The relationship between the transverse hymenal orifice diameter by the separation technique and other possible markers of sexual abuse

作者: Daniel M Ingram , V.Denise Everett , David L Ingram

DOI: 10.1016/S0145-2134(01)00259-9

关键词:

摘要: OBJECTIVE: To evaluate the relationship between transverse hymenal orifice diameter as measured by separation technique (THODST), using a method that maximized of orifice, and other possible markers sexual abuse in girls from 3 through 12 years old. METHODS: Over 10-year period, clinical information was recorded on referred to WakeMed Child Sexual Abuse Team Raleigh, NC at time examination. The study population comprised 1975 2058 evaluated for abuse. were interviewed, examined, tested sexually transmitted diseases. Information referral sources, accompanying guardians, previous recent physical examinations recorded. assigned three groups based upon their risk being abused. Linear regression performed how well THODST distinguished groups, it correlated with individual established RESULTS: size did not distinguish nor correlate any potential or than trauma: narrowing posterior rim, tears lacerations, clefts 5 7 o'clock supine position. CONCLUSION: Thus, we found have no value answering question, "Was this child abused?" Language: en

参考文章(20)
C. Lillibridge, B. Kappes, Quantitative observations of hymens in prepubescent females selected for non-abuse. Alaska medicine. ,vol. 35, pp. 160- 167 ,(1993)
TX Station, Stata Statistical Software: Release 7. 0 College Stata Corporation. ,(2001)
Jennifer L. Kelsey, Methods in Observational Epidemiology ,(1986)
Jan E. Paradise, The Medical Evaluation of the Sexually Abused Child Pediatric Clinics of North America. ,vol. 37, pp. 839- 862 ,(1990) , 10.1016/S0031-3955(16)36939-5
John McCann, Use of the Colposcope in Childhood Sexual Abuse Examinations Pediatric Clinics of North America. ,vol. 37, pp. 863- 880 ,(1990) , 10.1016/S0031-3955(16)36940-1
Joan Voris, John McCann, Mary Simon, Robert Wells, Comparison of genital examination techniques in prepubertal girls. Pediatrics. ,vol. 85, pp. 182- 187 ,(1990)
S. J. Emans, N. T. Flagg, Elizabeth R. Woods, A. Freeman, Genital Findings in Sexually Abused, Symptomatic and Asymptomatic, Girls Pediatrics. ,vol. 79, pp. 778- 785 ,(1987)
David Muram, Child sexual abuse-Genital tract findings in prepubertal girls American Journal of Obstetrics and Gynecology. ,vol. 160, pp. 328- 333 ,(1989) , 10.1016/0002-9378(89)90436-5
C J Hobbs, J M Wynne, A J Thomas, Colposcopic genital findings in prepubertal girls assessed for sexual abuse. Archives of Disease in Childhood. ,vol. 73, pp. 480- 480 ,(1995) , 10.1136/ADC.73.5.465