IF 2.2 3区 医学 Q1 MEDICINE, LEGAL
D Kane, R Daly, J Walshe, N Maher, C Pucllio, D Richardson, K Flood, M Eogan
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引用次数: 0

摘要

背景:有关遭受性侵犯的男性身体损伤发生率的数据在文献中的代表性不足;本研究的目的就是要填补这一知识空白。至关重要的是,法医检查人员能够获得有关肛门生殖器和生殖器外损伤发生率的最新信息,具体到他们的检查方法(即有无直肠镜检查),以及与损伤的任何关联,以便在书面和口头证据方面提供最佳响应护理和准确证词:这是一项横断面研究,分析了 2017 年 1 月 1 日至 2023 年 12 月 31 日期间到都柏林性侵犯治疗中心(SATU)接受法医检查的所有男性的就诊情况:研究期间共有 2495 人次就诊。其中,199 人(8.0%)为男性,68.8%(n = 137/199)接受了法医检查。在这批患者中,19.7%(n = 27/137)的患者被确认为生殖器-肛门损伤。肛门损伤占 14.6%(n = 20/137),生殖器损伤占 5.8%(n = 8/137)。对于那些透露已完成肛门插入(阴茎-肛门插入、数字-肛门插入或物体-肛门插入)并接受直肠镜检查的患者(n = 53),受伤率为 24.5 %(n = 13/53)。生殖器外损伤占 40.1%(n = 55/137)。肛门生殖器受伤者更有可能是多人攻击的受害者(OR2.72 CI1.05-6.97 p = 0.03)。生殖器外受伤者在事发后 24 小时内就医的可能性明显更高(OR2.89 CI1.03-4.22 p = 0.03)。没有发现其他事件细节与生殖器-肛门或生殖器外损伤有关:结论:大部分男性在遭受性侵犯后都没有生殖器损伤和/或肛门损伤。结论:大部分男性在遭受性侵犯后都没有生殖器损伤和/或肛门损伤,而在较高比例的男性中发现了生殖器外损伤。预计这些研究结果将更好地为社会和警方提供信息,同时也有助于法医为刑事司法系统中的医学法律证据提供准确、知情的流行率。这些研究结果还强调了对攻击行为受害者进行全面体检和及时医疗干预的重要性,突出了有针对性的支持和护理战略的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Physical injury in men after sexual assault: An analysis of 137 cases.

Background: Data on the prevalence of physical injury in men who experience sexual assault are under-represented in the literature; the aim of this study is to inform this knowledge gap. It is vital that forensic examiners have access to up-to-date information regarding the prevalence of genito-anal and extra-genital injury, specific to their examination method (i.e. with or without proctoscopy), as well as any associations with injury in order to provide optimal responsive care and accurate testimony in the context of written and oral evidence.

Methods: This is a cross-sectional study analysing the attendances of all males who attended the Dublin Sexual Assault Treatment Unit (SATU) for a forensic examination between 1/1/2017 and 31/12/2023.

Results: During the study period there were 2495 attendances. Of these, 199 (8.0 %) were male, with 68.8 % (n = 137/199) undergoing a forensic examination. Within this cohort, genito-anal injury was identified in 19.7 % (n = 27/137). Anal injury was present in 14.6 % (n = 20/137) and genital injury was present in 5.8 % (n = 8/137). For those who disclosed completed anal penetration (either penile-anal, digital-anal penetration or object-anal penetration) and who underwent proctoscopic examination (n = 53) the injury rate was 24.5 % (n = 13/53). Extra-genital injuries were present in 40.1 % (n = 55/137). Those who had a genito-anal injury were significantly more likely to have been the victim of a multiple perpetrator assault (OR2.72 CI1.05-6.97 p = 0.03). Those who had extra-genital injuries were significantly more likely to have attended within 24 hours of the incident (OR2.89 CI1.03-4.22 p = 0.03). No other incident detail was found to have an association with the presence of genito-anal or extra-genital injury.

Conclusions: Genital injuries and/or anal injuries were absent in a large proportion of men after sexual assault. Extra-genital injuries were found in a higher proportion of men. It is anticipated that these findings will better inform society, the police and also assist forensic examiners in providing accurate and informed prevalence rates for medico-legal evidence in the criminal justice system. These findings also underscore the importance of comprehensive medical examinations and timely medical intervention for assault victims, highlighting the need for targeted support and care strategies.

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来源期刊
Forensic science international
Forensic science international 医学-医学:法
CiteScore
5.00
自引率
9.10%
发文量
285
审稿时长
49 days
期刊介绍: Forensic Science International is the flagship journal in the prestigious Forensic Science International family, publishing the most innovative, cutting-edge, and influential contributions across the forensic sciences. Fields include: forensic pathology and histochemistry, chemistry, biochemistry and toxicology, biology, serology, odontology, psychiatry, anthropology, digital forensics, the physical sciences, firearms, and document examination, as well as investigations of value to public health in its broadest sense, and the important marginal area where science and medicine interact with the law. The journal publishes: Case Reports Commentaries Letters to the Editor Original Research Papers (Regular Papers) Rapid Communications Review Articles Technical Notes.
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