Document Detail

Female genital injuries resulting from consensual and non-consensual vaginal intercourse.
MedLine Citation:
PMID:  20570068     Owner:  NLM     Status:  In-Process    
OBJECTIVES: The purpose of this study was to compare the incidence of genital injury following penile-vaginal penetration with and without consent.
DESIGN: This study compared observations of genital injuries from two cohorts.
SETTING: Participants were drawn from St. Mary's Sexual Assault Referral Centre and a general practice surgery in Manchester, and a general practice surgery in Buckinghamshire.
PARTICIPANTS: Two cohorts were recruited: a retrospective cohort of 500 complainants referred to a specialist Sexual Assault Referral Centre (the Cases) and 68 women recruited at the time of their routine cervical smear test who had recently had sexual intercourse (the Comparison group).
MAIN OUTCOME MEASURES: Presence of genital injuries.
RESULTS: 22.8% (n=00, 95% CI 19.2-26.7) of adult complainants of penile-vaginal rape by a single assailant sustained an injury to the genitalia that was visible within 48h of the incident. This was approximately three times more than the 5.9% (n=68, 95% CI 1.6-14.4) of women who sustained a genital injury during consensual sex. This was a statistically significant difference (a<0.05, p=0.0007). Factors such as hormonal status, position during intercourse, criminal justice outcome, relationship to assailant, and the locations, sizes and types of injuries were also considered but the only factor associated with injury was the relationship with the complainant, with an increased risk of injury if the assailant was known to the complainant (p=0.019).
CONCLUSIONS: Most complainants of rape (n=500, 77%, 95% CI 73-81%) will not sustain any genital injury, although women are three times more likely to sustain a genital injury from an assault than consensual intercourse.
Iain McLean; Stephen A Roberts; Cath White; Sheila Paul
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-05-31
Journal Detail:
Title:  Forensic science international     Volume:  204     ISSN:  1872-6283     ISO Abbreviation:  Forensic Sci. Int.     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-01-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7902034     Medline TA:  Forensic Sci Int     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  27-33     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.
Academic Unit of Obstetrics and Gynaecology, University of Manchester, Manchester Academic Health Science Centre, St. Mary's Hospital, Hathersage Road, Manchester M13 0JH, UK.
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