دورية أكاديمية
Management of acute sexual assault presenting to a large Australian sexual health clinic in 2012-2021: a retrospective clinical audit.
| العنوان: | Management of acute sexual assault presenting to a large Australian sexual health clinic in 2012-2021: a retrospective clinical audit. |
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| المؤلفون: | Kink A; Melbourne Sexual Health Centre, Alfred Health, Melbourne, Vic., Australia; and Melbourne Medical School, The University of Melbourne, Melbourne, Vic., Australia., Towns JM; Melbourne Sexual Health Centre, Alfred Health, Melbourne, Vic., Australia; and School of Translational Medicine, Monash University, Melbourne, Vic., Australia., Fairley CK; Melbourne Sexual Health Centre, Alfred Health, Melbourne, Vic., Australia; and School of Translational Medicine, Monash University, Melbourne, Vic., Australia., Phillips TR; Melbourne Sexual Health Centre, Alfred Health, Melbourne, Vic., Australia; and School of Translational Medicine, Monash University, Melbourne, Vic., Australia., Bradshaw CS; Melbourne Sexual Health Centre, Alfred Health, Melbourne, Vic., Australia; and School of Translational Medicine, Monash University, Melbourne, Vic., Australia; and Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Vic., Australia., Chow EPF; Melbourne Sexual Health Centre, Alfred Health, Melbourne, Vic., Australia; and School of Translational Medicine, Monash University, Melbourne, Vic., Australia; and Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Vic., Australia. |
| المصدر: | Sexual health [Sex Health] 2024 Apr; Vol. 21. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: CSIRO Pub Country of Publication: Australia NLM ID: 101242667 Publication Model: Print Cited Medium: Internet ISSN: 1449-8987 (Electronic) Linking ISSN: 14485028 NLM ISO Abbreviation: Sex Health Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Collingwood, Vic. Australia : CSIRO Pub., c2004- |
| مواضيع طبية MeSH: | Chlamydia* , Gonorrhea*/epidemiology , HIV Infections*/epidemiology , HIV Infections*/prevention & control , Sex Offenses* , Sexual Health* , Sexually Transmitted Diseases*/diagnosis , Sexually Transmitted Diseases*/epidemiology , Sexually Transmitted Diseases*/prevention & control, Female ; Humans ; Male ; Australia/epidemiology ; Clinical Audit ; Retrospective Studies |
| مستخلص: | Background The incidence of sexual assault continues to rise in Australia. This study aimed to describe the nature of assault, HIV/STI positivity, and its management at a sexual health clinic. Methods We performed a chart review of 516 sexual assault cases presenting to Melbourne Sexual Health Centre between 2012 and 2021, collecting data on victim demographics, details of assault, HIV/STI testing and positivity, police involvement, and offer of counselling. Results We included 516 cases: 124 males (24.0%); 384 females (74.4%); and eight transgender (1.6%) victims. The proportion of assault cases presenting to Melbourne Sexual Health Centre increased from 0.1% (37/37,070) in 2012 to 0.2% (56/36,514) in 2021 (P trend =0.006). HIV post-exposure prophylaxis was prescribed for 64.5% (80/124) of males and 12.5% (48/384) of females. Among victims, 69.4% (358/516) were tested for HIV and no one tested positive, while 71.9% (371/516) were tested for syphilis, with 1.6% (6/371) positive. Gonorrhoea and chlamydia were tested at the oropharynx (44.8% [231/516] vs 28.7% [148/516]), genitals (83.7% [432/516] vs 92.4% [477/516]) and anorectum (35.3% [182/516] vs 35.3% [182/516]). Positivity for gonorrhoea and chlamydia were: 2.6% (6/231) vs 2.0% (3/148) at oropharynx, 1.4% (6/432) vs 2.9% (14/477) at genitals, and 5.5% (10/182) vs 7.1% (13/182) at anorectum. According to clinical records, 25.2% (130/516) of victims sought police involvement, and 71.7% (370/516) were offered counselling. Conclusions Sexual assault was an uncommon presentation at Melbourne Sexual Health Centre, with diverse circumstances surrounding assault; however, clinical documentation varied, indicating a need for a standard primary care protocol for clients presenting with acute sexual assault. |
| تواريخ الأحداث: | Date Created: 20240411 Date Completed: 20240415 Latest Revision: 20240612 |
| رمز التحديث: | 20240613 |
| DOI: | 10.1071/SH23175 |
| PMID: | 38603545 |
| قاعدة البيانات: | MEDLINE |
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