Center of Public Health Sciences, University of Iceland.
Landspitali - The National University Hospital of Iceland, Reykjavik, Iceland.
Acta Obstet Gynecol Scand. 2012 Jan;91(1):134-142. doi: 10.1111/j.1600-0412.2011.01283.x. Epub 2011 Nov 3.
To study the attendance rates and characteristics of sexual violence presented at emergency services for rape victims, over a 10-year period.
Incidence study.
Rape Trauma Service, within an emergency department at a tertiary referral university hospital. POPULATION. The total female population in Iceland.
Medical records on visits were reviewed and systematically coded. Annual attendance rates were calculated over time as number of visits per 10 000 female inhabitants aged 13-49 years. Characteristics of sexual violence, perpetrators and victims were compared between 1998-2002 and 2003-2007.
Annual attendance rates and characteristics of sexual violence.
Of 1153 visits, 828 (71.8%) were due to severe sexual violence (penetration). Annual attendance rates of all sexual violence increased from 12.5 to 16.9 per 10 000 women aged 13-49 (p<0.01). Attendance rates due to severe sexual violence increased specifically among women aged 18-25 (p<0.01). The proportion of assaults involving multiple perpetrators increased from 13.9% in 1998-2002 to 18.9% in 2003-2007 (p=0.05). With time, a higher proportion of victims had seriously impaired consciousness due to alcohol consumption (p<0.01) and had used illegal drugs prior to assault (p<0.05).
The findings point towards an increase in women's visits to specialized emergency services for rape victims, particularly in the age group 18-25 years. The increased role of multiple perpetrators, alcohol and illicit drugs in sexual violence calls for further attention.
研究在过去 10 年中，因强奸到急诊服务就诊的性侵受害者的就诊率和性侵特征。
发病率研究。
雷克雅未克大学医院的一家三级转诊医院的急诊部的强奸创伤服务处。
冰岛的所有女性。
对就诊记录进行了回顾和系统编码。随着时间的推移，计算了就诊率，即每 10 000 名 13-49 岁女性的就诊次数。对 1998-2002 年和 2003-2007 年的性侵、犯罪者和受害者特征进行了比较。
就诊率和性侵特征。
在 1153 次就诊中，828 次（71.8%）是由于严重的性暴力（性侵）。所有性侵的就诊率从 12.5 例增至 16.9 例/10 000 名 13-49 岁女性（p<0.01）。18-25 岁女性中严重性侵就诊率的上升尤其明显（p<0.01）。涉及多名犯罪者的袭击比例从 1998-2002 年的 13.9%上升至 2003-2007 年的 18.9%（p=0.05）。随着时间的推移，因酒精摄入而导致严重意识不清的受害者比例增加（p<0.01），且在袭击前使用非法药物的受害者比例增加（p<0.05）。
研究结果表明，因强奸到专门的急诊服务就诊的女性人数有所增加，特别是在 18-25 岁年龄组。性暴力中多名犯罪者、酒精和非法药物的作用增加，需要进一步关注。
