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Internalizing and Externalizing Pathways From Polyvictimization to Adult Risky Sexual Behavior: The Roles of Timing

Theresa Ngan H Nguyen¹, Alisandra Macias¹, Connor I Elbe¹

¹Department of Psychology, San Diego State University, San Diego, CA, USA.

Child Maltreatment

|May 14, 2026

Summary

This summary is machine-generated.

Childhood and adolescent victimization experiences link to young adult risky sexual behaviors (RSB) primarily through externalizing behaviors, such as delinquency. Internalizing problems did not show a significant association with RSB.

Keywords:

developmental timing internalizing and externalizing behaviors polyvictimization risky sexual behaviors

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Published on: November 30, 2015

Area of Science:

Psychology
Criminology
Public Health

Background:

Youth victimization is linked to risky sexual behaviors (RSB).
Developmental pathways connecting polyvictimization to young adult RSB remain unclear.
Understanding these pathways is crucial for targeted interventions.

Purpose of the Study:

To prospectively examine the impact of childhood and adolescent polyvictimization on young adult RSB.
To investigate whether internalizing and externalizing problems mediate these associations.
To clarify the role of developmental timing in victimization's effect on sexual risk-taking.

Main Methods:

Longitudinal study design.
Structural Equation Modeling (SEM) used to analyze prospective data.
Assessed childhood/adolescent polyvictimization (abuse, violence exposure) and young adult RSB (sex under influence, number of partners).

Main Results:

No direct association found between polyvictimization and adult RSB.
Externalizing behaviors at age 18 mediated the link between polyvictimization (childhood & adolescent) and sex under the influence.
Delinquency specifically mediated the association between adolescent polyvictimization and number of sexual partners.

Conclusions:

Externalizing problems are a key pathway linking past victimization to current sexual risk-taking in young adulthood.
Internalizing behaviors and chronic polyvictimization were not significantly associated with RSB.
Interventions targeting externalizing behaviors may mitigate RSB in young adults with histories of victimization.