The present study examines the psychometric properties of a verbal, face-to-face administration of the Childhood Trauma Questionnaire (CTQ) with female street-based sex workers (N = 171). Confirmatory Factor Analysis (CFA) indicated a poor fit between our data and the instrument's established 5-factor structure. Exploratory Factor Analysis (EFA) yielded four stable and usable factors corresponding to the Emotional Abuse, Emotional Neglect, Physical Abuse, and Sexual Abuse subscales of the CTQ; the Physical Neglect subscale did not emerge as a stable factor. Cross loading of many CTQ items onto more than one factor most likely produced the poor CFA fit, and indicated that abuse/neglect constructs were not conceptually distinct for our sample. Mean trauma scores did not differ significantly from published scores for female substance abusers. According to the CTQ Minimization/Denial scale, 42% of participants minimized their childhood maltreatment experiences. A combination of qualitative and quantitative methods may be optimal for the acquisition of sensitive trauma information with wary and vulnerable street populations.
KeywordsTrauma assessment; childhood trauma; child abuse; female sex workers; prostitution Previous research has reported a substantial history of early trauma among female street-based sex workers, in particular childhood sexual abuse (CSA; Arnold, Stewart, & McNeece, 2000;Dalla, 2000Dalla, , 2001Farley & Barkan, 1998;James & Meyerding, 1977;Miller & Paone, 1998;Silbert & Pines, 1983;Simons & Whitbeck, 1991). Prior studies have employed simple quantitative methods to establish rates of CSA among large numbers of sex workers (e.g., Yes/ No questions; El-Bassel, Witte, Wada, Gilbert, & Wallace, 2001;Potterat, Rothenberg, Muth, Darrow, & Phillips-Plummer, 1998;Young, Boyd, & Hubbell, 2000), or have utilized in-depth qualitative inquiry to explore abuse issues within smaller samples of women (Maher, 1997;Miller, 1986; Romero-Daza, Weeks, & Singer, 1998). To our knowledge, no large-scale quantitative study of female street-based sex workers has utilized a standardized measure to assess the severity of CSA and other forms of childhood abuse. The advantages of using such an instrument with said population would include descriptive information on trauma severity, data reliability/validity, and application to advanced statistical procedures (e.g., multivariate analyses). (Lundgren, Gerdner, & Lundqvist, 2002). Another study of the CTQ administered to college students indicated different factor structures for men and women and an unstable Physical Abuse factor for female respondents (Wright et al., 2001).In the present study we sought to explore the psychometric properties of a verbal, face-to-face administration of the CTQ with a sample of female street-based sex workers. Of note, the verbal interview format was a change in protocol from the self-report format stipulated in the CTQ manual (Bernstein & Fink, 1998). Because of this population's high-risk status we hypothesized that mean scores on ...