Worldwide, childhood sexual abuse (CSA) is widespread with severe consequences. We assessed the influence of CSA on insecure attachment in 488 young women in Botswana with no history of CSA, a history of CSA without re-occurrence in adulthood, and a history of CSA with re-occurrence in adulthood. Binary logistic regression analyses were fitted to study differences in anxious and avoidant attachment dimensions. Young women with a history of CSA only and those with a recurrence of sexual abuse in early adulthood had more than three times (OR, 3.34; 95% CI (1.77-6.28) and more than five times (OR, 5.28; 95% CI [1.84-15.12]) the odds of reporting anxious attachment dimension, respectively. Self-reported CSA is common and a risk to attachment.