[A study of institutional medical care of female victims of sexual assault and violence].
OBJECTIVE
The purpose of the study is to clarify the present situation of medical care for victims of sexual assault and violence. Medical facilities in two wards in Tokyo were studied in order to know what problems regarding medical care exist and how to support female victims.


METHODS
In April 1998, we distributed questionnaires to 338 medical facilities covering all the clinics and hospitals, that had more than only otorhinolaryngology and ophthalmology, in Kouto-ku and Sumida-ku, Tokyo. The questionnaire included questions about individual experience of consulting with sexual assault and violence against women, the number of victims in the last year, and their understandings for victims.


RESULTS
1) 76 of the respondents completed the answer sheet by themselves. The mean age of the subjects was 57.4 years old, 16.3% of them had seen sexual assault victims, and about 36.8% had cared for victims of violence. 2) 67 victims of sexual assault and violence were reported in the previous year. 36% of victims of sexual assault were reported by facilities related to obstetrics, and 85% of victims of violence were reported by general medical facilities. 3) As for understandings for victims, those who thought the victims were responsible for the sexual assault also regarded violence as caused by carelessness of victims.


CONCLUSIONS
Medical facilities may be an important place to care for victims of sexual assault and violence against women. There are few data available as to how many women suffer from sexual violence. This study showed for the first time the reality of sexual assault and violence from the viewpoints of medical facilities in Japan, although it had some limitations. It is necessary for more discussion about roles of medical care for female victims of sexual assault and violence.
Kano
N
N
Ibaraki Prefectural University of Health Sciences, Department of Nursing.
Nakamura
Y
Y
Sakurayama
T
T
Kataoka
Y
Y
Shitaya
E
E
Shinohara
S
S
Otake
M
M
Makino
M
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D002648:Child; D019548:Crime Victims; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011902:Rape; D012742:Sex Offenses; D017406:Sexual Harassment; D011795:Surveys and Questionnaires; D014041:Tokyo; D014754:Violence