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Girls who disclose sexual abuse: urogenital symptoms and signs after genital contact.
Pediatrics. 2008 Aug; 122(2):e281-6.Ped

Abstract

BACKGROUND

Little information is available about idiosyncratic historical details provided by sexually abused girls, yet this information can help medical professionals diagnose sexual abuse.

OBJECTIVES

Our goals were to describe types and frequencies of urogenital symptoms/signs reported by girls who disclosed direct genital contact and to explore factors associated with this reporting.

METHODS

We reviewed 161 medical charts of 3- to 18-year-old girls who disclosed sexual abuse by direct genital contact for urogenital symptoms/signs, type of genital contact (oral, object, digital, or genital), time interval between last perpetrator contact and physical examination, age and sexual maturity at the time of last perpetrator contact, genital findings, and other medical diagnoses. Regression analyses were performed to determine factors that were most predictive of symptom/sign reporting.

RESULTS

Many of the girls reported multiple types of genital contact; 33% reported oral/object-genital contact, 72% reported digital-genital contact, and 55% reported genital-genital contact. Sixty percent of the girls reported experiencing >or=1 symptom/sign; 53% of the total sample had genital pain, 37% had dysuria, and 11% had genital bleeding. Symptoms/signs were highly associated with genital-genital contact: 48% of the girls reporting genital-genital contact had dysuria compared with 25% of girls not reporting genital-genital contact, 72% had genital pain/soreness compared with 32% not reporting genital-genital contact, and 16% had bleeding compared with 4% of those not reporting genital-genital contact. Using regression analysis, the strongest factor predictive of symptom reporting by the girls was genital-genital contact.

CONCLUSIONS

Sexually abused girls who experienced direct genital contact frequently reported symptoms related to the abusive episode. These symptoms were reported most frequently with genital-to-genital contact. This information sheds some light on the mechanism of injury leading to symptom reporting and can be used to further study symptoms/signs reported by sexually abused girls compared with the general population.

Authors+Show Affiliations

Department of Pediatrics, Albert Einstein Medical Center, Philadelphia, Pennsylvania, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18676513

Citation

DeLago, Cynthia, et al. "Girls Who Disclose Sexual Abuse: Urogenital Symptoms and Signs After Genital Contact." Pediatrics, vol. 122, no. 2, 2008, pp. e281-6.
DeLago C, Deblinger E, Schroeder C, et al. Girls who disclose sexual abuse: urogenital symptoms and signs after genital contact. Pediatrics. 2008;122(2):e281-6.
DeLago, C., Deblinger, E., Schroeder, C., & Finkel, M. A. (2008). Girls who disclose sexual abuse: urogenital symptoms and signs after genital contact. Pediatrics, 122(2), e281-6. https://doi.org/10.1542/peds.2008-0450
DeLago C, et al. Girls Who Disclose Sexual Abuse: Urogenital Symptoms and Signs After Genital Contact. Pediatrics. 2008;122(2):e281-6. PubMed PMID: 18676513.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Girls who disclose sexual abuse: urogenital symptoms and signs after genital contact. AU - DeLago,Cynthia, AU - Deblinger,Esther, AU - Schroeder,Christine, AU - Finkel,Martin A, PY - 2008/8/5/pubmed PY - 2008/8/23/medline PY - 2008/8/5/entrez SP - e281 EP - 6 JF - Pediatrics JO - Pediatrics VL - 122 IS - 2 N2 - BACKGROUND: Little information is available about idiosyncratic historical details provided by sexually abused girls, yet this information can help medical professionals diagnose sexual abuse. OBJECTIVES: Our goals were to describe types and frequencies of urogenital symptoms/signs reported by girls who disclosed direct genital contact and to explore factors associated with this reporting. METHODS: We reviewed 161 medical charts of 3- to 18-year-old girls who disclosed sexual abuse by direct genital contact for urogenital symptoms/signs, type of genital contact (oral, object, digital, or genital), time interval between last perpetrator contact and physical examination, age and sexual maturity at the time of last perpetrator contact, genital findings, and other medical diagnoses. Regression analyses were performed to determine factors that were most predictive of symptom/sign reporting. RESULTS: Many of the girls reported multiple types of genital contact; 33% reported oral/object-genital contact, 72% reported digital-genital contact, and 55% reported genital-genital contact. Sixty percent of the girls reported experiencing >or=1 symptom/sign; 53% of the total sample had genital pain, 37% had dysuria, and 11% had genital bleeding. Symptoms/signs were highly associated with genital-genital contact: 48% of the girls reporting genital-genital contact had dysuria compared with 25% of girls not reporting genital-genital contact, 72% had genital pain/soreness compared with 32% not reporting genital-genital contact, and 16% had bleeding compared with 4% of those not reporting genital-genital contact. Using regression analysis, the strongest factor predictive of symptom reporting by the girls was genital-genital contact. CONCLUSIONS: Sexually abused girls who experienced direct genital contact frequently reported symptoms related to the abusive episode. These symptoms were reported most frequently with genital-to-genital contact. This information sheds some light on the mechanism of injury leading to symptom reporting and can be used to further study symptoms/signs reported by sexually abused girls compared with the general population. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/18676513/Girls_who_disclose_sexual_abuse:_urogenital_symptoms_and_signs_after_genital_contact_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=18676513 DB - PRIME DP - Unbound Medicine ER -