299","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.168971"},{"key":"bibr52-07334648231175299","unstructured":"Sacks V., Murphey D. (2018). The prevalence of adverse childhood experiences, nationally, by state, and by race or ethnicity, https:\/\/www.childtrends.org\/publications\/prevalence-adverse-childhood-experiences-nationally-state-race-ethnicity."},{"key":"bibr53-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1186\/s13195-018-0449-9"},{"key":"bibr102-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1177\/088626092007002005"},{"key":"bibr55-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1037\/a0030144"},{"key":"bibr56-07334648231175299","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2021.01.045"},{"key":"bibr57-07334648231175299","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6727a1"},{"key":"bibr59-07334648231175299","doi-asserted-by":"publisher","DOI":"10.3389\/fnagi.2018.00166"}],"container-title":["Journal of Applied Gerontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/07334648231175299","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/07334648231175299","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/07334648231175299","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T19:36:47Z","timestamp":1777491407000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/07334648231175299"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,22]]},"references-count":59,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1177\/07334648231175299"],"URL":"https:\/\/doi.org\/10.1177\/07334648231175299","relation":{},"ISSN":["0733-4648","1552-4523"],"issn-type":[{"value":"0733-4648","type":"print"},{"value":"1552-4523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,22]]}}}