The purpose of this study was to understand the impact of anal/vaginal injury and intimate partner violence (IPV) on women's (n = 679) reproductive healthcare utilization in the year following a sexual assault medical-forensic examination. A significant main effect of IPV on reproductive healthcare visits was found such that experiencing IPV was associated with an increase in the incidence rate for count of obstetrics-gynecology/sexually transmitted infection visits across anal/vaginal injury models. Further, IPV was not found to significantly moderate the relationship between anal/vaginal injury and reproductive healthcare utilization. Implications surrounding sexual assault survivors long-term are discussed.
AndersonD. K.SaundersD. G. (2003). Leaving an abusive partner: An empirical review of predictors, the process of leaving, and psychological well-being. Trauma, Violence, & Abuse, 4(2), 163–191. https://doi.org/10.1177/1524838002250769
2.
Bair-MerrittM. H.Lewis-O’ConnorA.GoelS.AmatoP.IsmailjiT.JelleyM.LenahanP.CronholmP. (2014). Primary care-based interventions for intimate partner violence: A systematic review. American Journal of Preventive Medicine, 46(2), 188–194. https://doi.org/10.1016/j.amepre.2013.10.001
3.
BasileK. C.SmithS. G.LiuY.KresnowM. J.FasulaA. M.GilbertL.ChenJ. (2018). Rape-related pregnancy and association with reproductive coercion in the US. American Journal of Preventive Medicine, 55(6), 770–776. https://doi.org/10.1016/j.amepre.2018.07.028
4.
BlackM. C.BasileK. C.BreidingM. J.SmithS. G.WaltersM. L.MerrickM. T.ChenJ.StevensM. R. (2011). National intimate partner and sexual violence survey: 2010 summary report. National Criminal Justice Reference Service, 237027. https://www.ojp.gov/ncjrs/virtual-library/abstracts/national-intimate-partner-and-sexual-violence-survey
BrookmeyerK. A.BeltranO.AbadN. (2017). Understanding the effects of forced sex on sexually transmitted diseases acquisition and sexually transmitted disease care: Findings from the national survey of family growth (2011–2013). Sexually Transmitted Diseases, 44(10), 613–618. https://doi.org/10.1097/OLQ.0000000000000651
7.
BrownS. J.GoetzmannW.IbbotsonR. G.RossS. A. (1992). Survivorship bias in performance studies. The Review of Financial Studies, 5(4), 553–580. https://doi.org/10.1093/rfs/5.4.553
8.
BuddK. M.RocqueM.BierieD. M. (2019). Deconstructing incidents of campus sexual assault: Comparing male and female victimizations. Sexual Abuse, 31(3), 296–317. https://doi.org/10.1177/1079063215594376
9.
CampbellJ. C.BatyM. L.GhandourR. M.StockmanJ. K.FranciscoL.WagmanJ. (2008). The intersection of intimate partner violence against women and HIV/AIDS: A review. International Journal of Injury Control and Safety Promotion, 15(4), 221–231. https://doi.org10.1080/17457300802423224 https://doi.org/10.1080/17457300802423224
10.
CoulterR. W.MairC.MillerE.BlosnichJ. R.MatthewsD. D.McCauleyH. L. (2017). Prevalence of past-year sexual assault victimization among undergraduate students: Exploring differences by and intersections of gender identity, sexual identity, and race/ethnicity. Prevention Science, 18(6), 726–736. https://doi.org/10.1007/s11121-017-0762-8
11.
DworkinE. R.MenonS. V.BystrynskiJ.AllenN. E. (2017). Sexual assault victimization and psychopathology: A review and meta-analysis. Clinical Psychology Review, 56, 65–81. https://doi.org/10.1016/j.cpr.2017.06.002
12.
EdwardsK. M.MauerV. A.HuffM.Farquhar-LeicesterA.SuttonT. E.UllmanS. E. (2023). Disclosure of sexual assault among sexual and gender minorities: A systematic literature review. Trauma, Violence, & Abuse, 24(3), 1608–1623. https://doi.org/10.1177/15248380211073842
13.
EdwardsK. M.SylaskaK. M.NealA. M. (2015). Intimate partner violence among sexual minority populations: A critical review of the literature and agenda for future research. Psychology of Violence, 5(2), 112–121. https://doi.org/10.1037/a0038656
14.
GilmoreA. K.McKeeG.FlanaganJ. C.LeoneR. M.OesterleD. W.KirbyC. M.ShortN.Gill-HoppleK. (2022). Medications at the emergency department after recent rape. Journal of Interpersonal Violence, 37(15-16), NP12954–NP12972. https://doi.org/10.1177/0886260521997434
15.
