Suthapom Sutham, Teerapong Seree, Aojanepong Tepchongchit, Sangviroon Alisara, Napakorn Kitinapa, Bhamarapravatana Kornkarn
J Med Assoc Thai. 2014 Dec;97(12):1221-6.
To describe the characteristic and epidemiology ofadolescent sexual assaults and to compare health consequences between adolescent and adult victims.
Retrospective review of sexual assault victims records of those who were examined in sexual assault program in Police General Hospital between January 1 and December 31, 2012.
There were 335 cases ofadolescents sexual assault victims. Most of them were in junior high school (62.4%). Most adolescent sexual assaults were committed by boyfriends (50.3%) and acquaintance/friends (14.7%). The most common place for the assaults was the offender's residence (52.9%). Delayed medical evaluation was common. Only 49.4% attended medical evaluation within 72 hours. Adolescent victims had a higher pregnancy rate than adult victims (9.0% vs. 3.6%), but lower rate of non-genital injuries (14.6% vs. 36.3%). Only labia minora injury of adolescent was significantly lower than adult (9.3% vs. 17.5%) among genital injuries. Hepatitis B infection rate of adolescent was lower than adult (1.2% vs. 4.5%), whereas other types of infection were not different.
Thai adolescents had set the unique assault characteristic different from adult victims. Adolescent victims were mainly assaulted by boyfriends at assailant's residence, with higher pregnancy rate than other international reports. Promote education to adolescences is highly recommended to decrease cases of rape and rape-related pregnancy in female adolescent.
描述青少年性侵犯的特征及流行病学情况，并比较青少年受害者与成年受害者的健康后果。
回顾性分析2012年1月1日至12月31日期间在警察总医院性侵犯项目中接受检查的性侵犯受害者记录。
共有335例青少年性侵犯受害者。其中大多数为初中生（62.4%）。大多数青少年性侵犯是由男友（50.3%）以及熟人/朋友（14.7%）实施的。性侵犯最常见的地点是犯罪者的住所（52.9%）。延迟进行医学评估的情况很常见。只有49.4%的受害者在72小时内接受了医学评估。青少年受害者的怀孕率高于成年受害者（9.0%对3.6%），但非生殖器损伤率较低（14.6%对36.3%）。在生殖器损伤中，只有青少年小阴唇损伤显著低于成年人（9.3%对17.5%）。青少年的乙肝感染率低于成年人（1.2%对4.5%），而其他类型的感染情况无差异。
泰国青少年具有不同于成年受害者的独特性侵犯特征。青少年受害者主要是在犯罪者住所被男友侵犯，其怀孕率高于其他国际报告。强烈建议对青少年开展教育，以减少女性青少年中的强奸及强奸相关怀孕案件。
