{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T17:31:54Z","timestamp":1792863114091,"version":"4.5.0"},"reference-count":53,"publisher":"SAGE Publications","issue":"19-20","license":[{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["21H04856, 22K18566"],"award-info":[{"award-number":["21H04856, 22K18566"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Ready for COVID-19 Relief Fund","award":["5th period 2nd term 001"],"award-info":[{"award-number":["5th period 2nd term 001"]}]},{"DOI":"10.13039\/501100005769","name":"national institute for environmental studies","doi-asserted-by":"publisher","award":["R3-2-2"],"award-info":[{"award-number":["R3-2-2"]}],"id":[{"id":"10.13039\/501100005769","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002241","name":"Japan Science and Technology Agency","doi-asserted-by":"publisher","award":["501100002241"],"award-info":[{"award-number":["501100002241"]}],"id":[{"id":"10.13039\/501100002241","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Ministry of Health Labor and Welfare of Health Labor","award":["23GC1019"],"award-info":[{"award-number":["23GC1019"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Interpers Violence"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:p>\n                    Non-consensual sexual behavior (NSB) before age 18 is a recognized risk factor for adult mental ill-health, yet evidence from Japan remains limited. We analyzed data from adults who completed the nationwide, Internet-based Japan COVID-19 and Social Internet Survey (September\u2013October 2022). Exposure was any self-reported NSB \u226418\u2009years. Outcomes were physician-diagnosed or self-reported depression, anxiety, post-traumatic stress disorder (PTSD), suicidal ideation, low self-esteem, relationship distress, chronic pain, smoking, and alcohol use after age 18. Multivariable logistic regression was adjusted for sex, marital status, education, income, and employment; sex-stratified models and interaction terms tested effect modification. Among 28,221 participants, 535 (1.9%) experienced NSB, including 157 men (29.4%). NSB experience was significantly associated with a higher risk of depression (odds ratio [\n                    <jats:italic toggle=\"yes\">OR<\/jats:italic>\n                    ]\u2009=\u20095.03, 95% confidence interval [CI] [4.13, 6.14]), anxiety (\n                    <jats:italic toggle=\"yes\">OR<\/jats:italic>\n                    \u2009=\u20095.10 [4.12, 6.32]), PTSD (\n                    <jats:italic toggle=\"yes\">OR<\/jats:italic>\n                    \u2009=\u200918.42 [13.73, 24.74]), suicidal ideation (\n                    <jats:italic toggle=\"yes\">OR<\/jats:italic>\n                    \u2009=\u20094.47 [3.63, 5.51]), low self-esteem (\n                    <jats:italic toggle=\"yes\">OR<\/jats:italic>\n                    \u2009=\u20093.31 [2.71, 4.04]), distress in relationships (\n                    <jats:italic toggle=\"yes\">OR<\/jats:italic>\n                    \u2009=\u20092.62 [2.11, 3.25]), chronic pain (\n                    <jats:italic toggle=\"yes\">OR<\/jats:italic>\n                    \u2009=\u20092.61 [2.15, 3.17]), and smoking (\n                    <jats:italic toggle=\"yes\">OR<\/jats:italic>\n                    \u2009=\u20092.39 [1.91, 3.00]; all\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    values\u2009&lt;\u2009.001). Effect sizes for depression, anxiety, PTSD, and low self-esteem were significantly larger in men than women (interaction\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    value\u2009&lt;\u2009.01). Experiencing NSB before age 18 is associated with substantial mental health and somatic burdens in Japanese adults. Both male and female survivors require attention, with men exhibiting particularly pronounced psychological symptoms. These findings underscore a need for survivor-centered mental health screening, support programs, and policy initiatives that lower stigma and enhance access to care.\n                  <\/jats:p>","DOI":"10.1177\/08862605261442579","type":"journal-article","created":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T15:32:08Z","timestamp":1778513528000},"page":"8112-8131","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Non-Consensual Sexual Experiences Before Age 18 and Adult Mental and Physical Outcomes in Japan: A Population-Based Study"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9598-7626","authenticated-orcid":false,"given":"Yousuke","family":"Imanishi","sequence":"first","affiliation":[{"name":"David Geffen School of Medicine at UCLA, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takahiro","family":"Tabuchi","sequence":"additional","affiliation":[{"name":"Tohoku University Graduate School of Medicine, Miyagi, Japan"},{"name":"Osaka International Center Institute, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mai","family":"Uchida","sequence":"additional","affiliation":[{"name":"Harvard Medical School, Boston, MA, USA"},{"name":"Massachusetts General Hospital, Boston, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,11]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)62243-6"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/pcn.12086"},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0886260519900335"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1524838009334456"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/sltb.12450"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.4065\/mcp.2009.0583"},{"key":"e_1_3_4_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1996.01830060096013"},{"key":"e_1_3_4_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-023-02472-6"},{"key":"e_1_3_4_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)08698-1"},{"key":"e_1_3_4_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1524838018813198"},{"key":"e_1_3_4_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/tra0000570"},{"key":"e_1_3_4_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2017.06.002"},{"key":"e_1_3_4_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/vio0000350"},{"key":"e_1_3_4_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2016.09.011"},{"key":"e_1_3_4_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/08862605241246798"},{"key":"e_1_3_4_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-6-21"},{"key":"e_1_3_4_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(19)30286-X"},{"key":"e_1_3_4_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/14681811.2024.2320399"},{"key":"e_1_3_4_20_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0140525X0999152X"},{"key":"e_1_3_4_21_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0095675"},{"key":"e_1_3_4_22_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2016.6276"},{"key":"e_1_3_4_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11482-021-09918-6"},{"issue":"9","key":"e_1_3_4_24_1","first-page":"1168","article-title":"The Association between perinatal complications and adverse childhood experiences: Findings from a nationwide online survey","volume":"42","author":"Imanishi Y.","year":"2024","unstructured":"Imanishi Y., Wada I., Tabuchi T. 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