Prevalence of sexual abuse among women seeking gynecologic care in Germany

被引:39
作者
Peschers, UM
Du Mont, J
Jundt, K
Pfürtner, M
Dugan, E
Kindermann, G
机构
[1] Univ Munich, Dept Obstet & Gynecol, Munich, Germany
[2] Ctr Res Womens Hlth, Violence & Hlth Res Program, Toronto, ON, Canada
[3] Natl Res Inst, Watertown, MA USA
关键词
D O I
10.1016/S0029-7844(02)02248-2
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
OBJECTIVE: To estimate the prevalence of sexual abuse among patients seen for gynecologic care in Germany. METHODS: A short anonymous questionnaire was distributed to 1157 women attending a gynecologic outpatient clinic at a large urban teaching hospital. Data collected using the questionnaire included patient characteristics, sexual abuse history, and screening practices. Women who reported that they had been abused were asked if they had ever discussed the issue with their gynecologist. RESULTS: A total of 1075 questionnaires were returned, for a response rate of 92.9%. Almost half (n = 479 [44.6%]) of the women surveyed reported that they had been the subject of unwanted sexual attention. One fifth (n = 216 [20.1%]) had been forced to engage in sexual activities: 6.8% in childhood, 10.3% during adolescence, 6.4% as an adult, and 3.5% across more than one stage. Thirteen women (6%) reported having discussed the abuse with their gynecologist. Sixty-six (30.5%) were too afraid to raise the issue, and 119 (55.1%) stated it was not relevant to their care. Only one woman (0.5%) reported that her gynecologist had asked about sexual abuse. CONCLUSION: Despite the high prevalence of sexual abuse among women seeking gynecologic care, routine screening does not appear to be part of standardized practice. (C) 2003 by The American College of Obstetricians and Gynecologists.
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页码:103 / 108
页数:6
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共 54 条
[1]  
Beebe D K, 1994, Fam Pract Res J, V14, P223
[2]   Forced sexual intercourse and associated health-risk behaviors among female college students in the United States [J].
Brener, ND ;
McMahon, PM ;
Warren, CW ;
Douglas, KA .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1999, 67 (02) :252-259
[3]   What determines post-traumatic stress disorder symptomatology for survivors of childhood sexual abuse? [J].
Briggs, L ;
Joyce, PR .
CHILD ABUSE & NEGLECT, 1997, 21 (06) :575-582
[4]   SEXUAL ASSAULT AND MENTAL-DISORDERS IN A COMMUNITY POPULATION [J].
BURNAM, MA ;
GOLDING, JM ;
SIEGEL, JM ;
SORENSON, SB ;
STEIN, JA ;
FORSYTHE, AB ;
TELLES, CA .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1988, 56 (06) :843-850
[5]  
Cheasty M, 1998, BRIT MED J, V316, P198
[6]   A comparative study of women with chronic pelvic pain, chronic nonpelvic pain and those with no history of pain attending general practitioners [J].
Collett, BJ ;
Cordle, CJ ;
Stewart, CR ;
Jagger, C .
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1998, 105 (01) :87-92
[7]  
Davidson JRT, 1996, ARCH GEN PSYCHIAT, V53, P550
[8]  
Du Mont J, 2000, Med Law, V19, P779
[9]  
Du Mont J, 2000, J WOMENS HLTH LAW, V1, P219
[10]   Prevalence and characteristics of sexual abuse in a national sample of Swedish seventeen-year-old boys and girls [J].
Edgardh, K ;
Ormstad, K .
ACTA PAEDIATRICA, 2000, 89 (03) :310-319