Hansen Lene Aagaard, Mikkelsen Søren Johan, Sabroe Svend, Charles Annie Vesterby
The Department of Forensic Medicine, Aarhus University, Brendstrupgaardsvej 100, DK-8200 Aarhus N, Denmark.
J Forensic Sci. 2010 Jan;55(1):104-9. doi: 10.1111/j.1556-4029.2009.01230.x. Epub 2009 Dec 2.
A previous study published in 2000 on a small group of children concluded that the medical examination in cases of sexual child abuse seldom provided legal proof of sexual abuse [J Forensic Sci 45(2000):115-7]. The present consecutive study included children referred to the police for a forensic medical examination. A colposcope was used to evaluate the anogenital findings which were classified as normal, nonspecific, and abnormal. Four hundred and eighty-two children were included. Abnormal anogenital findings were found in 38% of the girls and 20% of the boys, but there was no relation between abnormal anogenital findings and the two legal outcomes: "appearing in court" and "being convicted." However, the age of the child turned out to be a more important factor in relation to legal outcome than the physical findings. The results of this study suggest that the child's statement and not the physical findings were important for legal outcome.
2000年发表的一项针对一小群儿童的研究得出结论，对受性虐待儿童的医学检查很少能提供性虐待的法律证据[《法医学杂志》45(2000):115 - 117]。本连续性研究纳入了被转介至警方进行法医检查的儿童。使用阴道镜评估肛门生殖器检查结果，这些结果被分类为正常、非特异性和异常。共纳入482名儿童。在38%的女孩和20%的男孩中发现了异常的肛门生殖器检查结果，但异常的肛门生殖器检查结果与两个法律结果“出庭”和“被定罪”之间没有关联。然而，事实证明，与身体检查结果相比，儿童的年龄在法律结果方面是一个更重要的因素。这项研究的结果表明，对法律结果而言，儿童的陈述而非身体检查结果更为重要。
