The relationship between a history of childhood abuse and subsequent s
exual assault was assessed among 409 consecutive female inpatient admi
ssions. A total of 45% of the sample reported a history of some form o
f childhood abuse and 22% reported at least one adulthood sexual assau
lt. A hierarchical logistic regression indicated that, after controlli
ng for sociodemographic and diagnostic variables, women with a history
of childhood abuse were 3.1 times more likely to have experienced an
adult sexual assault compared to those without abuse. There was a high
er prevalence of adult sexual assault among women reporting only physi
cal abuse or physical and sexual abuse than those reporting only sexua
l abuse, indicating the significance of physical abuse as a potential
risk factor for adult sexual assault.