Tags

Type your tag names separated by a space and hit enter

Sexual assault in postmenopausal women.
Obstet Gynecol. 1992 Nov; 80(5):860-4.OG

Abstract

OBJECTIVE

To examine patient characteristics, patterns of injury, forensic evidence, and the frequency of sexual assault in postmenopausal rape victims from 1986-1991.

METHODS

Medical and forensic records were reviewed from 129 postmenopausal women (50 years of age or older) and 129 women from a comparison group (14-49 years of age) who reported having been sexually assaulted. Statistical analysis was performed by Student t test, chi 2, multiple logistic regression, or Fisher exact test.

RESULTS

Postmenopausal women represented 2.2% of women reporting sexual assault in Dallas County. The postmenopausal victim was more often white (64%), whereas the younger victim was more often black (53%). Drug or alcohol use within the previous 24 hours was more common in the younger group. Trauma, in general, was common, occurring in 67% of the postmenopausal women and 71% of the younger group (P = not significant). Genital trauma was more common in the postmenopausal group (43 versus 18%; P < .001). Nearly one in three postmenopausal women had genital abrasions or edema. Almost one in five older women had genital lacerations, with one in four severe enough to require surgical repair. In contrast, the frequency of extragenital trauma was more common in younger victims (66 versus 49%; P < .01). Forensic findings were similar in both groups; however, in postmenopausal women motile spermatozoa were seen only in those examined within 6 hours of the assault.

CONCLUSION

Postmenopausal women who have been sexually assaulted are more likely to sustain genital trauma than younger victims.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

1407929

Citation

Ramin, S M., et al. "Sexual Assault in Postmenopausal Women." Obstetrics and Gynecology, vol. 80, no. 5, 1992, pp. 860-4.
Ramin SM, Satin AJ, Stone IC, et al. Sexual assault in postmenopausal women. Obstet Gynecol. 1992;80(5):860-4.
Ramin, S. M., Satin, A. J., Stone, I. C., & Wendel, G. D. (1992). Sexual assault in postmenopausal women. Obstetrics and Gynecology, 80(5), 860-4.
Ramin SM, et al. Sexual Assault in Postmenopausal Women. Obstet Gynecol. 1992;80(5):860-4. PubMed PMID: 1407929.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sexual assault in postmenopausal women. AU - Ramin,S M, AU - Satin,A J, AU - Stone,I C,Jr AU - Wendel,G D,Jr PY - 1992/11/11/pubmed PY - 2001/3/28/medline PY - 1992/11/11/entrez SP - 860 EP - 4 JF - Obstetrics and gynecology JO - Obstet Gynecol VL - 80 IS - 5 N2 - OBJECTIVE: To examine patient characteristics, patterns of injury, forensic evidence, and the frequency of sexual assault in postmenopausal rape victims from 1986-1991. METHODS: Medical and forensic records were reviewed from 129 postmenopausal women (50 years of age or older) and 129 women from a comparison group (14-49 years of age) who reported having been sexually assaulted. Statistical analysis was performed by Student t test, chi 2, multiple logistic regression, or Fisher exact test. RESULTS: Postmenopausal women represented 2.2% of women reporting sexual assault in Dallas County. The postmenopausal victim was more often white (64%), whereas the younger victim was more often black (53%). Drug or alcohol use within the previous 24 hours was more common in the younger group. Trauma, in general, was common, occurring in 67% of the postmenopausal women and 71% of the younger group (P = not significant). Genital trauma was more common in the postmenopausal group (43 versus 18%; P < .001). Nearly one in three postmenopausal women had genital abrasions or edema. Almost one in five older women had genital lacerations, with one in four severe enough to require surgical repair. In contrast, the frequency of extragenital trauma was more common in younger victims (66 versus 49%; P < .01). Forensic findings were similar in both groups; however, in postmenopausal women motile spermatozoa were seen only in those examined within 6 hours of the assault. CONCLUSION: Postmenopausal women who have been sexually assaulted are more likely to sustain genital trauma than younger victims. SN - 0029-7844 UR - https://www.unboundmedicine.com/medline/citation/1407929/Sexual_assault_in_postmenopausal_women_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&amp;PAGE=linkout&amp;SEARCH=1407929.ui DB - PRIME DP - Unbound Medicine ER -