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. 2003 Nov;53(496):858–862.

Sexual violence against adult women primary care attenders in east London.

Jeremy Coid 1, Ann Petruckevitch 1, Wai-Shan Chung 1, Jo Richardson 1, Stirling Moorey 1, Sarah Cotter 1, Gene S Feder 1
PMCID: PMC1314728  PMID: 14702905

Abstract

BACKGROUND: Sexual violence against women is common. The prevalence appears to be higher in north America than Europe. However, not all surveys have differentiated the experience of forced sex by a current or former partner. Few women are thought to report these experiences to their general practitioner (GP). AIM: To measure the prevalence of rape, sexual assault, and forced sexual intercourse by a partner among women attending general practices, to test the association between these experiences of sexual violence and demographic factors, and to assess the acceptability to women of screening for sexual violence by GPs. DESIGN OF STUDY: Cross-sectional survey. METHOD: A self-administered questionnaire survey of 1207 women aged over 15 years was carried out in 13 general practices in Hackney, east London. RESULTS: Eight per cent (95% confidence interval [CI] = 6.2 to 9.6) of women have experienced rape, 9% (95% CI = 7.0 to 10.6) another type of sexual assault, and 16% (95% CI = 13.6 to 18.1) forced sex by a partner in adulthood: 24% (95% CI = 21.2 to 26.5) have experienced one or more of these types of sexual violence. Experiences of sexual violence demonstrated high levels of lifetime co-occurrence. Women forced to have sex by partners experienced the most severe forms of domestic violence. One in five women would object to routine questioning about being raped and/or sexually assaulted, and one in nine about being forced to have sex by a partner. CONCLUSION: Experiences of sexual violence are common in the lives of adult women in east London, and they represent a significant public health problem. Those women who have one experience appear to be at risk of being victims again. A substantial minority object to routine questions about sexual violence.

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Selected References

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  1. Briere J. Methodological issues in the study of sexual abuse effects. J Consult Clin Psychol. 1992 Apr;60(2):196–203. doi: 10.1037//0022-006x.60.2.196. [DOI] [PubMed] [Google Scholar]
  2. Coid J., Petruckevitch A., Feder G., Chung W., Richardson J., Moorey S. Relation between childhood sexual and physical abuse and risk of revictimisation in women: a cross-sectional survey. Lancet. 2001 Aug 11;358(9280):450–454. doi: 10.1016/s0140-6736(01)05622-7. [DOI] [PubMed] [Google Scholar]
  3. Feldhaus K. M., Houry D., Kaminsky R. Lifetime sexual assault prevalence rates and reporting practices in an emergency department population. Ann Emerg Med. 2000 Jul;36(1):23–27. doi: 10.1067/mem.2000.107660. [DOI] [PubMed] [Google Scholar]
  4. Koss M. P., Dinero T. E. Discriminant analysis of risk factors for sexual victimization among a national sample of college women. J Consult Clin Psychol. 1989 Apr;57(2):242–250. doi: 10.1037//0022-006x.57.2.242. [DOI] [PubMed] [Google Scholar]
  5. Koss M. P., Gidycz C. A. Sexual experiences survey: reliability and validity. J Consult Clin Psychol. 1985 Jun;53(3):422–423. doi: 10.1037//0022-006x.53.3.422. [DOI] [PubMed] [Google Scholar]
  6. Koss M. P., Oros C. J. Sexual Experiences Survey: a research instrument investigating sexual aggression and victimization. J Consult Clin Psychol. 1982 Jun;50(3):455–457. doi: 10.1037//0022-006x.50.3.455. [DOI] [PubMed] [Google Scholar]
  7. Koss M. P., Woodruff W. J., Koss P. G. Relation of criminal victimization to health perceptions among women medical patients. J Consult Clin Psychol. 1990 Apr;58(2):147–152. doi: 10.1037//0022-006x.58.2.147. [DOI] [PubMed] [Google Scholar]
  8. Martin L., Rosen L. N., Durand D. B., Stretch R. H., Knudson K. H. Prevalence and timing of sexual assaults in a sample of male and female U.S. Army soldiers. Mil Med. 1998 Apr;163(4):213–216. [PubMed] [Google Scholar]
  9. Mayfield D., McLeod G., Hall P. The CAGE questionnaire: validation of a new alcoholism screening instrument. Am J Psychiatry. 1974 Oct;131(10):1121–1123. doi: 10.1176/ajp.131.10.1121. [DOI] [PubMed] [Google Scholar]
  10. Mazza D., Dennerstein L., Ryan V. Physical, sexual and emotional violence against women: a general practice-based prevalence study. Med J Aust. 1996 Jan 1;164(1):14–17. [PubMed] [Google Scholar]
  11. Merrill L. L., Newell C. E., Milner J. S., Koss M. P., Hervig L. K., Gold S. R., Rosswork S. G., Thornton S. R. Prevalence of premilitary adult sexual victimization and aggression in a Navy recruit sample. Mil Med. 1998 Apr;163(4):209–212. [PubMed] [Google Scholar]
  12. Merrill L. L., Newell C. E., Thomsen C. J., Gold S. R., Milner J. S., Koss M. P., Rosswork S. G. Childhood abuse and sexual revictimization in a female Navy recruit sample. J Trauma Stress. 1999 Apr;12(2):211–225. doi: 10.1023/A:1024789723779. [DOI] [PubMed] [Google Scholar]
  13. Mills C. S., Granoff B. J. Date and acquaintance rape among a sample of college students. Soc Work. 1992 Nov;37(6):504–509. [PubMed] [Google Scholar]
  14. Ramsay Jean, Richardson Jo, Carter Yvonne H., Davidson Leslie L., Feder Gene. Should health professionals screen women for domestic violence? Systematic review. BMJ. 2002 Aug 10;325(7359):314–314. doi: 10.1136/bmj.325.7359.314. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Richardson Jo, Coid Jeremy, Petruckevitch Ann, Chung Wai Shan, Moorey Stirling, Feder Gene. Identifying domestic violence: cross sectional study in primary care. BMJ. 2002 Feb 2;324(7332):274–274. doi: 10.1136/bmj.324.7332.274. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Sorenson S. B., Stein J. A., Siegel J. M., Golding J. M., Burnam M. A. The prevalence of adult sexual assault. The Los Angeles Epidemiologic Catchment Area Project. Am J Epidemiol. 1987 Dec;126(6):1154–1164. doi: 10.1093/oxfordjournals.aje.a114753. [DOI] [PubMed] [Google Scholar]
  17. Walch A. G., Broadhead W. E. Prevalence of lifetime sexual victimization among female patients. J Fam Pract. 1992 Nov;35(5):511–516. [PubMed] [Google Scholar]
  18. Walker E. A., Torkelson N., Katon W. J., Koss M. P. The prevalence rate of sexual trauma in a primary care clinic. J Am Board Fam Pract. 1993 Sep-Oct;6(5):465–471. [PubMed] [Google Scholar]
  19. Zigmond A. S., Snaith R. P. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983 Jun;67(6):361–370. doi: 10.1111/j.1600-0447.1983.tb09716.x. [DOI] [PubMed] [Google Scholar]

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