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Backgrounds: Incidence of sexual assault and rape are increasing. Majority of the abused cases occurs in young children. Analysis of patients’ characteristics is necessary for prevention.
Objectives: Examined characteristic data about sexual abused cases, assailants and events for prevention.
Methods: Retrospective analysis of recorded data of patients whom were sexually abused during 2006 and 2016.
Results: Most of the victims were aged between 11 and 15 years old (66.5%). Majorities of them were secondary school students (52.3%), singles (94.5%) and had already been sexually active (46.2%). 61.5% of the sexually active group had never used any kind of contraception. Half of the assaults occurred at the assailant’s places (47.2%) and the most of assailants were their boyfriends (60.4%). Condom was not used in 71.1% of cases. The genital examination revealed old tear of the hymen in 53.8%. New tear was observed in 24.9% and 2.5% had no genital injury. The incidence of pregnancy was 11.2% while HIV and syphilis infection rates were 1.0% and 0.5%, respectively.
Conclusions: Most of the abused cases were children and adolescent and had already been sexually active. Early treatment of the victims may reduce the sequalae, both prevention of pregnancy and sexually transmitted diseases.
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2. Jewkes R, Abrahams N. The epidemiology of rape and sexual coercion in South Africa: an overview. Soc Sci Med. 2002;55(7):1231-1244.
3. Daru PH, Osagie EO, Pam IC, Mutihir JT, Silas OA, Ekwempu CC. Analysis of cases of rape as seen at the Jos University Teaching Hospital, Jos, North Central Nigeria. Niger J Clin Pract. 2011;14(1):47-51. doi:10.4103/1119-3077.79240.
4. Muehlenhard CL, Linton MA. Date rape and sexual aggression in dating situations: incidence and risk factors. Journal of counseling psychology. 1987;34(2):186-96. doi:10.1037/0022-0188.8.131.52.
5. Criminal Code, B.E.2499 (TH 1956), sec. 18, art. 1. https://web.krisdika.go.th/data/law/law4/%BB06/%BB06-20-9999-update.pdf. Accessed August 23, 2017.
6. Hinwised N, Theunnadee S. Effects of empowerment program on perceptions of date rape prevention in early adolescence with risk factors. Journal of Nursing Science & Health. 2013;36(4):45-56.
7. Borkar R, Bashir MSM, Meshram S, Madhusudan S. Medico-legal and socio-demographic profile of rape cases in district hospital, Adilabad (Andhra Pradesh). Indian Journal of Forensic Medicine & Toxicology. 2010;4(2):45-47.
8. Hassan M, Awosan KJ, Panti AA, et al. Prevalence and pattern of sexual assault in Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria. Pan Afr Med J. 2016;24:332. doi:10.11604/pamj.2016.24.332.9462.
9. Manzoor I, Hashmi NR, Mukhtar F. Medico-legal aspects of alleged rape victims in Lahore. J Coll Physicians Surg Pak. 2010;20(12):785-789. doi:12.2010/JCPSP.785789.
10. Puttikankit T. Community context under the semi-urban, semi-rural society. FEU Academic Review. 2015;9(1):7.
11. Quader MM, Rahman MH, Kamal M, Ahmed AU, Saha SK. Demography and findings of reported rape cases. Mymensingh Med J. 2010;19(1):32-36.
12. Ezechi OC, Adesolamusa Z, David AN, et al. Trends and patterns of sexual assaults in Lagos South-Western Nigeria. Pan Afr Med J. 2016;24:261. doi:10.11604/pamj.2016.24.261.9172.
13. Grossin C, Sibille I, Lorin de la Grandmaison G, Banasr A, Brion F, Durigon M. Analysis of 418 cases of sexual assault. Forensic Sci Int. 2003;131(2-3):125-130.
14. Hagemann CT, Helland A, Spigset O, Espnes KA, Ormstad K, Schei B. Ethanol and drug findings in women consulting a Sexual Assault Center - associations with clinical characteristics and suspicions of drug-facilitated sexual assault. J Forensic Leg Med. 2013;20(6):777-784. doi:10.1016/j.jflm.2013.05.005.
15. O'Neal EN, Decker SH, Spohn C, Tellis K. Condom use during sexual assault. J Forensic Leg Med. 2013;20(6):605-609. doi:10.1016/j.jflm.2013.03.023.
16. Astrup BS, Ravn P, Thomsen JL, Lauritsen J. Patterned genital injury in cases of rape - a case-control study. J Forensic Leg Med. 2013;20(5):525-529. doi:10.1016/j.jflm.2013.03.003.
17. Zilkens RR, Smith DA, Phillips MA, Mukhtar SA, Semmens JB, Kelly MC. Genital and anal injuries: a cross-sectional Australian study of 1266 women alleging recent sexual assault. Forensic Sci Int. 2017;275:195-202. doi:10.1016/j.forsciint.2017.03.013.
18. Holmes MM, Resnick HS, Kilpatrick DG, Best CL. Rape-related pregnancy: estimates and descriptive characteristics from a national sample of women. Am J Obstet Gynecol. 1996;175(2):320-324.
19. Geounuppakul M, Ruengkris T, Ubolsawat P. Unplanned teenage pregnancy: reasons for not having an aborting. Journal of Health Science Research. 2013;7(1):38-49.
20. Jenny C, Hooton TM, Bowers A, et al. Sexually transmitted diseases in victims of rape. N Engl Med. 1990;322(11):
21. Meel B, Kwizera E. Prevalence of HIV in the Mthatha area of South Africa, as estimated from the testing of rape victims. Med Sci Law. 2011;51(2):106-108.
22. UNAIDS. Global AIDS update; 2016. https://www.unaids.org/sites/default/files/media_asset/global-AIDS-update-2016_en.pdf. Accessed January 30, 2018.
23. Marfatia YS, Jose SK, Baxi RR, Shah RJ. Pre- and post-sexual exposure prophylaxis of HIV: an update. Indian J Sex Transm Dis. 2017;38(1):1-9. doi:10.4103/ijstd.IJSTD_26_17.
24. Muriuki EM, Kimani J, Machuki Z, Kiarie J, Roxby AC. Sexual assault and HIV postexposure prophylaxis at an Urban African hospital. AIDS Patient Care STDS. 2017;31(6):255-260. doi:10.1089/apc.2016.0274.