Sexual assault victims: factors associated with follow-up care.
Open accessAbstract
Objective This study was undertaken to describe patient, assault, and examination characteristics associated with compliance with follow-up in sexual assault victims.Study design We conducted a retrospective cohort study of consecutive women presenting to an urban hospital after sexual assault over a 36-month period. We compared those who did and did not follow-up by using standardized history, examination, and data collection forms.Results Eight hundred twelve women met inclusion criteria; 288 (35.5%) attended follow-up. Young age (odds ratio [OR] = 2.70), assault at home (OR = 1.90), amnesia (OR = 1.80), alcohol use (OR = 1.55), genital trauma (OR = 1.55), and receipt of postexamination medications (OR = 1.87) were associated with greater follow-up; homelessness (OR = 0.30), psychiatric diagnosis (OR = 0.34), assault by an intimate partner (OR = 0.47), and cocaine use (OR = 0.29) with less.Conclusion Although only 35.5% of sexual assault victims seek follow-up, we found many factors positively and negatively associated with this. These findings may inform care strategies designed to improve follow-up for women who are at risk for significant sequelae.
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There is limited knowledge about individuals' post-sexual-assault-exam support pathways or experiences and their ability or desire to further access support.
“However, there is limited knowledge about individuals’ post-SA exam support pathways or experiences and their ability or desire to further access support (Ackerman et al., 2006; Darnell et al., 2015).”
From “Having One Person Tell Me I Didn’t Do the Wrong Thing”: The Impact of Support on the Post-Sexual Assault Exam Experience (2024) · cites this paper as Ackerman et al., 2006
The paper’s introduction (page not supplied) says few studies had examined factors associated with returning for care after a sexual assault exam, supporting the claim of limited knowledge about further access to care. Its Results and Comment (pages not supplied) address follow-up attendance, but do not examine individuals’ support pathways, experiences, or desire for support. (LLM, conf=0.85)
Experimental — accuracy not yet measuredOf those individuals who receive a sexual assault exam, only 28-36% follow up with recommended care or resources.
“Of those individuals who receive a SA exam, only 28–36% follow up with recommended care or resources (Ackerman et al., 2006; Darnell et al., 2015; Gilmore et al., 2018; Holmes et al., 1998).”
From “Having One Person Tell Me I Didn’t Do the Wrong Thing”: The Impact of Support on the Post-Sexual Assault Exam Experience (2024) · cites this paper as Ackerman et al., 2006
Compliance with follow-up visits is typically poor among survivors of sexual assault.
“Although collection of specimens at initial examination for laboratory STI diagnosis gives the survivor and clinician the option of deferring empiric prophylactic antimicrobial treatment, compliance with follow-up visits is typically poor (1423–1425).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [1423]
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Cites
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Self-citationFollow up of patients who have been recently sexually assaulted.
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Sexually Transmitted Infections Treatment Guidelines, 2021
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“Loss to follow-up may lead individuals to cope in isolation (Ackerman et al., 2006; Campbell, 2006; Monroe et al., 2005; Ullman, 2007; Ullman et al., 2018; Ullman & Peter-Hagene, 2014; Ullman & Relyea, 2016; Walsh et al., 2012,, 2013; Young-Wolff et al., 2018).”
BackgroundInfluential
- Authors
- Ackerman, D. R., Sugar, N. F., Fine, D. N., & Eckert, L. O.
- Affiliations
- University of Washington (US)
- ORCID
- Eckert, L.O.
- Venue
- American Journal of Obstetrics and Gynecology
- Publisher
- Elsevier BV
- Published
- 2006-06
- Volume
- 194
- Issue
- 6
- Pages
- 1653-1659
- ISSN
- 0002-9378 (ISSN-L)
- OpenAlex
- W2076245332
- Cited by
- 67
- References
- 10
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 2 · 2023: 8 · 2022: 3 · 2021: 8 · 2020: 1 · 2019: 3 · 2018: 3 · 2017: 2 · 2016: 6 · 2015: 6 · 2014: 2 · 2013: 2 · 2012: 6
- FWCI
- 3.41
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
- Social Sciences › Health › Intimate Partner and Family Violence
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- sexual assault, follow-up care, medication adherence, intimate partner assault, homelessness, amnesia, alcohol consumption, cocaine use, genital trauma, women's health
- MeSH terms
- Adolescent, Adult, Age Factors, Aged, Mental Disorders, Drug Therapy, Female, Follow-Up Studies, Patient Care, Genitalia, Female, Ill-Housed Persons, Humans, Middle Aged, Patient Compliance, Retrospective Studies, Sex Offenses, Cohort Studies, Multivariate Analysis, Domestic Violence, Crime Victims, Substance-Related Disorders, Cocaine-Related Disorders
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