60岁及以上的性虐待受害者，法国巴黎法医学部门的一项观察性研究

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-04-14 DOI:10.1016/j.gerinurse.2025.03.047

Clément Harmel MD , Marc Liautard MD , Audrey Farrugia MD, PhD , Charlotte Gorgiard MD , Catherine Dang MD , Elizabeth Alcaraz MD , Céline Deguette MD , Laurène Dufayet MD, PhD

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引用次数: 0

摘要

到2050年，全球60岁及以上的人口预计将增加近一倍，这凸显了解决老年患者性虐待问题的重要性。对这些虐待行为的了解和报道仍然很少，这可能与认知障碍、社会孤立、社会禁忌和年龄歧视等因素有关。这项回顾性研究旨在分析法国巴黎法医学部门（DFM） 60岁及以上患者报告的性虐待案例，为期六年。方法采用单中心回顾性研究，收集2018年1月1日至2023年12月31日期间在DFM接受检查的60岁及以上患者的医学和法医资料。本研究遵循《一般数据保护条例》的伦理标准，并得到了科钦大学医院伦理委员会的批准。结果共纳入58例患者，占研究期间在该科接受检查的性侵犯受害者的1.5%。大多数受害者是女性（84.5%）。受害者的平均年龄为69.4岁，许多人有脆弱性，主要是心理/认知（55.2%）和身体（19.0%）。袭击主要发生在受害者家中（48.1%）或公共场所（13.5%），62.7%的案件中确定了已知的肇事者。44.8%的病例记录了相关的身体虐待。法医检查显示，43.1%的病例中有外阴损伤，21.6%的病例中有肛门生殖器损伤。该研究证实了对老年患者，特别是男性患者的性虐待可能存在漏报，并强调了这一特定人群的脆弱性。本研究还强调了这些虐待行为的严重性，以及在发现、报告和解决此类犯罪方面面临的多方面挑战。应对这些挑战对于制定针对老年患者的有效预防和干预战略至关重要。

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Victims of sexual abuse aged 60 and older, an observational study from the Department of Forensic Medicine of Paris, France

Introduction

The global population of individuals aged 60 years and older is projected to nearly double by 2050, highlighting the growing importance of addressing sexual abuse in older patients. These abuses remain poorly understood and underreported, which may be related to factors such as cognitive impairments, social isolation, societal taboos, and ageism. This retrospective study aimed to analyze cases of sexual abuse reported by patients aged 60 years and older at the Department of Forensic Medicine (DFM) in Paris, France, over a six-year period.

Methods

We conducted a single-center retrospective study and collected medical and forensic data on all patients aged 60 years and older at the time of the assault, who were examined at the DFM between 01/01/2018 and 31/12/2023. The study adhered to ethical standards in accordance with the General Data Protection Regulation and received approval from the Ethics Committee of Cochin University Hospital.

Results

Fifty-eight patients were included, representing 1.5 % of the sexual abuse victims examined in the department during the study period. The majority of victims were female (84.5 %). The average age of the victims was 69.4 years, and many had vulnerabilities, primarily psychological/cognitive (55.2 %) and physical (19.0 %). Assaults mostly occurred in the victim's home (48.1 %) or in public places (13.5 %), with known perpetrators identified in 62.7 % of cases. Associated physical abuse was documented in 44.8 % of cases. Forensic examinations revealed extragenital injuries in 43.1 % of cases and anogenital injuries in 21.6 % of cases.

Discussion

The study confirms the likely underreporting of sexual abuse against older patients, particularly male patients, and highlights the heightened vulnerabilities in this specific population. This study also emphasizes the severity of these abuses and the multifaceted challenges in detecting, reporting, and addressing such crimes. Tackling these challenges is crucial for the development of effective prevention and intervention strategies tailored to protect older patients.

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.