title: Predictors of medical examinations following child and adolescent rapes in a national sample of women.
abstract: Childhood rape occurs frequently in our society and is associated with adverse consequences. Despite the severity of these outcomes, there appear to be many obstacles for children to receive postrape medical care. To date, it is unclear what proportion of childhood rape victims receive postrape medical examination or what factors predict receipt of this medical care. This study instigated the factors predicting immediate medica care for women who were raped during childhood. Data for the study were obtained from the final wave of the 2-year, longitudinal National Women's Study. Results indicated that the majority of women did not receive medical care following their childhood rape. Although women raped as adolescents were more likely to receive a postrape exam, logistic regression analyses indicated that rape characteristics (e.g., reporting the assault, concerns about sexually transmitted diseases [STDs]) mediated the relationship between age of victimization and receipt of medical care. Implications of these findings are discussed.
authors.affiliation: National Crime Victims Research and Treatment Center, Medical University of South Carolina, Charleston 29425, USA. hansonrf@musc.edu
authors.forename: R F
authors.initials: RF
authors.lastname: Hanson
authors.forename: J L
authors.initials: JL
authors.lastname: Davis
authors.forename: H S
authors.initials: HS
authors.lastname: Resnick
authors.forename: B E
authors.initials: BE
authors.lastname: Saunders
authors.forename: D G
authors.initials: DG
authors.lastname: Kilpatrick
authors.forename: M
authors.initials: M
authors.lastname: Holmes
authors.forename: C L
authors.initials: CL
authors.lastname: Best
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002650:Child Abuse, Sexual / Q000331:legislation & jurisprudence* / Q000523:psychology / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005104:Expert Testimony / Q000331:legislation & jurisprudence*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D010808:Physical Examination / Q000523:psychology / Q000706:statistics & numerical data; D011902:Rape / Q000331:legislation & jurisprudence* / Q000523:psychology / Q000706:statistics & numerical data; D012017:Referral and Consultation / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology; D014481:United States / Q000453:epidemiology