title: Experiences of physical and sexual abuse and their implications for current health.
abstract: OBJECTIVE
  To estimate the prevalence of a history of physical and sexual abuse in adulthood among gynecological patients and the association with general and reproductive health.
  
  
  METHODS
  A cross-sectional questionnaire study on abusive experiences of gynecologic outpatients in a tertiary hospital. The total sample size was 691.
  
  
  RESULTS
  Of all women, 42.4% had experienced moderate or severe physical or sexual abuse as an adult. One hundred forty-seven (21.6%) women reported physical abuse, 84 (12.3%) sexual abuse, and 58 (8.5%) both. The abused and nonabused women did not differ in mean age, education, or parity. Sexually abused women and those who were both sexually and physically abused reported poor general health significantly more often (P=.005 and P=.001, respectively) than the nonabused. They also rated their sex life as significantly worse than the nonabused women (P=.002 and P=.012, respectively). Over half of abused women had experienced common physical complaints during the previous 12 months compared with one third of the nonabused (P<.001). Two thirds of both the abused and the nonabused women preferred that their gynecologist not ask directly about abuse.
  
  
  CONCLUSIONS
  Abusive experiences were common in gynecologic outpatients. Women with abusive experiences had ill health and poor sexual life more often than the controls. In contrast to the results of previous studies, most of the women did not want to be asked about abuse by their gynecologist.
authors.affiliation: Department of Obstetrics and Gynecology, South Karelian Central Hospital, Lappeenranta, Finland. ulla.pikarinen@fimnet.fi
authors.forename: Ulla
authors.initials: U
authors.lastname: Pikarinen
authors.forename: Terhi
authors.initials: T
authors.lastname: Saisto
authors.forename: Berit
authors.initials: B
authors.lastname: Schei
authors.forename: Katarina
authors.initials: K
authors.lastname: Swahnberg
authors.forename: Erja
authors.initials: E
authors.lastname: Halmesmäki
mesh_terms: D000328:Adult; D015897:Comorbidity; D003430:Cross-Sectional Studies; D017579:Domestic Violence / Q000706:statistics & numerical data; D004522:Educational Status; D005260:Female; D005387:Finland / Q000453:epidemiology; D005831:Genital Diseases, Female / Q000453:epidemiology*; D006801:Humans; D008875:Middle Aged; D010817:Physician-Patient Relations; D015995:Prevalence; D012742:Sex Offenses / Q000706:statistics & numerical data*; D014754:Violence / Q000706:statistics & numerical data*