Lee Jessica A, Majeed-Ariss Rabiya, Pedersen Amanda, Yusuf Farah, White C
School of Medical Sciences, University of Manchester, UK.
School of Healthcare, University of Leeds, UK; Manchester University Hospitals NHS Foundation Trust, UK.
J Forensic Leg Med. 2019 Nov;68:101859. doi: 10.1016/j.jflm.2019.101859. Epub 2019 Aug 20.
There is a paucity of literature on sexual violence against older adults, particularly in the U.K. This work aims to identify and describe the characteristics of alleged sexual assault and subsequent forensic medical examination (FME) for older clients presenting to a large sexual assault referral centre (SARC) in Manchester over a ten-year period. A retrospective analysis of forensic case notes was conducted for all clients (n = 39) who had attended for an FME between 2007 and 2017, and who were aged 70 or over at the time of the alleged assault. The average age of clients was 83 years, all were white, and 95% were female. Two populations were identified: a less frail population who had been assaulted at home by an alleged stranger with greater physical violence alleged, and a frailer population, with a greater incidence of dementia (77%), who were alleged to have been assaulted by a care-giver or fellow resident in a place of care. We note the need for flexibility in the site of FME, the underrepresentation of minority populations in SARC attendees, and difficulties with description of events by clients. We identify several patterns of non-age related anogenital and body examination findings, and offer recommendations for sexual assault services on how they may better cater to older populations.
关于针对老年人的性暴力的文献很少，尤其是在英国。这项研究旨在识别和描述在十年期间前往曼彻斯特一家大型性侵犯转介中心（SARC）的老年客户的性侵犯指控及后续法医医学检查（FME）的特征。对2007年至2017年间前来接受FME且在被指控性侵时年龄在70岁及以上的所有客户（n = 39）的法医病例记录进行了回顾性分析。客户的平均年龄为83岁，均为白人，95%为女性。确定了两类人群：一类是身体较弱程度较低的人群，据称他们在家中遭到陌生人性侵，且遭受的身体暴力更大；另一类是身体更虚弱的人群，痴呆症发病率更高（77%），据称他们在护理场所遭到护理人员或同住者性侵。我们注意到FME地点需要灵活性、少数族裔在SARC就诊者中代表性不足以及客户描述事件存在困难。我们识别出几种与年龄无关的肛门生殖器和身体检查结果模式，并就性侵犯服务机构如何更好地服务老年人群体提出建议。
