title: Somatic health of 2500 women examined at a sexual assault center over 10 years.
abstract: BACKGROUND
  Sexual assault is a public health issue with many potential short- and long-term consequences for the victims. We aimed to investigate somatic health of women before and after sexual assault.
  
  
  METHODS
  We included 2501 women who attended the Centre for Victims of Sexual Assault in Copenhagen, and 10004 women without a known assault experience (controls). Somatic diagnoses were retrieved from the National Health Registry and number of visits to general practitioners from the Danish Health Insurance Registry. Somatic data were assessed during the five-year period before and after the assault.
  
  
  RESULTS
  The incidence of several somatic disorders was found to be significantly higher for the exposed women than for controls, both before and after the assault. Rate ratios of main disorders before and after the assault were respectively: disease of circulatory and respiratory system: 3.2 (2.6-4.1) and 2.6 (2.1-3.2); epilepsy: 2.9 (2.2-3.8) and 4.1 (3.0-5.6) and disease of the liver: 3.5 (1.9-6.3) and 7.0 (4.4-11.1), respectively. The rate ratios of laparoscopic surgery: 1.5 (0.9-2.5) and 3.4 (2.3-5.0) and of cervical cancer: 0.8 (0.4-1.7) and 2.0 (1.4-3.0) increased significantly after sexual assault. Likewise, the number of visits to a general practitioner was significantly higher in exposed women both before and after the assault (16 vs. 10/year). Complications associated with childbirth were not statistically different between the groups.
  
  
  CONCLUSIONS
  Our results suggest a higher somatic morbidity in women seen at a sexual assault center before as well as after the assault compared with controls.
authors.affiliation: Centre for Victims of Sexual Assault, Rigshospitalet University Hospital, University of Copenhagen, Copenhagen, Denmark.
authors.forename: Mie-Louise
authors.initials: ML
authors.lastname: Larsen
authors.affiliation: Centre for Victims of Sexual Assault, Rigshospitalet University Hospital, University of Copenhagen, Copenhagen, Denmark.|Department of Obstetrics and Gynecology, Rigshospitalet University Hospital, University of Copenhagen, Copenhagen, Denmark.
authors.forename: Malene
authors.initials: M
authors.lastname: Hilden
authors.affiliation: Department of Obstetrics and Gynecology, Rigshospitalet University Hospital, University of Copenhagen, Copenhagen, Denmark.
authors.forename: Charlotte W
authors.initials: CW
authors.lastname: Skovlund
authors.affiliation: Department of Obstetrics and Gynecology, Rigshospitalet University Hospital, University of Copenhagen, Copenhagen, Denmark.
authors.forename: Øjvind
authors.identifier: http://orcid.org/0000-0002-9157-4004
authors.initials: Ø
authors.lastname: Lidegaard
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D002648:Child; D003718:Denmark / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D012042:Registries; D012189:Retrospective Studies; D012742:Sex Offenses; D016387:Women's Health / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: Sexual assault; somatic health; utilization of healthcare; violence against women; women's health