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Sexually transmitted diseases in rape victims.

S Estreich1, G E Forster, A Robinson

  • 1Ambrose King Centre, Royal London Hospital, UK.

Genitourinary Medicine
|December 1, 1990
PubMed
Summary

Rape victims frequently contract sexually transmitted diseases (STDs), with 29% of women in this study infected. Screening for STDs in rape survivors is crucial for timely treatment and care.

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Area of Science:

  • Genitourinary Medicine
  • Infectious Diseases
  • Public Health

Background:

  • Rape is a significant public health issue with potential health consequences for victims.
  • Assessing the prevalence of sexually transmitted diseases (STDs) in rape survivors is essential for understanding their health risks.
  • The Ambrose King Centre, a department of genitourinary medicine, serves as a key facility for managing such cases.

Purpose of the Study:

  • To determine the prevalence of sexually transmitted diseases (STDs) among women presenting with allegations of rape.
  • To identify specific STDs and causative organisms in this high-risk population.
  • To highlight the need for comprehensive screening and follow-up care for rape victims.

Main Methods:

  • Retrospective analysis of medical records of 124 women presenting with rape allegations between January 1986 and September 1989.
  • Screening for various sexually transmitted diseases, including bacterial, viral, and parasitic infections.
  • Cervical cytology smears were also examined for abnormalities.

Main Results:

  • 36% of women (29%) were diagnosed with STDs, excluding candidosis and bacterial vaginosis.
  • Neisseria gonorrhoeae and Trichomonas vaginalis were the most common infections (15 patients each).
  • Other detected infections included genital warts, Chlamydia trachomatis, herpes simplex virus, pediculosis pubis, past hepatitis B infection, and human immunodeficiency virus antibodies. 50% of infected women had multiple infections.
  • Six women had abnormal cervical cytology, with three suggestive of cervical intraepithelial neoplasia.

Conclusions:

  • Rape victims represent a population at significant risk for sexually transmitted diseases.
  • The study underscores the importance of offering STD screening to all rape survivors.
  • Prompt medical evaluation, counseling, and treatment are vital for managing the health consequences of sexual assault.

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