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Genital injuries in adolescents after rape [electronic resource] /

by Baker, Rachel Beekman; Theses and, OhioLINK Electronic

Abstract (Summary)
Adolescents constitute the largest group of rape victims. Physiologic theory suggests that injuries may be different in adolescents when compared to adults; however, little is known about genital injuries that adolescents sustain following rape. Previous investigators reported a racial difference in injury prevalence among adult rape victims, with higher injury prevalence among White victims as compared to Black victims. A possible racial difference has not been studied in an adolescent sample. The present study examined the associations among injuries, age, race/ethnicity, and skin color in two groups of female rape victims: adolescents and young adults. The study involved a retrospective review of 234 medical records of women aged 14-29 years old. Over half of the sample was White (56%) and 42.7% was Black. Demographic and injury data were retrieved from medical records and color was quantified through digital image analysis of photographs taken during the examinations. Overall injury prevalence was 62.8%. A series of nested logistic regression and zero-inflated Poisson regression models were conducted. Age was significantly associated with overall injury frequency (Z=6.19, p <.001) and frequency of injuries to the thighs (Z=-3.63, p<.001), labia minora (Z=3.68, p<.001), periurethral area (Z=2.70, p=.007), fossa navicularis (Z=-2.68, p=.008), and vagina (Z=3.20, p<.001). In these associations, younger participants sustained a higher frequency of injuries than older participants. Race/ethnicity was significantly associated with frequency of injuries to the thighs (Z=3.88, p<.001), periurethral area (Z=3.41, p=.001), and fossa navicularis (Z=3.15, p=.002), with White participants having a higher frequency of injuries than Black participants. Finally, skin and mucous membrane color was significantly associated with injury frequency to the labia minora (Z=3.02, p=.003), posterior fourchette (Z=2.75, p=.006), hymen (Z=3.38, p=.001), and cervix (Z=2.85, p=.004), with victims with lighter skin sustaining more injuries than victims with darker skin. The present study found significant associations among injuries, age, race/ethnicity, and color. Younger age, White race, and lighter tissue color were associated with more injuries. These findings support the need for further research to determine if the current care provided to rape victims is appropriate to victims of all ages, races/ethnicities, and skin colors.
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School:University of Cincinnati

School Location:USA - Ohio

Source Type:Master's Thesis

Keywords:university of cincinnati

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