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Epidemiology of Female Rape Victims Who Seek Immediate Medical Care: Temporal Trends in the Incidence of Sexual Assault and Acquaintance Rape

NCJ Number
222991
Journal
Journal of Interpersonal Violence Volume: 19 Issue: 1 Dated: January 2004 Pages: 3-12
Author(s)
David J. Magid; Debra Houry; Thomas D. Koespell; Andrew Ziller; Michael R. Soules; Carole Jenny
Date Published
January 2004
Length
10 pages
Annotation
The purpose of this study was to use emergency department (ED) surveillance data to evaluate temporal trends in rape incidence in the United States and to compare victims and assault characteristics for all adult female sexual assault victims who sought emergency medical care from July to November of 1974 and 1991.
Abstract
A 60 percent increase was found in the incidence of sexual assault victims presenting for emergency department (ED) care in 1991 compared to 1974, an increase that was almost entirely explained by an increase in the number of women presenting to the ED after acquaintance rape. Also, a higher rate of reported use of physical force by the assailant and higher rates of bodily trauma for rape victims in 1991 was noted. Lastly, significant changes in treatment practices were also noted with a higher proportion of rape victims receiving pregnancy prophylaxis and empiric antibiotics for sexually transmitted infections in 1991 compared to 1974. Rape and sexual assault are serious problems for women in the United States. An understanding of the epidemiology of sexual assault may be helpful to the medical professionals who treat rape victims and public health officials who develop prevention programs. Women who seek medical care following sexual assault are usually evaluated and treated in the ED. EDs can be an important source of sexual assault surveillance data. The data can be used to identify temporal and demographic trends in sexual assault. This study compared the incidence of sexual assault presenting for emergency care in a single county during July to November of 1974 and 1991. Participants included all female sexual assault victims aged 14 and older who presented for ED evaluation. Figure, table, and references

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