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1.
Early Child Res Q ; 65: 295-305, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37900880

RESUMO

Taking a person-centered approach, this study examined stability and change in profiles of parenting qualities observed at two times in early childhood in a sample of 146 mothers of African American children living in households experiencing poverty. Latent Profile Analysis (LPA) of six qualities of parenting rated from mother-child interactions at ages 2.5 and 3.6 years revealed four distinct parenting profiles characterized as Child-Oriented, Moderately Child-Oriented, Harsh-Intrusive, and Withdrawn at each age. Profile membership was fairly stable, with 41% classified similarly at both times. Moderately Child-Oriented was the least stable, with 24% of this group similarly classified at Time 2; 49-52% of each of the other three groups were classified similarly the second time, indicating their greater stability. Changes from Harsh-Intrusive to Withdrawn profiles or vice versa were rare (n = 3). To further address profile stability, Time 2 profile posterior probabilities were predicted in multiple regression models from Time 1 parenting profiles, with the child-oriented profile as reference group, Time 2 child externalizing and internalizing behavior problems, and cumulative risk. Results indicated Time 2 Withdrawn and Harsh-Intrusive profiles were significantly associated with Time 1 membership in their analogous profile but not with other Time 1 profiles, providing further evidence for stability and distinctiveness of these profiles. Only the Moderately Child-Oriented profile was associated with greater cumulative risk at Time 2; it was not related to any of the other Time 1 profiles. In addition, Withdrawn profile membership at Time 2 was associated with greater child internalizing and fewer externalizing problems. The Time 2 Child-Oriented profile was associated with less probability of membership in withdrawn or harsh-intrusive profiles at Time 1.

2.
Sex Abuse ; 34(2): 180-206, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-33797295

RESUMO

This study explores the moralization of purity and perceptions of harm as constraints on sex buying among men. Purchasing sex has long been considered an offense against public morality. While personal morality provides a powerful constraint on offending, and people may vary in the extent to which they experience moral intuitions about bodily and spiritual purity, research has so far neglected the role of purity moralization in understanding sex buying behavior. We hypothesize specifically that moral intuitions about purity constrain sex buying by leading people to perceive it as inherently wrong and by eliciting perceptions that sex buying is harmful to prostitutes. We test these hypotheses in a nationally representative survey of U.S. men (N = 2,525). Results indicate that purity moralization is associated with reduced sex buying, and that this relationship is mediated fully by perceptions of sex buying as harming prostitutes.


Assuntos
Princípios Morais , Trabalho Sexual , Humanos , Masculino , Inquéritos e Questionários
3.
Soc Sci Res ; 104: 102683, 2022 05.
Artigo em Inglês | MEDLINE | ID: mdl-35400388

RESUMO

This study demonstrates how social and genetic factors jointly influence depression in late adulthood. We focus on the effect of incarceration, a major life event consistently found to be associated with mental health problems. Drawing on data from males in the Wisconsin Longitudinal Study and the Health and Retirement Study, we conduct a polygenic score analysis based on a genome-wide association study on depressive symptoms. Our analysis produces two important findings. First, incarceration experience mediates the association between the depression polygenic score and depressive symptoms in late adulthood (i.e., greater polygenic scores are associated with elevated incarceration risk, which increases depressive symptoms in late adulthood). Second, about one-fifth of the association between incarceration experience and late-adulthood depressive symptoms is accounted for by the depression polygenic score and childhood depression. These findings reveal complex biological and social mechanisms in the development of depression and, more broadly, provide important insights for causal inference in social science research.


Assuntos
Depressão , Estudo de Associação Genômica Ampla , Adulto , Criança , Depressão/genética , Humanos , Estudos Longitudinais , Masculino , Herança Multifatorial , Aposentadoria
4.
Violence Vict ; 36(1): 157-192, 2021 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-33443229

RESUMO

Although many studies have highlighted the deleterious outcomes associated with access to firearms, others suggest gun ownership and carrying can have protective effects. This study attempts to adjudicate between these countervailing points and address several important gaps in the literature. To do so, data from the National Longitudinal Study of Adolescent to Adult Health were used to assess the long-term associations between gun ownership and gun carrying in late adolescence and violence and violent victimization in early adulthood. Results from propensity score matching analyses suggest gun carrying, but not gun ownership, is associated with a higher risk of experiencing a violent victimization (b = 0.080, 95% CI = .032, .127) and engaging in violence with a weapon (b = 0.885, 95% CI = .392, 1.378). Efforts to curb firearm-related violence should consider focusing on those who carry guns for additional counseling about these risks.


