216821 Survivors Speak: Child Sexual Abuse Impacts Breastfeeding Experiences

Tuesday, November 9, 2010 : 9:30 AM - 9:50 AM

Emily C. Taylor, MPH, CD(DONA), LCCE , Carolina Global Breastfeeding Institute, Department of Maternal and Child Health, School of Public Health, University of North Carolina, Chapel Hill, NC
Data from retrospective surveys of adult nonclinical populations (the best instruments for ascertaining the prevalence of CSA) suggest that 20-25% of women and 5-15% of men experience childhood contact sexual abuse. While this data is likely still subject to underreporting, its implications are huge: In the United States, 1 in 4 girls and 1 in 7 boys are contact sexually abused by their eighteenth birthday. CSA survivors experience varying types and levels of deleterious health outcomes. Survivors of CSA often experience increased odds of suicidality, post- traumatic stress disorder, depression, anxiety, aggression, phobias, panic disorder, obsessive compulsive disorder, self-injurious behavior, insomnia, substance abuse, sexual dysfunction, proneness to victimization, and social stigmatization. CSA survival often impacts women's experiences of breastfeeding, commonly in ways that lead to clinically suboptimal and personally re-traumatizing breastfeeding. By hearing women's stories about how being a victim/survivor of CSA impacted their experiences with breastfeeding, public health professionals will have richer perspectives on this problem, and the opportunity to identify critical points of intervention for effective breastfeeding promotion to this large population. The presentation will explore prevalence of child sexual abuse, identify common long-term effects, and articulate how these effects often influence breastfeeding experiences. The presenter will utilize feminist theory, public health research, and interviews with CSA survivors with breastfeeding histories to illustrate the ways in which the two are related, and how public health can function to prevent CSA and support survivors throughout the reproductive continuum to both aid in healing and improve breastfeeding practices.

Learning Areas:
Other professions or practice related to public health
Planning of health education strategies, interventions, and programs
Provision of health care to the public
Public health or related nursing
Social and behavioral sciences
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
1. Depict the limited activity level of public health in tertiary prevention of Child Sexual Abuse. 2. Describe the population at risk of interrupted breastfeeding experiences due to child sexual abuse (CSA) history. 3. Demonstrate the impact of CSA on women's experiences with breastfeeding, using direct quotes. 4. Formulate recommendations for public health tertiary prevention of CSA impacts on breastfeeding.

Keywords: Breast Feeding, Sexuality

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have conducted relevant research on the impact of CSA on breastfeeding experiences, and I have experience in formulating programmatic and policy recommendations in support of breastfeeding dyads.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.