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This study used data from 859 high-risk youth, followed through age 18. Official reports of each form of maltreatment were coded. At age 16, potential mediators (trauma symptoms and substance use) were assessed. At age 18, risky sexual behavior (more than four partners, unprotected sex, unassertiveness in sexual refusal) was assessed. Neglect significantly predicted unprotected sex. Substance use predicted unprotected sex and four or more partners but did not mediate the effects of maltreatment. Trauma symptoms predicted unprotected sex and mediated effects of emotional maltreatment on unprotected sex and on assertiveness in sexual refusal and the effects of sexual abuse on unprotected sex. Both neglect and emotional maltreatment emerged as important factors in risky sexual behavior. Trauma symptoms appear to be an important pathway by which maltreatment confers risk for risky sexual behavior. Interventions to reduce risky sexual behavior should include assessment and treatment for trauma symptoms and for history of child maltreatment in all its forms.<\/jats:p>","DOI":"10.1177\/1077559516674595","type":"journal-article","created":{"date-parts":[[2016,10,24]],"date-time":"2016-10-24T20:39:16Z","timestamp":1477341556000},"page":"69-78","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":82,"title":["Child Maltreatment and Risky Sexual Behavior"],"prefix":"10.1177","volume":"22","author":[{"given":"Richard","family":"Thompson","sequence":"first","affiliation":[{"name":"Juvenile Protective Association, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terri","family":"Lewis","sequence":"additional","affiliation":[{"name":"University of Colorado Denver, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth C.","family":"Neilson","sequence":"additional","affiliation":[{"name":"University of Washington, Seattle, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana J.","family":"English","sequence":"additional","affiliation":[{"name":"University of Washington, Seattle, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan J.","family":"Litrownik","sequence":"additional","affiliation":[{"name":"San Diego State University, San Diego, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benyamin","family":"Margolis","sequence":"additional","affiliation":[{"name":"Emory University Rollins School of Public Health, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Proctor","sequence":"additional","affiliation":[{"name":"San Diego State University, San Diego, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Howard","family":"Dubowitz","sequence":"additional","affiliation":[{"name":"University of Maryland Hospital, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,10,24]]},"reference":[{"key":"bibr1-1077559516674595","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291715001300"},{"key":"bibr2-1077559516674595","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2013.12.007"},{"key":"bibr3-1077559516674595","first-page":"7","volume-title":"Advances in applied developmental psychology: Child abuse, child development, and social policy","author":"Barnett D.","year":"1993"},{"key":"bibr4-1077559516674595","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.51.6.1173"},{"key":"bibr5-1077559516674595","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2011.0418"},{"key":"bibr6-1077559516674595","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-3836"},{"key":"bibr7-1077559516674595","volume-title":"Trauma symptom inventory, professional manual","author":"Briere J.","year":"1996"},{"key":"bibr8-1077559516674595","doi-asserted-by":"publisher","DOI":"10.1097\/00004703-200404000-00001"},{"key":"bibr9-1077559516674595","unstructured":"Centers for Disease Control and Prevention. 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