Assuntos
Vítimas de Crime , Armas de Fogo , Propriedade , Violência , Adolescente , Feminino , Humanos , Estudos Longitudinais , Masculino , Adulto Jovem
5.
Criminology ; 58(2): 307-335, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32612292

RESUMO

What impact does formal punishment have on antisocial conduct-does it deter or promote it? The findings from a long line of research on the labeling tradition indicate formal punishments have the opposite-of-intended consequence of promoting future misbehavior. In another body of work, the results show support for deterrence-based hypotheses that punishment deters future misbehavior. So, which is it? We draw on a nationally representative sample of British adolescent twins from the Environmental Risk (E-Risk) Longitudinal Twin Study to perform a robust test of the deterrence versus labeling question. We leverage a powerful research design in which twins can serve as the counterfactual for their co-twin, thereby ruling out many sources of confounding that have likely impacted prior studies. The pattern of findings provides support for labeling theory, showing that contact with the justice system-through spending a night in jail/prison, being issued an anti-social behaviour order (ASBO), or having an official record-promotes delinquency. We conclude by discussing the impact these findings may have on criminologists' and practitioners' perspective on the role of the juvenile justice system in society.

6.
J Exp Criminol ; 16(3): 431-461, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32831812

RESUMO

OBJECTIVES: Examine the extent to which cognitive/psychological characteristics predict later polyvictimization. We employ a twin-based design that allows us to test the social neurocriminology hypothesis that environmental factors influence brain-based characteristics and influence behaviors like victimization. METHODS: Using data from the Environmental Risk Longitudinal Twin Study (N = 1986), we capitalize on the natural experiment embedded in a discordant-twin design that allows for the adjustment of family environments and genetic factors. RESULTS: The findings indicate that self-control, as well as symptoms of conduct disorder and anxiety, are related to polyvictimization even after adjusting for family environments and partially adjusting for genetic influences. After fully adjusting for genetic factors, only self-control was a statistically significant predictor of polyvictimization. CONCLUSION: The findings suggest polyvictimization is influenced by cognitive/psychological characteristics that individuals carry with them across contexts. Policies aimed at reducing victimization risks should consider interventions that address cognitive functioning and mental health.

7.
Psychol Sci ; 29(5): 791-803, 2018 05.
Artigo em Inglês | MEDLINE | ID: mdl-29513605

RESUMO

Drawing on psychological and sociological theories of crime causation, we tested the hypothesis that genetic risk for low educational attainment (assessed via a genome-wide polygenic score) is associated with criminal offending. We further tested hypotheses of how polygenic risk relates to the development of antisocial behavior from childhood through adulthood. Across the Dunedin and Environmental Risk (E-Risk) birth cohorts of individuals growing up 20 years and 20,000 kilometers apart, education polygenic scores predicted risk of a criminal record with modest effects. Polygenic risk manifested during primary schooling in lower cognitive abilities, lower self-control, academic difficulties, and truancy, and it was associated with a life-course-persistent pattern of antisocial behavior that onsets in childhood and persists into adulthood. Crime is central in the nature-nurture debate, and findings reported here demonstrate how molecular-genetic discoveries can be incorporated into established theories of antisocial behavior. They also suggest that improving school experiences might prevent genetic influences on crime from unfolding.


