Factors Affecting Time to Access Medical Service after 72 hours of an Adolescent Girl and Female Child Rape Victims
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Abstract
Background: Female child and adolescent rape victimsrequire immediate medical service to conduct forensic assessment and evidence collection. Medical care also includes HIV post-exposure prophylaxis and emergency contraception which provide the protective effect withinfirst 72 and 120 hours respectively.
Objective: To determine factors affecting delayed medical service access after 72 hours among Female child and adolescent rape victims at Surin hospital.
Methods: The etiognostic research with retrospective cohort design was conducted by medical records review of all young female rape victims at Surin hospital from October 2016 to September 2020. Univariate and multivariate logistic regression models were used to investigate the significant correlation between medical service access time and relevant variables including patient’s characteristics, environmental factors, and nature of the incident.
Results: A total of 221 young adolescent girl rape victims were included in this study. The mean age of victims was 13.2(±0.2) years and the median time to access medical service after the incident was 71 hours (IQR:24,255). There were 109(49.3%) raped victims who delayed medical service access at Surin hospital (more than 72 hours) and 112(50.7%) of cases accessed to medical service within 72 hours. The previous history of rape and confinement had significant correlation (OR 5.08 and 9.68 respectively) with delayed medical care access (more than 72 hours) while the victim’s age ≤8 years was more likely to access medical service within 72 hours than other age groups.
Conclusion: The involved multidisciplinary team should continuously monitor and empower the rape victims including their families and caregivers. Providing the assistance program will improve the medical service access time in case of repeated victimization.
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