Associations Between Forced and "Persuaded" First Intercourse and Later Health Outcomes in Women

Violence Against Women. 2019 Apr;25(5):528-548. doi: 10.1177/1077801218793223. Epub 2018 Aug 24.

Abstract

The effects of nonconsensual first experiences of sexual intercourse in women are understudied. This was investigated in 3,875 adult women of whom 6.7% reported "persuaded" first-sex and 0.8% reported forced first-sex. Compared with willing first-sex, both forced and "persuaded" first-sex occurred earlier, involved a greater age difference between partners, and were associated with more lifetime sexual partners and some measures of worse psychological well-being. In addition, "persuaded" first-sex was associated with worse general physical health. "Persuaded" first-sex and its relation to health need to be better understood, along with how culture influences women's experiences of first-sex.

Keywords: abuse; adolescence; childhood; coercion; date rape; mental health; women’s health.

MeSH terms

  • Adolescent
  • Adult
  • Coercion*
  • Cross-Sectional Studies
  • Female
  • Humans
  • Interpersonal Relations
  • Ireland
  • Outcome Assessment, Health Care
  • Rape / psychology*
  • Sexual Behavior / psychology*