Assuntos
Sucesso Acadêmico , Transtorno da Personalidade Antissocial/genética , Transtorno da Conduta/genética , Criminosos , Estudo de Associação Genômica Ampla , Comportamento Problema , Adolescente , Adulto , Transtorno da Personalidade Antissocial/epidemiologia , Criança , Pré-Escolar , Transtorno da Conduta/epidemiologia , Criminosos/estatística & dados numéricos , Feminino , Estudo de Associação Genômica Ampla/estatística & dados numéricos , Humanos , Estudos Longitudinais , Masculino , Herança Multifatorial , Nova Zelândia/epidemiologia , Fatores de Risco , Reino Unido/epidemiologia , Adulto Jovem
8.
J Youth Adolesc ; 46(9): 1968-1981, 2017 09.
Artigo em Inglês | MEDLINE | ID: mdl-28451940

RESUMO

A large body of research finds that unstructured socializing with peers is positively associated with delinquency during adolescence. Yet, existing research has not ruled out the potential for confounding due to genetic factors and factors that can be traced to environments shared between siblings. To fill this void, the current study examines whether the association between unstructured socializing with peers and delinquent behavior remains when accounting for genetic factors, shared environmental influences, and a variety of non-shared environmental covariates. We do so by using data from the twin subsample of the National Longitudinal Study of Adolescent to Adult Health (n = 1200 at wave 1 and 1103 at wave 2; 51% male; mean age at wave 1 = 15.63). Results from both cross-sectional and lagged models indicate the association between unstructured socializing with peers and delinquent behavior remains when controlling for both genetic and environmental influences. Supplementary analyses examining the association under different specifications offer additional, albeit qualified, evidence supportive of this finding. The study concludes with a discussion highlighting the importance of limiting free time with friends in the absence of authority figures as a strategy for reducing delinquency during adolescence.


Assuntos
Comportamento do Adolescente/psicologia , Delinquência Juvenil/estatística & dados numéricos , Grupo Associado , Adolescente , Transtorno da Personalidade Antissocial/epidemiologia , Estudos Transversais , Feminino , Humanos , Estudos Longitudinais , Masculino , Irmãos , Comportamento Social
9.
Arch Sex Behav ; 45(7): 1759-69, 2016 10.
Artigo em Inglês | MEDLINE | ID: mdl-27056045

RESUMO

This study examined the association between sexual orientation and nonviolent and violent delinquency across the life course. We analyzed self-reported nonviolent and violent delinquency in a sample of heterosexual males (N = 5220-7023) and females (N = 5984-7875), bisexuals (N = 34-73), gay males (N = 145-189), and lesbians (N = 115-150) from the National Longitudinal Study of Adolescent to Adult Health (Add Health). The analyses revealed, in general, that bisexuals were the most delinquent of the sexual orientation categories for both males and females. Additional analyses revealed that heterosexual males reported significantly higher levels of both violent and nonviolent delinquency than gay males, whereas lesbians reported more involvement in nonviolent delinquency and, to a lesser extent, violent delinquency relative to heterosexual females. Analyses also revealed that lesbians reported significantly more delinquent behavior, particularly for nonviolent delinquency, than gay males. Future research should explore the mechanisms that account for these observed patterns and how they can be used to more fully understand the etiology of delinquency.


Assuntos
Saúde do Adolescente , Delinquência Juvenil , Comportamento Sexual , Violência , Adolescente , Adulto , Feminino , Humanos , Estudos Longitudinais , Masculino , Transtornos Mentais , Fatores Sexuais
10.
Death Stud ; 40(5): 298-304, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26765521

RESUMO

The current study examined whether adolescent IQ predicted risk for mortality by the age of 32. Analyses of data from the Add Health revealed that IQ was related to mortality risk, such that respondents with relatively lower IQs were significantly more likely to experience early life mortality when compared to respondents with relatively higher IQs. This association remained statistically significant even after controlling for a host of covariates such as race, gender, involvement in violent behaviors, levels of self-control, and poverty. The average IQ of deceased respondents was approximately 95, whereas the average IQ of living respondents was about 100.


