Barbara Giussy, Albertini Valentina, Tagi Veronica Maria, Maggioni Lidia, Gorio Maria Carlotta, Cattaneo Cristina, Parazzini Fabio, Ricci Elena, Buggio Laura, Kustermann Alessandra
Gynecological Unit and SVSeD, Service for Sexual and Domestic Violence, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Int J Womens Health. 2022 Mar 3;14:311-321. doi: 10.2147/IJWH.S343935. eCollection 2022.
Sexual violence against young girls is a pervasive multifaceted phenomenon which embraces several different forced sexual acts, including attempted and/or completed rape, sexual coercion and harassment, and sexual contact with force or threat of force. The aim of this study is to evaluate the characteristics of sexual violence in adolescent girls, by a retrospective analysis of 731 consecutive cases of sexually abused girls.
We analyzed demographic characteristics, risk factors for rape, and the eventual subsequent presence and type of ano-genital lesions.
We found that sexual violence with penetration was perpetrated in 591 (80%) cases. Vulnerability factors related with a major risk of rape were age >17 years old and consumption of alcohol and/or other drugs. About 196 (55%) victims had at a least one genital lesion.
A prompt identification of red flags of sexual violence may help physicians in suspecting and managing cases of sexual assault in adolescent girls, even in the absence of typical lesions.
针对年轻女孩的性暴力是一种普遍存在的多方面现象，涵盖多种不同的强迫性行为，包括未遂和/或既遂强奸、性胁迫与骚扰，以及以武力或武力威胁进行的性接触。本研究旨在通过对731例连续性性虐待女孩病例进行回顾性分析，评估青春期女孩性暴力的特征。
我们分析了人口统计学特征、强奸风险因素以及最终是否存在肛门生殖器损伤及其类型。
我们发现，591例（80%）存在性暴力致阴茎插入情况。与强奸主要风险相关的易患因素为年龄大于17岁以及饮酒和/或使用其他药物。约196例（55%）受害者至少有一处生殖器损伤。
及时识别性暴力的警示信号有助于医生怀疑并处理青春期女孩性侵犯病例，即使不存在典型损伤。
