受害人的月经周期和性侵后生殖器损伤之间的联系

IF 0.1 Q4 OBSTETRICS & GYNECOLOGY Journal of Clinical Obstetrics and Gynecology Pub Date : 2023-05-02 DOI:10.29328/journal.cjog.1001127
Vu Annie, Moaddel Victoria, Emmerich Bradley, Ross Linda, Bach Jennifer, Seamon Jason, Barnes Mariah, Ouellette Lindsey, J. Jeffrey
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引用次数: 0

摘要

背景:目前尚不清楚月经周期对性侵犯后创伤易感性的影响。目的:比较女性性侵犯后生殖器损伤的发生率与月经周期的三个阶段的关系方法:设计是一个回顾性的队列分析,设置在一个基于社区的护士检查项目中,为期五年的研究期。性侵受害者年龄在13到40岁之间,并同意接受法医检查。月经周期分为卵泡期、黄体期和月经期三个阶段。主要结果是记录的与月经周期不同阶段有关的生殖器损伤的频率和类型。结果:查阅了1376起性侵案件的案卷;682例(49.6%)符合纳入标准。其中卵泡期220例(32.3%),黄体期361例(52.9%),月经期101例(14.8%)。这三组在人口统计学、攻击特征和非生殖器损伤的总体频率方面具有可比性。在月经周期卵泡期的性侵受害者有更多记录在案的生殖器损伤(72.3%;95% CI 66.4 - 78.2)与黄体期(64.0%;95% CI 59.0 ~ 68.9)和月经期(58.4%;95% ci 48.8 - 68.0)。结论:法医在月经周期的卵泡期记录了更多的生殖器损伤。性激素可能通过对阴道上皮和粘膜完整性的影响而产生混淆效应。
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Association between the victim’s menstrual cycle phase and genital injuries following sexual assault
Background: It is unknown what effect the menstrual cycle can have on the susceptibility to trauma following sexual assault. Objectives: To compare the incidence of genital injuries following sexual assault in women with relationship to the three phases of the menstrual cycle Methods: The design was a retrospective, cohort analysis set in a community-based nurse examiner program over a five-year study period. Sexual assault victims were between the ages of 13 - 40 years and agreed to a forensic examination. The menstrual cycle was divided into three phases: follicular, luteal and menses phase. The primary outcomes were the frequency and type of genital injuries documented in relation to the different phases of the menstrual cycle. Results: Case files of 1376 cases of sexual assault were reviewed; 682 (49.6%) met the inclusion criteria. A total of 220 victims (32.3%) were in the follicular phase, 361 (52.9%) were in the luteal phase and 101 (14.8%) were in the menses phase. The three groups were comparable in terms of demographics, assault characteristics, and overall frequency of non-genital injuries. Assault victims in the follicular phase of the menstrual cycle had significantly more documented genital injuries (72.3%; 95% CI 66.4 - 78.2) compared to the luteal phase (64.0%; 95% CI 59.0 - 68.9) and the menses phase (58.4%; 95% CI 48.8 - 68.0). Conclusion: Forensic examiners documented more genital injuries in the follicular phase of the menstrual cycle. Sex hormones may have confounding effects through influences on vaginal epithelial and mucosal integrity.
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来源期刊
Journal of Clinical Obstetrics and Gynecology
Journal of Clinical Obstetrics and Gynecology Medicine-Obstetrics and Gynecology
CiteScore
0.30
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0.00%
发文量
8
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