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[强奸的医学与法律问题。1989年至1992年期间转诊至特隆赫姆地区医院强奸受害者护理团队的情况]

[Medical and legal aspects of rape. Referrals to a team for care of rape victims at the regional hospital in Trondheim during the period 1989-1992].

作者信息

Schei B, Muus K M, Moen M H

机构信息

Institutt for samfunnsmedisinske fag Det medisinske fakultet Medisinsk Teknisk Senter, Trondheim.

出版信息

Tidsskr Nor Laegeforen. 1995 Jan 10;115(1):30-3.

PMID:7846656
Abstract

Since 1989 a special team of nurses and gynaecologist have taken care of rape victims at the Department of Obstetrics and Gynaecology, University Hospital of Trondheim. Information on cases during the period 1989-92 was recorded retrospectively in a preformulated system. During this period, 141 persons were examined. In 23% of the cases the victim did not want to press charges. Most of the victims were young, 38% were below 20 years of age. A considerable proportion (40%) reported alcohol intake. 78% of the sexual assaults involved penile-vaginal contact. Severe physical violence, more severe assaults than physical restraint, were reported by 24%. Signs of non-genital injuries were documented in 35% of all the victims. 13% showed genital injury. Presence of sperm was documented in 16% of all the examinations. In 67 of the cases there was an identified assailant and a victim who had pressed charges. The conviction rate was 48%. Characteristics of the assault and findings at the examination were related to judicial outcome. Reporting of severe violence (OR (odds ratio) = 5.3), documented genital injuries (OR = 6.5) and the presence of sperms (OR = 5.6) were associated with conviction. These associations were statistically significant. Reported alcohol intake by the victim was negatively associated with conviction (OR = 0.3). Adjusted for lapse of time between the event and the examination and the victim's age, the only factor that still showed a statistically significant association with conviction was the report of severe violence.

摘要

自1989年以来,一支由护士和妇科医生组成的特别团队在特隆赫姆大学医院妇产科照料强奸受害者。1989年至1992年期间的病例信息在一个预先制定的系统中进行了回顾性记录。在此期间,对141人进行了检查。在23%的案件中,受害者不想提出指控。大多数受害者很年轻,38%的受害者年龄在20岁以下。相当一部分人(40%)报告饮酒。78%的性侵犯涉及阴茎-阴道接触。24%的人报告遭受了严重的身体暴力,这种暴力比身体约束更严重。35%的受害者有非生殖器损伤的迹象。13%的人有生殖器损伤。在所有检查中,16%的人检测到精液。在67起案件中,有确定的袭击者且受害者提出了指控。定罪率为48%。袭击的特征和检查结果与司法结果有关。报告严重暴力(比值比(OR)=5.3)、记录到生殖器损伤(OR = 6.5)以及精液的存在(OR = 5.6)与定罪相关。这些关联具有统计学意义。受害者报告饮酒与定罪呈负相关(OR = 0.3)。在对事件与检查之间的时间间隔以及受害者年龄进行调整后,唯一仍与定罪呈现统计学显著关联的因素是严重暴力的报告。

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引用本文的文献

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Examination for sexual assault: is the documentation of physical injury associated with the laying of charges? A retrospective cohort study.性侵犯检查:身体损伤记录与提出指控有关吗?一项回顾性队列研究。
CMAJ. 1999 Jun 1;160(11):1565-9.