Assuntos
Inteligência , Adolescente , Adulto , Feminino , Inquéritos Epidemiológicos , Humanos , Estudos Longitudinais , Masculino , Mortalidade , Risco , Medição de Risco , Adulto Jovem
11.
J Youth Adolesc ; 44(2): 489-506, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-24915970

RESUMO

Recent work provides evidence that reduced sleep duration has detrimental effects on a range of developmentally related outcomes during adolescence. Yet, the potential confounding influence of genetic and shared environmental effects has not been sufficiently addressed. This study addresses this issue by analyzing cross-sectional data from the twin sub-sample of the first wave of the National Longitudinal Study of Adolescent Health [N ≈ 287 MZ (monozygotic) twin pairs; 50% male; 22% Black; mean age = 15.75]. Associations between sleep duration (measured through two different strategies, one tapping number of hours slept at night and the other measuring weeknight bedtimes) and seven outcomes (self-control, depressive symptoms, suicidal ideation, body mass index, violent delinquency, non-violent delinquency, and drug use) were estimated. Consistent with prior research, associations between sleep duration and several outcomes were statistically significant when using standard social science analytic methods. Yet, when employing a methodology that accounts for genetic and shared environmental influences, some of these associations were reduced to non-significance. Still, two consistent associations remained in that participants who reported sleeping fewer hours at night (or who reported later bedtimes) exhibited lower levels of self-control and more depressive symptoms. Implications of the findings and directions for future research are discussed.


Assuntos
Comportamento do Adolescente , Desenvolvimento do Adolescente , Saúde Mental , Sono , Gêmeos Monozigóticos/psicologia , Adolescente , Estudos Transversais , Depressão/genética , Depressão/psicologia , Feminino , Humanos , Comportamento Impulsivo , Delinquência Juvenil/psicologia , Masculino , Modelos Psicológicos , Modelos Estatísticos , Análise de Regressão , Sono/genética , Transtornos Relacionados ao Uso de Substâncias/genética , Transtornos Relacionados ao Uso de Substâncias/psicologia , Ideação Suicida , Fatores de Tempo , Gêmeos Monozigóticos/genética , Estados Unidos
12.
J Youth Adolesc ; 44(2): 465-77, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-24085558

RESUMO

Recent work provides evidence that sleep deprivation is positively related to delinquency. In this study, we draw on Baumeister and colleagues' strength model of self-control to propose an explanation for this association. Specifically, we argue that low self-control is the construct that bridges the relationship between sleep deprivation and delinquency. To test the proposed model, we examine survey data drawn from a longitudinal multi-city cohort study of adolescents who were followed from birth through age 15 (N = 825; 50% female; 82% non-Hispanic white, 59% two-parent nuclear family). The results from regression models using latent factors indicate: sleep deprivation is positively related to low self-control; low self-control is positively related to delinquency; and the relationship between sleep deprivation and delinquency is indirect and operates through low self-control. Impressively, these relationships emerged when accounting for potential background sources of spuriousness, including neighborhood context, depressive symptoms, parenting practices, unstructured socializing with peers, and prior delinquency. Implications and directions for future research are discussed.


Assuntos
Comportamento Impulsivo , Delinquência Juvenil/psicologia , Modelos Psicológicos , Privação do Sono/psicologia , Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Controle Interno-Externo , Estudos Longitudinais , Masculino , Modelos Estatísticos , Fatores de Risco , Controles Informais da Sociedade
13.
J Youth Adolesc ; 44(7): 1413-27, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25967897

RESUMO

An extensive line of research has identified delinquent peer association as a salient environmental risk factor for delinquency, especially during adolescence. While previous research has found moderate-to-strong associations between exposure to delinquent peers and a variety of delinquent behaviors, comparatively less scholarship has focused on the genetic architecture of this association over the course of adolescence. Using a subsample of kinship pairs (N = 2379; 52% female) from the National Longitudinal Survey of Youth-Child and Young Adult Supplement (CNLSY), the present study examined the extent to which correlated individual differences in starting levels and developmental growth in delinquent peer pressure and self-reported delinquency were explained by additive genetic and environmental influences. Results from a series of biometric growth models revealed that 37% of the variance in correlated growth between delinquent peer pressure and self-reported delinquency was explained by additive genetic effects, while nonshared environmental effects accounted for the remaining 63% of the variance. Implications of these findings for interpreting the nexus between peer effects and adolescent delinquency are discussed.


