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Unmet health care needs among children evaluated for sexual assault.
Arch Pediatr Adolesc Med. 2006 Jan; 160(1):70-3.AP

Abstract

OBJECTIVES

To determine in a population of children who underwent a medical examination after alleged sexual assault the proportion who had unmet medical or psychiatric needs.

DESIGN

Retrospective medical record review.

SETTING

A referral center for alleged child victims of sexual assault in Houston, Tex, from December 1, 2003, through April 30, 2004.

PARTICIPANTS

Four hundred seventy-three children (81% girls). Nine children refused all or part of the medical evaluation.

MAIN OUTCOME MEASURE

Diagnoses that warranted intervention at the time of the medical evaluation.

RESULTS

A medical or psychological diagnosis that required intervention as judged by the examiner was made in 123 children (26%) (95% confidence interval, 22%-30%). In 39 children (8% of the total study population) (95% confidence interval, 6%-11%), the diagnosis had the potential to result in significant patient morbidity if not immediately addressed. In contrast, 44 children (9%) (95% confidence interval, 7%-12%) had probable or definite physical or laboratory evidence that supported the allegation of sexual assault.

CONCLUSION

Among children undergoing a medical evaluation after an alleged sexual assault, important unmet health care needs are at least as common as forensic findings.

Authors+Show Affiliations

University of Texas at Houston School of Medicine, 6431 Fannin Street, MSB 3.156B, Houston, TX 77030, USA. Rebecca.g.girardet@uth.tmc.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16389214

Citation

Girardet, Rebecca, et al. "Unmet Health Care Needs Among Children Evaluated for Sexual Assault." Archives of Pediatrics & Adolescent Medicine, vol. 160, no. 1, 2006, pp. 70-3.
Girardet R, Giacobbe L, Bolton K, et al. Unmet health care needs among children evaluated for sexual assault. Arch Pediatr Adolesc Med. 2006;160(1):70-3.
Girardet, R., Giacobbe, L., Bolton, K., Lahoti, S., & McNeese, M. (2006). Unmet health care needs among children evaluated for sexual assault. Archives of Pediatrics & Adolescent Medicine, 160(1), 70-3.
Girardet R, et al. Unmet Health Care Needs Among Children Evaluated for Sexual Assault. Arch Pediatr Adolesc Med. 2006;160(1):70-3. PubMed PMID: 16389214.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Unmet health care needs among children evaluated for sexual assault. AU - Girardet,Rebecca, AU - Giacobbe,Lauren, AU - Bolton,Kelly, AU - Lahoti,Sheela, AU - McNeese,Margaret, PY - 2006/1/4/pubmed PY - 2006/1/27/medline PY - 2006/1/4/entrez SP - 70 EP - 3 JF - Archives of pediatrics & adolescent medicine JO - Arch Pediatr Adolesc Med VL - 160 IS - 1 N2 - OBJECTIVES: To determine in a population of children who underwent a medical examination after alleged sexual assault the proportion who had unmet medical or psychiatric needs. DESIGN: Retrospective medical record review. SETTING: A referral center for alleged child victims of sexual assault in Houston, Tex, from December 1, 2003, through April 30, 2004. PARTICIPANTS: Four hundred seventy-three children (81% girls). Nine children refused all or part of the medical evaluation. MAIN OUTCOME MEASURE: Diagnoses that warranted intervention at the time of the medical evaluation. RESULTS: A medical or psychological diagnosis that required intervention as judged by the examiner was made in 123 children (26%) (95% confidence interval, 22%-30%). In 39 children (8% of the total study population) (95% confidence interval, 6%-11%), the diagnosis had the potential to result in significant patient morbidity if not immediately addressed. In contrast, 44 children (9%) (95% confidence interval, 7%-12%) had probable or definite physical or laboratory evidence that supported the allegation of sexual assault. CONCLUSION: Among children undergoing a medical evaluation after an alleged sexual assault, important unmet health care needs are at least as common as forensic findings. SN - 1072-4710 UR - https://www.unboundmedicine.com/medline/citation/16389214/Unmet_health_care_needs_among_children_evaluated_for_sexual_assault_ L2 - https://jamanetwork.com/journals/jamapediatrics/fullarticle/10.1001/archpedi.160.1.70 DB - PRIME DP - Unbound Medicine ER -