Zilkens Renate R, Smith Debbie A, Kelly Maire C, Mukhtar S Aqif, Semmens James B, Phillips Maureen A
Centre for Population Health Research, Curtin University, Perth, Western Australia, Australia.
Sexual Assault Resource Centre, Women and Newborn Health Service, Subiaco, Western Australia, Australia.
Forensic Sci Int. 2017 Oct;279:112-120. doi: 10.1016/j.forsciint.2017.08.001. Epub 2017 Aug 9.
To describe the frequency and severity of general body injury in women alleging recent sexual assault and then identify demographic and assault characteristics associated with injury severity.
Cross-sectional study.
Sexual Assault Resource Centre (SARC), Western Australia.
Total of 1163 women attending SARC from Jan-2009 to Mar-2015.
Women underwent a standardised medical examination and data collection by forensically trained doctors. Multivariate ordinal logistic regression analyses were performed. An algorithm was used to classify general body injuries as mild, moderate or severe.
General body injury was observed in 71% of women; 52%, 17% and 2% were classified as having respectively, mild, moderate and severe injuries. Moderate or severe injury was observed in 30.4% of women assaulted by intimate partners, 16.4% of women assaulted by strangers and 14.9% of women assaulted by friends/acquaintances. In regression analysis, an interaction between mental illness and assailant type existed after adjusting for age, intellectual disability, time-to-examination, number of assailants and location. Mental illness was an independent predictor for lower injury severity (adjusted odds ratio=0.5, 95% CI 0.3, 0.9) in women assaulted by strangers and higher injury severity in women assaulted by a friend/acquaintance (adjusted odds ratio=2.4, 95% CI 1.6, 3.6). While women assaulted by intimate partners had more frequent moderate-to-severe injuries than other women their current mental illness status was not associated with risk of injury severity.
This study highlights the increased injury severity in women assaulted by intimate partners. The risk of moderate/severe injury for women with mental illness assaulted by their acquaintances was unexpected and requires further investigation.
描述近期声称遭受性侵犯的女性全身损伤的频率和严重程度,然后确定与损伤严重程度相关的人口统计学和性侵特征。
横断面研究。
西澳大利亚州性侵犯资源中心(SARC)。
2009年1月至2015年3月期间在SARC就诊的1163名女性。
女性接受了由经过法医培训的医生进行的标准化医学检查和数据收集。进行了多变量有序逻辑回归分析。使用一种算法将全身损伤分为轻度、中度或重度。
71%的女性存在全身损伤;分别有52%、17%和2%的女性被分类为轻度、中度和重度损伤。在遭受亲密伴侣袭击的女性中,30.4%出现中度或重度损伤;在遭受陌生人袭击的女性中,这一比例为16.4%;在遭受朋友/熟人袭击的女性中,这一比例为14.9%。在回归分析中,在调整了年龄、智力残疾、检查时间、袭击者数量和地点后,精神疾病与袭击者类型之间存在相互作用。精神疾病是遭受陌生人袭击的女性损伤严重程度较低(调整后的优势比=0.5,95%置信区间0.3,0.9)以及遭受朋友/熟人袭击的女性损伤严重程度较高(调整后的优势比=2.4,95%置信区间1.6,3.6)的独立预测因素。虽然遭受亲密伴侣袭击的女性比其他女性更频繁地出现中度至重度损伤,但她们当前的精神疾病状态与损伤严重程度风险无关。
本研究强调了遭受亲密伴侣袭击的女性损伤严重程度增加的情况。熟人对患有精神疾病的女性实施袭击导致中度/重度损伤风险这一情况出乎意料,需要进一步调查。