Sugar N F, Fine D N, Eckert L O
Department of Pediatrics, University of Washington, Harborview Medical Center, Seattle, WA, USA.
Am J Obstet Gynecol. 2004 Jan;190(1):71-6. doi: 10.1016/s0002-9378(03)00912-8.
This study was undertaken to determine characteristics associated with physical injury in female sexual assault victims.
All females who were 15 years or older presenting after sexual assault to an urban emergency department during a 34-month period underwent standardized evaluation. Analysis was performed by chi(2) and logistic regression.
Of 819 women, 52% had general body and 20% had genital-anal trauma; 41% were without injury. General body trauma was independently associated with being hit or kicked (odds ratio [OR]=7.7, 95% CI, 5.1-11.7), attempted strangulation (OR=4.2, 95% CI, 2.5-7.2), oral or anal penetration (OR=1.7, 95% CI, 1.2-2.3), and stranger (OR=2.4, 95% CI, 1.7-3.4) assault. Genital-anal injury was more frequent in victims younger than 20 and older than 49 years (P<.05), in virgins (OR=2.7, 95% CI, 1.4-5.4) and those examined within 24 hours (OR=1.7, 95% CI, 1.2-2.4) and after anal assault (OR=1.7, 95% CI, 1.1-2.6).
General body injury is primarily associated with situational factors, whereas genital-anal injury is less frequent and related to victim age, virginal status, and time to examination.
本研究旨在确定女性性侵犯受害者身体损伤的相关特征。
在34个月期间，所有15岁及以上遭受性侵犯后前往城市急诊科就诊的女性均接受了标准化评估。采用卡方检验和逻辑回归进行分析。
在819名女性中，52%有全身损伤，20%有生殖器-肛门创伤；41%未受伤。全身创伤与被殴打或踢打（优势比[OR]=7.7，95%可信区间[CI]，5.1-11.7）、企图勒颈（OR=4.2，95%CI，2.5-7.2）、口交或肛交（OR=1.7，95%CI，1.2-2.3）以及陌生人（OR=2.4，95%CI，1.7-3.4）性侵犯独立相关。生殖器-肛门损伤在20岁以下和49岁以上的受害者中更为常见（P<0.05），在处女（OR=2.7，95%CI，1.4-5.4）以及在24小时内接受检查的受害者（OR=1.7，95%CI，1.2-2.4）和遭受肛交后的受害者中更为常见（OR=1.7，95%CI，1.1-2.6）。
全身损伤主要与情境因素相关，而生殖器-肛门损伤较少见，与受害者年龄、处女状态和检查时间有关。
