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Child Maltreatment
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Predictors of Medical Examinations Following Child and Adolescent Rapes in a National Sample of Women

Rochelle F. Hanson

Medical University of South Carolina

Joanne L. Davis

Medical University of South Carolina

Heidi S. Resnick

Medical University of South Carolina

Benjamin E. Saunders

Medical University of South Carolina

Dean G. Kilpatrick

Medical University of South Carolina

Melisa Holmes

Medical University of South Carolina

Connie L. Best

Medical University of South Carolina

Childhood rape occurs frequently in our society and is associated with adverse consequences. Despite the severity of these outcomes, there appear to be many obstacles for children to receive postrape medical care. To date, it is unclear what proportion of childhood rape victims receive postrape medical examinations or what factors predict receipt of this medical care. This study investigated the factors predicting immediate medical care for women who were raped during childhood. Data for the study were obtained from the final wave of the 2-year, longitudinal National Women's Study. Results indicated that the majority of women did not receive medical care following their childhood rape. Although women raped as adolescents were more likely to receive a postrape exam, logistic regression analyses indicated that rape characteristics (e.g., reporting the assault, concerns about sexually transmitted diseases [STDs]) mediated the relationship between age of victimization and receipt of medical care. Implications of these findings are discussed.

Child Maltreatment, Vol. 6, No. 3, 250-259 (2001)
DOI: 10.1177/1077559501006003006
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