Sensitivity of Zinc test after intercourse by time intervals and affecting factors

Authors

  • Papanu Suttipasit Faculty of Medicine Siriraj Hospital, Mahidol University
  • Arinphat Chaimuang Faculty of Medicine Siriraj Hospital, Mahidol University
  • Navarat Aryuyuen Faculty of Medicine Siriraj Hospital, Mahidol University
  • Narissara Klayut Faculty of Medicine Siriraj Hospital, Mahidol University

Keywords:

Zinc test, acid phosphatase test, sperm detection, semen, sexual assault

Abstract

Objective : To discover sensitivity of Zinc test as forensic semen screening test. To compare sensitivity between Zinc test (Zn) and Acid phosphatase (AP) to determine which had better performance. To investigate affecting factors of Zinc test.

Methods : Semen detection results from vaginal specimen of intercourse females were included in this retrospective study. Main criteria were 1) exactly interval time record and 2) no condom usage. The Mann-Whitney U test, Pearson χ2 test, Fisher exact test, Cohen’s Kappa test, McNemar test, Cochran Q test, and Linear-by-Linear Association were used by statistical significance at 0.05.

Result : In case of semen detection, Overall Zn test sensitivity was 11.14% and Zn test had lower sensitivity performance than AP test in every time intervals (P < 0.05). Significant declination sensitivity rate of Zn test was limit until between within 48 h versus more than
48 h (P < 0.05) and no further. Significant associating factors to Zn test were older females
(P = 0.001), shorter time since incidence (P < 0.001), no genital cleaning (P = 0.004) and history of rape (P = 0.001).

Conclusion : Zn test had very low sensitivity and had obviously lower performance than AP test. AP test alone could replace these double tests for semen screening test. Earlier hospital arrival and no anogenital cleansing could increase Zn detection rate.

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Published

2025-12-30

How to Cite

Suttipasit, P. ., Chaimuang, A., Aryuyuen, N. ., & Klayut, N. . . (2025). Sensitivity of Zinc test after intercourse by time intervals and affecting factors. Mahasarakham Hospital Journal, 22(3), 356–372. retrieved from https://he02.tci-thaijo.org/index.php/MKHJ/article/view/275870