Sexual Assault Victims in the Emergency Department: Analysis by Demographic and Event Characteristics

Avegno, Jennifer; Mills, Trevor; Mills, Lisa D.

doi:10.1016/j.jemermed.2007.10.025

Cited by 65 publications

(55 citation statements)

References 23 publications

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“…Determinadas drogas têm, sabidamente, uma ação euforizante e também entorpecente, podendo causar amnésia entre os usuários 30,33 . Sugar et al 31 , ao avaliarem 892 mulheres, verificaram que 52% tinham utilizado álcool ou drogas antes de sofrerem violência sexual, 40% referiram ter perdido a consciência, 15% sofreram amnésia e 8% suspeitaram haver sido drogadas propositalmente.…”

Section: Discussionunclassified

“…Em outro estudo com 1.917 mulheres, demonstrou-se que, antes da violência sexual, 53% das adolescentes utilizam álcool e 23%, drogas 5 . Além do álcool, a principal droga utilizada pelo agressor, a fim de facilitar a violência sexual, são os benzodiazepínicos 33 . Muitos agressores utilizam-se das drogas como estimulante sexual ou como meio para encorajá-los a praticar o crime.…”

Section: Discussionunclassified

“…Muitos agressores utilizam-se das drogas como estimulante sexual ou como meio para encorajá-los a praticar o crime. As principais drogas utilizadas para esses fins são: crack/cocaína (7,8%), opiáceos (3%), ecstasy (0,7%) e GHB (ácido gama hidroxibutírico) 33 .…”

Section: Discussionunclassified

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Características das mulheres violentadas sexualmente e da adesão ao seguimento ambulatorial: tendências observadas ao longo dos anos em um serviço de referência em Campinas, São Paulo, Brasil

et al. 2011

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A violência sexual é um crime praticado contra a integridade e a liberdade sexual de uma pessoa. Atinge mulheres de todos os níveis socioeconômicos, e o agressor não escolhe a cor e nem a idade da vítima para agredi-las. É causa de elevado custo financeiro ao país e grave problema de saúde pública. Este estudo teve como objetivo avaliar a evolução da adesão de mulheres vítimas de violência sexual ao seguimento ambulatorial, as quais foram atendidas no Centro de Atenção Integral à Saúde da Mulher da Universidade Estadual de Campinas, entre janeiro de 2000 a dezembro de 2006. Observamos um aumento significativo no retorno às consultas agendadas. Em 2000, 41% das mulheres completavam o seguimento de seis meses, e, em 2006, o índice aumentou para 70%. Cerca de 70% das mulheres compareceram nas primeiras 24 horas após serem agredidas; a agressão por conhecidos triplicou ao longo dos anos. Houve mudanças na forma de intimidação e diminuição significativa na prescrição da anticoncepção de emergência.

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Section: Discussionunclassified

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Características das mulheres violentadas sexualmente e da adesão ao seguimento ambulatorial: tendências observadas ao longo dos anos em um serviço de referência em Campinas, São Paulo, Brasil

et al. 2011

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“…[10][11][12][13][14][15][16][17][18][19] In previous studies, black women who reported threat at the time of the assault reported more menstrual irregularities than other racial and ethnic groups, and blacks and other minority women who were victims of sexual assault in adulthood were also more likely to be assaulted by strangers and have problems with drinking and use of illicit drugs than white women. [20][21][22] Although these studies examined assault characteristics and healthcare outcomes of female sexual assault victims by racial and ethnic status, disparities in the quality of care provided to minority women who are recent sexual assault victims seen in an ED have not been widely studied or reported.…”

Section: Introductionmentioning

confidence: 89%

“…44 Likewise, in a prospective study that included 5 years of SANE data in an urban ED, characteristics of the assault (use of substances by the victim, number of perpetrators, relationship to the perpetrator, use of threats=force, and physical trauma) were reported by race and age, but care characteristics were not examined and substance use at the time of the assault by both victim and assailant was not reported. 10 …”

Section: Introductionmentioning

confidence: 99%

Minority Women Victims of Recent Sexual Violence: Disparities in Incident History

Boykins

Alvanzo

Carson³

et al. 2010

Journal of Women's Health

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Findings from this study suggest that differences exist in assault characteristics between black and white women. Use of substances, including alcohol, plays an important role in sexual violence in women and should be a focus of preventive intervention initiatives when conducting a forensic examination. Both coordinated responses and comprehensive, individualized care by specially trained providers are important in the emergency care of minority women who are victims of recent sexual violence.

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Trends in US Emergency Department Use After Sexual Assault, 2006-2019

et al. 2022

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ImportanceAdult sexual assault (SA) survivors experience numerous emergent health problems, yet few seek emergency medical care. Quantifying the number and types of survivors presenting to US emergency departments (EDs) after SA can inform health care delivery strategies to reduce survivor morbidity and mortality.ObjectiveTo quantify ED use and factors that influenced seeking ED care for adult SA from 2006 through 2019.Design, Setting, and ParticipantsThis cross-sectional study used SA data from the Nationwide Emergency Department Sample from 2006 through 2019, which includes more than 35.8 million observations of US ED visits from 989 hospitals, a 20% stratified sample of hospital-based EDs. The study also used the Federal Bureau of Investigation’s Uniform Crime Reporting Program, which includes annual crime data from more than 18 000 law enforcement agencies representing more than 300 million US inhabitants. The study sample included any adult aged 18 to 65 years with an ED visit in the Nationwide Emergency Department Sample coded as SA. The data were analyzed between January 2020 and June 2022.Main Outcomes and MeasuresAnnual SA-related ED visits, subsequent hospital admissions, and associated patient-related factors (age, sex, race and ethnicity, income quartile, and insurance) were analyzed using descriptive statistics.ResultsData were from 120 to 143 million weighted ED visits reported annually from 2006 through 2019. Sexual assault–related ED visits increased more than 1533.0% from 3607 in 2006 to 55 296 in 2019. Concurrently, admission rates for these visits declined from 12.6% to 4.3%. Female, younger, and lower-income individuals were more likely to present to the ED after SA. Older and Medicaid-insured patients were more likely to be admitted. Overall, the rate of ED visits for SA outpaced law enforcement reporting.Conclusions and RelevanceThis cross-sectional study found that US adult SA ED visits increased from 2006 through 2019 and highlighted the populations who access emergency care most frequently and who more likely need inpatient care. These data can inform policies and the programming needed to support this vulnerable population.

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Sexual Assault Victims in the Emergency Department: Analysis by Demographic and Event Characteristics

Cited by 65 publications

References 23 publications

Características das mulheres violentadas sexualmente e da adesão ao seguimento ambulatorial: tendências observadas ao longo dos anos em um serviço de referência em Campinas, São Paulo, Brasil

Características das mulheres violentadas sexualmente e da adesão ao seguimento ambulatorial: tendências observadas ao longo dos anos em um serviço de referência em Campinas, São Paulo, Brasil

Minority Women Victims of Recent Sexual Violence: Disparities in Incident History

Trends in US Emergency Department Use After Sexual Assault, 2006-2019

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