Assuntos
Transtorno da Personalidade Antissocial/genética , Interação Gene-Ambiente , Delinquência Juvenil/psicologia , Grupo Associado , Autoeficácia , Adolescente , Comportamento do Adolescente , Transtorno da Personalidade Antissocial/diagnóstico , Criança , Feminino , Humanos , Masculino , Fatores de Risco , Assunção de Riscos
14.
Compr Psychiatry ; 55(3): 483-8, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24361183

RESUMO

A host of research has examined the possibility that environmental risk factors might condition the influence of genes on various outcomes. Less research, however, has been aimed at exploring the possibility that genetic factors might interact to impact the emergence of human traits. Even fewer studies exist examining the interaction of genes in the prediction of behavioral outcomes. The current study expands this body of research by testing the interaction between genes involved in neural transmission. Our findings suggest that certain dopamine genes interact to increase the odds of criminogenic outcomes in a national sample of Americans.


Assuntos
Criminosos/psicologia , Epistasia Genética , Receptores de Dopamina D2/genética , Receptores de Dopamina D4/genética , Adulto , Feminino , Estudos de Associação Genética , Genótipo , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco
15.
Psychiatr Q ; 85(3): 257-65, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-24326626

RESUMO

There has been a great deal of research examining the link between a polymorphism in the promoter region of the MAOA gene and antisocial phenotypes. The results of these studies have consistently revealed that low activity MAOA alleles are related to antisocial behaviors for males who were maltreated as children. Recently, though, some evidence has emerged indicating that a rare allele of the MAOA gene-that is, the 2-repeat allele-may have effects on violence that are independent of the environment. The current study builds on this research and examines the association between the 2-repeat allele and shooting and stabbing behaviors in a sample of males drawn from the National Longitudinal Study of Adolescent Health. Analyses revealed that African-American males who carry the 2-repeat allele are significantly more likely than all other genotypes to engage in shooting and stabbing behaviors and to report having multiple shooting and stabbing victims. The limitations of the study are discussed and suggestions for future research are offered.


Assuntos
Monoaminoxidase/genética , Sequências Repetitivas de Ácido Nucleico/genética , Violência/estatística & dados numéricos , Adolescente , Adulto , Negro ou Afro-Americano/genética , Negro ou Afro-Americano/estatística & dados numéricos , Alelos , Inquéritos Epidemiológicos , Humanos , Masculino , Polimorfismo Genético , Risco , Estados Unidos/epidemiologia , Adulto Jovem
16.
J Pers Soc Psychol ; 126(3): 477-491, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38647442

RESUMO

Perceptions of crime detection risk (e.g., risk of arrest) play an integral role in the criminal decision-making process. Yet, the sources of variation in those perceptions are not well understood. Do individuals respond to changes in legal policy or is perception of detection risk shaped like other perceptions-by experience, heuristics, and with biases? We applied a developmental perspective to study self-reported perception of detection risk. We test four hypotheses against data from the Dunedin Longitudinal Study (analytic sample of N = 985 New Zealanders), a study that spans 20 years of development (Ages 18-38, years 1990-2011). We reach four conclusions: (1) people form their perception of detection risk early in the life course; (2) perception of detection risk may be general rather than unique to each crime type; (3) population-level perceptions are stable between adolescence and adulthood; but (4) people update their perceptions when their life circumstances change. The importance of these findings for future theoretical and policy work is considered. (PsycInfo Database Record (c) 2024 APA, all rights reserved).


Assuntos
Crime , Tomada de Decisões , Humanos , Adulto , Adolescente , Adulto Jovem , Masculino , Feminino , Estudos Longitudinais , Nova Zelândia , Risco , Percepção Social
17.
Behav Genet ; 43(2): 120-31, 2013 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23274656

RESUMO

Researchers typically analyze samples of twin pairs in order to decompose trait variance into genetic and environmental components. This methodological technique, referred to as twin-based research, rests on several assumptions that must be satisfied in order to produce unbiased results. While research has analyzed the tenability of certain assumptions such as equal environments, less attention has been given to whether results gleaned from samples of twins generalize to the broader population of non-twins. The current study analyzed data drawn from the National Longitudinal Study of Adolescent Health and findings suggested twins do not systematically differ from the general population of non-twins on many measures of behavior and development. Furthermore, the effects of specific covariates on measures of antisocial behavior did not appear to differ across twin status. In sum, evidence concerning the etiology of antisocial behavior (e.g., heritability estimates) gleaned from twin-based research is likely to generalize to the non-twin population.


