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Physical Health Consequences of Child Sexual Assault in Police General Hospital

Patompon Pacharabumrung MD, BEng*, Seree Teerapong MD*, Komsun Suwannarurk MD**, Kornkarn Bhamarapravatana PhD***, Alisara Sangviroon PhD****, Kitinapa Napakorn MSc*****

Affiliation : * Department of Obstetrics and Gynecology, Police General Hospital, Bangkok, Thailand ** Department of Obstetrics and Gynecology, Thammasat University, Pathum Thani, Thailand *** Department of Preclinical Science, Thammasat University, Pathum Thani, Thailand **** Department of Pharmacy, Police General Hospital, Bangkok, Thailand ***** Department of Pathology, Police General Hospital, Bangkok, Thailand


Objective : To determine demographic data and physical health consequences of Child Sexual Assault (CSA) victims at the Police General Hospital (PGH). Material and Method: The medical records of CSA age one to 12 years at PGH between January 1, 2012 and December 31, 2012 were retrospectively reviewed.
Results : Of 124 child victims, 120 (96.8%) were female and four (3.2%) were male, aged between one and 12 years (mean, 8.123.54 years). Most of assailants were acquaintance or boyfriend. The majority of victims had no body injury, 114 (91.9%). Genital injuries of female victims were found in 40.8% of the cases and commonly seen at hymen. Anal injury was found in one case. Sexual transmitted infections included gonococcal 12.9%, chlamydial 4.0%, and trichomanas 1.7% were found. Two pregnancy cases were found.
Conclusion : Most of CSA had no physical injury. None of the injury cases required any suture or hospital admission. Majority of sexual injury was new hymenal tear.

Keywords : Child sexual assault (CSA), Child maltreatment, Sexual assault victim, Child abuse


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MEDICAL ASSOCIATION OF THAILAND
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