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Which sexual abuse victims receive a forensic medical examination? The impact of Children's Advocacy Centers.
Child Abuse Negl. 2007 Oct; 31(10):1053-68.CA

Abstract

OBJECTIVE

This study examines the impact of Children's Advocacy Centers (CAC) and other factors, such as the child's age, alleged penetration, and injury on the use of forensic medical examinations as part of the response to reported child sexual abuse.

METHODS

This analysis is part of a quasi-experimental study, the Multi-Site Evaluation of Children's Advocacy Centers, which evaluated four CACs relative to within-state non-CAC comparison communities. Case abstractors collected data on forensic medical exams in 1,220 child sexual abuse cases through review of case records.

RESULTS

Suspected sexual abuse victims at CACs were two times more likely to have forensic medical examinations than those seen at comparison communities, controlling for other variables. Girls, children with reported penetration, victims who were physically injured while being abused, White victims, and younger children were more likely to have exams, controlling for other variables. Non-penetration cases at CACs were four times more likely to receive exams as compared to those in comparison communities. About half of exams were conducted the same day as the reported abuse in both CAC and comparison communities. The majority of caregivers were very satisfied with the medical professional. Receipt of a medical exam was not associated with offenders being charged.

CONCLUSIONS

Results of this study suggest that CACs are an effective tool for furthering access to forensic medical examinations for child sexual abuse victims.

Authors+Show Affiliations

Crimes against Children Research Center, University of New Hampshire, Durham, NH, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

17996300

Citation

Walsh, Wendy A., et al. "Which Sexual Abuse Victims Receive a Forensic Medical Examination? the Impact of Children's Advocacy Centers." Child Abuse & Neglect, vol. 31, no. 10, 2007, pp. 1053-68.
Walsh WA, Cross TP, Jones LM, et al. Which sexual abuse victims receive a forensic medical examination? The impact of Children's Advocacy Centers. Child Abuse Negl. 2007;31(10):1053-68.
Walsh, W. A., Cross, T. P., Jones, L. M., Simone, M., & Kolko, D. J. (2007). Which sexual abuse victims receive a forensic medical examination? The impact of Children's Advocacy Centers. Child Abuse & Neglect, 31(10), 1053-68.
Walsh WA, et al. Which Sexual Abuse Victims Receive a Forensic Medical Examination? the Impact of Children's Advocacy Centers. Child Abuse Negl. 2007;31(10):1053-68. PubMed PMID: 17996300.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Which sexual abuse victims receive a forensic medical examination? The impact of Children's Advocacy Centers. AU - Walsh,Wendy A, AU - Cross,Theodore P, AU - Jones,Lisa M, AU - Simone,Monique, AU - Kolko,David J, Y1 - 2007/11/08/ PY - 2006/03/02/received PY - 2007/04/03/revised PY - 2007/04/18/accepted PY - 2007/11/13/pubmed PY - 2008/4/1/medline PY - 2007/11/13/entrez SP - 1053 EP - 68 JF - Child abuse & neglect JO - Child Abuse Negl VL - 31 IS - 10 N2 - OBJECTIVE: This study examines the impact of Children's Advocacy Centers (CAC) and other factors, such as the child's age, alleged penetration, and injury on the use of forensic medical examinations as part of the response to reported child sexual abuse. METHODS: This analysis is part of a quasi-experimental study, the Multi-Site Evaluation of Children's Advocacy Centers, which evaluated four CACs relative to within-state non-CAC comparison communities. Case abstractors collected data on forensic medical exams in 1,220 child sexual abuse cases through review of case records. RESULTS: Suspected sexual abuse victims at CACs were two times more likely to have forensic medical examinations than those seen at comparison communities, controlling for other variables. Girls, children with reported penetration, victims who were physically injured while being abused, White victims, and younger children were more likely to have exams, controlling for other variables. Non-penetration cases at CACs were four times more likely to receive exams as compared to those in comparison communities. About half of exams were conducted the same day as the reported abuse in both CAC and comparison communities. The majority of caregivers were very satisfied with the medical professional. Receipt of a medical exam was not associated with offenders being charged. CONCLUSIONS: Results of this study suggest that CACs are an effective tool for furthering access to forensic medical examinations for child sexual abuse victims. SN - 0145-2134 UR - https://www.unboundmedicine.com/medline/citation/17996300/Which_sexual_abuse_victims_receive_a_forensic_medical_examination_The_impact_of_Children's_Advocacy_Centers_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0145-2134(07)00244-X DB - PRIME DP - Unbound Medicine ER -