TY - JOUR PY - 2017// TI - Genital and anal injuries: a cross-sectional Australian study of 1266 women alleging recent sexual assault JO - Forensic science international A1 - Zilkens, Renate R. A1 - Smith, Debbie A. A1 - Phillips, Maureen A. A1 - Mukhtar, S. Aqif A1 - Semmens, James B. A1 - Kelly, Maire C. SP - 195 EP - 202 VL - 275 IS - N2 - OBJECTIVES: To describe the frequency of genital and anal injury and associated demographic and assault characteristics in women alleging sexual assault.

DESIGN: Cross-sectional study. SETTING: Sexual Assault Resource Centre (SARC), Western Australia. PARTICIPANTS: Total of 1266 women attending SARC from Jan-2009 to Mar-2015.

METHODS: Women underwent a standardised data collection procedure by forensically trained doctors. Multivariate logistic regression analyses were performed. MAIN OUTCOME MEASURES: (1) Frequency of genital and anal injuries by type of sexual assault. (2) Identification of independent factors associated with genital and anal injuries following, respectively, completed vaginal and anal penetration.

RESULTS: Genital injury was observed in 24.5% of all women with reported completed vaginal penetration; in a subset with no prior sexual intercourse 52.1% had genital injury. Genital injury was more likely with no prior sexual intercourse (adjusted odds ratio [adj. OR] 4.4, 95% confidence interval [95%CI] 2.4-8.0), multiple types of penetrants (adj. OR 1.5, 95%CI 1.0-2.1), if general body injury present and less likely with sedative use and delayed examination. Anal injury, observed in 27.0% of reported completed anal penetrations, was more likely with multiple types of penetrants (adjusted OR 5.0, 95%CI 1.2-21.0), if general body injury present and less likely with delayed examination.

CONCLUSION: This study separately quantifies the frequency of both genital and anal injuries in sexually assaulted women. Genital injuries were absent in a large proportion of women regardless of prior vaginal intercourse status. It is anticipated that findings will better inform the community, police and medico-legal evidence to the criminal justice system.

Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

Language: en

LA - en SN - 0379-0738 UR - http://dx.doi.org/10.1016/j.forsciint.2017.03.013 ID - ref1 ER -