Sexual Assault in the woman
Authors:
J. Záhumenský; H. Neumannová; J. Vojtěch; B. Zmrhalová; O. Šottner; I. Mikysková; J. Sýkorová; M. Halaška
Authors place of work:
Gynekologicko porodnická klinika 1. LF UK a Fakultní nemocnice na Bulovce
Published in the journal:
Soud Lék., 55, 2010, No. 3, p. 40-42
Summary
Objective:
Retrospective analysis of the population of women examined for suspicion of sexual assault to compare the situation in the Czech Republic with the world’s published works.
Design:
Retrospective analysis.
Setting:
Department of Obstetrics and Gynecology, 1st Medical Faculty of Charles University and the Faculty Hospital Na Bulovce Prague.
Methods:
Retrospective analysis of medical reports for all women examined for suspicion of sexual violence during the period from January 2007 to December 2008.
Results:
During observed period 37 women were examined, average age of examined women was 26.2 years, range 15–51 years, 76% of females younger than 29 years, 16% of examined women were from abroad. We have found no differences in occurrence throughout the year. In 3 cases there were more aggressors, in 30% of cases the alleged perpetrator was a known person or relative. In 54% of cases completed vaginal intercourse with ejaculation allegedly took place. We detected one case of forced oral sex and one case of forced anal sex. In 19% touching was involved. 22% of women did not know whether coitus really occurred – in 14% the alleged victim was under the influence of alcohol, in 3 cases under the influence of drugs, including one case of drinking an unknown substance in a beverage. Obvious signs of violence were found in 27% of cases, of which mostly in the face (14%), the extremities (8%) and only in two cases on the genitals (5%). No woman did require medical treatment of injuries.
Conclusion:
Our experience is similar to the published world data. In our group there were more strangers among the perpetrators. We did not record any use of a weapon in the enforcement of sexual contact. It is necessary to examine the alleged victims whole body thoroughly, signs of violence were more frequent in extragenital localization
Key words:
sexual assault – rape – woman – gynecological examination – abuse
Zdroje
1. Anderson, S., McClain, N., Riviello, R.J.: Genital findings of women after consensual and nonconsensual intercourse. J. Forensic Nurs., 2, 2006, s. 59–65.
2. Baker, R.B., Sommers, M.S.: Relationship of genital injuries and age in adolescent and young adult rape survivors. J. Obstet. Gynecol. Neonatal Nurs., 37, 2008, s. 282–289.
3. Charney, D.A., Russell, R.C.: An overview of sexual harassment. Am. J. Psychiatry, 151, 1994, s. 10–17.
4. Chen, Y., Ullman, S.E.: Women’s reporting of sexual and physical assaults to police in the National Violence Against Women Survey. Violence Against. Women, 16, 2010, s. 262–279.
5. Cogin, J., Fish, A.: Sexual harassment – a touchy subject for nurses. J. Health Organ Manag., 23, 2009, s. 442–462.
6. Dunn, S.F., Gilchrist, V.J.: Sexual assault. Prim. Care, 20, 1993, s. 359–373.
7. Fraser, I.S., Lahteenmaki, P., Elomaa, K., Lacarra, M., Mishell, D.R., Jr., Alvarez, F., Brache, V., Weisberg, E., Hickey, M., Vallentine, P., Nash, H.A.: Variations in vaginal epithelial surface appearance determined by colposcopic inspection in healthy, sexually active women. Hum. Reprod., 14, 1999, s. 1974–1978.
8. Groth, A.N., Burgess, A.W.: Rape: a sexual deviation. Am. J. Orthopsychiatry, 47, 1977, s. 400–406.
9. Mark, H., Bitzker, K., Klapp, B.F., Rauchfuss, M.: Gynaecological symptoms associated with physical and sexual violence. J. Psychosom. Obstet. Gynaecol., 29, 2008, s. 164–172.
10. Masho, S.W., Anderson, L.: Sexual assault in men: a population-based study of Virginia. Violence Vict., 24, 2009, s. 98–110.
11. Massey, J.B., Garcia, C.R., Emich, J.P., Jr.: Management of sexually assaulted females. Obstet. Gynecol., 38, 1971, s. 29–36.
12. McGrath, M.E., Hogan, J.W., Peipert, J.F.: A prevalence survey of abuse and screening for abuse in urgent care patients. Obstet. Gynecol., 91, 1998, s. 511–514.
13. Mitchell, D., Angelone, D.J., Kohlberger, B., Hirschman, R.: Effects of offender motivation, victim gender, and participant gender on perceptions of rape victims and offenders. J. Interpers. Violence, 24, 2009, s. 1564–1578.
14. Patel, M., Minshall, L.: Management of sexual assault. Emerg. Med. Clin. North Am., 19, 2001, s. 817–831.
15. Pennington, A., Darby, M., Bauman, D., Plichta, S., Schnuth, M.L.: Sexual harassment in dentistry: experiences of Virginia dental hygienists. J. Dent. Hyg., 74, 2000, s. 288–295.
16. Rennison, C.M.: Reporting to the police by Hispanic victims of violence. Violence Vict., 22, 2007, s. 754–772.
17. Siegel, J.M., Sorenson, S.B., Golding, J.M., Burnam, M.A., Stein, J.A.: The prevalence of childhood sexual assault. The Los Angeles Epidemiologic Catchment Area Project. Am. J. Epidemiol., 126, 1987, s. 1141–1153.
18. Slaughter, L., Brown, C.R.: Colposcopy to establish physical findings in rape victims. Am. J. Obstet. Gynecol., 166, 1992, s. 83–86.
19. Slaughter, L., Brown, C.R., Crowley, S., Peck, R.: Patterns of genital injury in female sexual assault victims. Am. J. Obstet. Gynecol., 176, 1997, s. 609–616.
20. Sorenson, S.B., Stein, J.A., Siegel, J.M., Golding, J.M., Burnam, M.A.: The prevalence of adult sexual assault. The Los Angeles Epidemiologic Catchment Area Project. Am. J. Epidemiol., 126, 1987, s. 1154–1164.
21. Sugar, N.F., Fine, D.N., Eckert, L.O.: Physical injury after sexual assault: findings of a large case series. Am. J. Obstet. Gynecol., 190, 2004, s. 71–76.
22. Tjaden, P., Thoennes, N., Allison, C.J.: Comparing violence over the life span in samples of same-sex and opposite-sex cohabitants. Violence Vict., 14, 1999, s. 413–425.
23. Walch, A.G., Broadhead, W.E.: Prevalence of lifetime sexual victimization among female patients. J. Fam. Pract., 35, 1992, s. 511–516.
24. Wyatt, G.E., Loeb, T.B., Solis, B., Carmona, J.V.: The prevalence and circumstances of child sexual abuse: changes across a decade. Child Abuse Negl., 23, 1999, s. 45–60.
25. Wyatt, G.E., Riederle, M.: Sexual harassment and prior sexual trauma among African-American and white American women. Violence Vict., 9, 1994, s. 233–247.
Štítky
Anatomical pathology Forensic medical examiner ToxicologyČlánok vyšiel v časopise
Forensic Medicine
2010 Číslo 3
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