Assuntos
Transtorno da Personalidade Antissocial/genética , Estudos em Gêmeos como Assunto , Adolescente , Criança , Feminino , Humanos , Masculino , Projetos de Pesquisa , Adulto Jovem
18.
J Theor Biol ; 322: 72-80, 2013 Apr 07.
Artigo em Inglês | MEDLINE | ID: mdl-23333839

RESUMO

The study of human crime and violence represents a flashpoint for discussion across academia. Multiple theories exist pertaining to the topic, all aimed at organizing numerous findings surrounding correlates of antisocial behavior. Along these lines, Moffitt's developmental taxonomy has emerged as a theory well supported by empirical research. Noticeably absent, though, has been an effort to apply an evolutionary framework to Moffitt's dual taxonomy of offending. With this in mind, the current study is intended to examine Moffitt's different typologies in the context of Rushton's Differential K theory (an adaptation of r-K selection from life history theory). Our findings suggest that life-course persistent offending may represent a viable reproductive strategy characterized by higher levels of sexual involvement over the life-course.


Assuntos
Transtorno da Personalidade Antissocial/genética , Evolução Biológica , Modelos Genéticos , Modelos Psicológicos , Adolescente , Adulto , Transtorno da Personalidade Antissocial/psicologia , Criança , Crime/psicologia , Humanos , Controle Interno-Externo , Delinquência Juvenil , Seleção Genética , Comportamento Sexual/etnologia , Parceiros Sexuais , Adulto Jovem
19.
J Adolesc ; 36(4): 657-66, 2013 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-23849660

RESUMO

A growing body of literature examining the antecedents of victimization experiences has suggested that personality constructs play a role in the origins of victimization. Low self-control, in particular, represents a trait thought to directly increase the risk of victimization. At the same time, different lines of evidence suggest that genetic factors account for portions of the variance in both self-control and victimization. These findings leave open the possibility that the two traits might covary because of previously unmeasured genetic factors. The current analysis seeks to test this possibility. Additionally, we examine whether the covariation between self-control and victimization persists once genetic effects are held constant. Our findings suggest a nuanced explanation for the relationship between self-control and experiences of victimization.


Assuntos
Vítimas de Crime/psicologia , Genética Comportamental , Genótipo , Controle Interno-Externo , Personalidade/genética , Adolescente , Criança , Inteligência Emocional/genética , Interação Gene-Ambiente , Predisposição Genética para Doença/genética , Humanos , Individualidade , Modelos Psicológicos , National Longitudinal Study of Adolescent Health , Neurotransmissores/genética , Fenótipo , Irmãos/psicologia , Gêmeos Dizigóticos/genética , Gêmeos Dizigóticos/psicologia , Gêmeos Monozigóticos/genética , Gêmeos Monozigóticos/psicologia , Estados Unidos
20.
Sex Abuse ; 25(1): 69-81, 2013 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-22786726

RESUMO

Moffitt's (1993) developmental theory has garnered an extensive amount of attention from scholars across a range of disciplines, and the results generated from this body of literature have been consistently supportive. Specifically, the segment of the population predicted by Moffitt to be chronically aggressive--called life-course persistent offenders--has been found to account for a disproportionate number of serious crimes. What remains less certain, however, is whether this same group of offenders are also responsible for perpetrating acts of forced sex. The authors examined the tendency for life-course persisters to sexually assault using a nationally representative sample of individuals. Our findings suggest that life-course persisters are disproportionately more likely to be sexually coercive compared to other individuals.


Assuntos
Criminosos/psicologia , Delitos Sexuais/psicologia , Agressão/psicologia , Coerção , Humanos , Estudos Longitudinais , Masculino , Recidiva , Fatores de Risco
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