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Am J Obstet Gynecol. 2006 Jun;194(6):1653-9. Epub 2006 Apr 25.

Sexual assault victims: factors associated with follow-up care.

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1
Department of Obstetrics and Gynecology, University of Washington, Seattle, WA, USA.

Abstract

OBJECTIVE:

This study was undertaken to describe patient, assault, and examination characteristics associated with compliance with follow-up in sexual assault victims.

STUDY DESIGN:

We conducted a retrospective cohort study of consecutive women presenting to an urban hospital after sexual assault over a 36-month period. We compared those who did and did not follow-up by using standardized history, examination, and data collection forms.

RESULTS:

Eight hundred twelve women met inclusion criteria; 288 (35.5%) attended follow-up. Young age (odds ratio [OR] = 2.70), assault at home (OR = 1.90), amnesia (OR = 1.80), alcohol use (OR = 1.55), genital trauma (OR = 1.55), and receipt of postexamination medications (OR = 1.87) were associated with greater follow-up; homelessness (OR = 0.30), psychiatric diagnosis (OR = 0.34), assault by an intimate partner (OR = 0.47), and cocaine use (OR = 0.29) with less.

CONCLUSION:

Although only 35.5% of sexual assault victims seek follow-up, we found many factors positively and negatively associated with this. These findings may inform care strategies designed to improve follow-up for women who are at risk for significant sequelae.

PMID:
16635464
DOI:
10.1016/j.ajog.2006.03.014
[Indexed for MEDLINE]

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