@article{ref1,
title="Caring for young adolescent sexual abuse victims in a hospital-based children's advocacy center",
journal="Child abuse and neglect",
year="2008",
author="Edinburgh, Laurel and Saewyc, Elizabeth and Levitt, C.",
volume="32",
number="12",
pages="1119-1126",
abstract="OBJECTIVES: This study compared health care assessments, referrals, treatment, and outcomes for young adolescent sexual assault/sexual abuse victims seen at a hospital-based Child Advocacy Center (CAC), to that provided to similar victims evaluated by other community providers. A second purpose was to document how common DNA evidence is found among such cases. METHOD: A retrospective matched case-comparison design matched index CAC cases diagnosed with extra-familial sexual assault to non-CAC cases referred for prosecution in the same county, matched by age and sex of victim, age and sex of perpetrator, and type of assault (N=128 pairs). Since the case-comparison design produces paired data, analyses used paired t-tests, McNemars test, and Wilcoxon signed-rank tests. Health care outcomes included whether victims received a health exam, indicated tests, findings of trauma on genital exams and counseling referrals; legal outcomes included whether cases were prosecuted, verdicts, and length of sentences. RESULTS: CAC cases were significantly more likely to receive a physical exam, a genital exam when indicated, and referral for counseling (all p<.001). In the CAC group 26.7% vs. 4.8% had positive genital trauma findings, and only 6.3% of CAC cases failed to get indicated sexually transmitted infection (STI) tests or prophylactic treatment for STIs vs. 80% of the comparisons (p<.001). There were no differences in decisions to prosecute, convictions, or sentence lengths between the groups. DNA was documented in only 27.3% of acute cases, although evidence kits were completed. CONCLUSIONS: Young adolescent sexual abuse victims received markedly different health care in a hospital-based CAC compared to elsewhere. DNA is not commonly found in acute cases. IMPLICATIONS FOR PRACTICE: Community health care providers and law enforcement should be encouraged to refer victims to hospital-based CACs for specialized examinations and treatment.   <p>Language: en</p>",
language="en",
issn="0145-2134",
doi="10.1016/j.chiabu.2008.05.006",
url="http://dx.doi.org/10.1016/j.chiabu.2008.05.006"
}