HullenaarK. L.FriscoM. (2020). Understanding the barriers of violence victims’ healthcare use. Journal of Health and Social Behavior, 61(4), 470–485. https://doi.org/10.1177/0022146520961481
16.
IBM Corp. Released. (2021). IBM SPSS Statistics for Windows, Version 28.0. IBM Corp.
KamimuraA.BybeeD.YoshihamaM. (2014). Factors affecting initial intimate partner violence–specific health care seeking in the Tokyo metropolitan area, Japan. Journal of Interpersonal Violence, 29(13), 2378–2393. https://doi.org/10.1177/0886260513518842
19.
KapurN. A.WindishD. M. (2011). Health care utilization and unhealthy behaviors among victims of sexual assault in Connecticut: Results from a population-based sample. Journal of General Internal Medicine, 26(5), 524–530. https://doi.org/10.1007/s11606-010-1614-4
20.
KazmerskiT.McCauleyH. L.JonesK.BorreroS.SilvermanJ. G.DeckerM. R.TancrediD.MillerE. (2015). Use of reproductive and sexual health services among female family planning clinic clients exposed to partner violence and reproductive coercion. Maternal and Child Health Journal, 19(7), 1490–1496. https://doi.org/10.1007/s10995-014-1653-2
21.
KeelingJ.BirchL. (2004) The prevalence rates of domestic abuse in women attending a family planning clinic. Journal of Family and Reproductive Health, 30(2), 113–114. https://doi.org/10.1783/147118904322995500
22.
KennedyK. M. (2013). Heterogeneity of existing research relating to sexual violence, sexual assault and rape precludes meta-analysis of injury data. Journal of Forensic and Legal Medicine, 20(5), 447–459. https://doi.org/10.1016/j.jflm.2013.02.002
23.
LathanE. C.Koon-MagninS.SelwynC. N.IsaakH.Langhinrichsen-RohlingJ. (2023). Rape myth acceptance and other barriers to formally reporting sexual assault among college students with and without sexual assault histories. Journal of Interpersonal Violence, 38(9-10), 6773–6797. https://doi.org/10.1177/08862605221137703
24.
LittleR. J. A. (1988). A test of missing completely at random for multivariate data with missing values. Journal of the American Statistical Association, 83(404), 1198–1202. https://doi.org/10.1080/01621459.1988.10478722
25.
LongJ. S. (1997). Regression models for categorical and limited dependent variables, vol. 7. In Advanced quantitative techniques in the social sciences (pp. 250–255). Sage Publications.
26.
MengelingM. A.BoothB. M.TornerJ. C.SadlerA. G. (2015). Post-sexual assault health care utilization among OEF/OIF servicewomen. Medical Care, 53(4s1), S136–S142. https://doi.org/10.1097/MLR.0000000000000267
27.
MosleyE. A.PrinceJ. R.McKeeG. B.CarterS. E.LeoneR. M.Gill-HoppleK.GilmoreA. K. (2021). Racial disparities in sexual assault characteristics and mental health care after sexual assault medical forensic exams. Journal of Women’s Health, 30(10), 1448–1456. https://doi.org/10.1089/jwh.2020.8935
28.
OesterleD. W.McKeeG. B.DworkinE. R.BlackburnA. M.DaigleL. E.Gill-HoppleK.GilmoreA. K. (2024). Characteristics of sexual assault among men receiving a forensic medical examination. Journal of Child Sexual Abuse,33(3), 1–18. https://doi.org/10.1080/10538712.2023.2249890
29.
R Core Team. (2021). R: A language and environment for statistical computing. R Foundation for Statstical Computing, Vienna, Austria. https://www.R-project.org/
30.
ResnickH. S.AciernoR.KilpatrickD. G. (1997). Health impact of interpersonal violence. 2: Medical and mental health outcomes. Behavioral Medicine, 23(2), 65–78. https://doi.org/10.1080/08964289709596730
31.
ResnickH. S.HolmesM. M.KilpatrickD. G.ClumG.AciernoR.BestC. L.SaundersB. E. (2000). Predictors of post-rape medical care in a national sample of women. American Journal of Preventive Medicine, 19(4), 214–219. https://doi.org/10.1016/S0749-3797(00)00226-9
32.
RickertV. I.WiemannC. M.HarrykissoonS. D.BerensonA. B.KolbE. (2002). The relationship among demographics, reproductive characteristics, and intimate partner violence. American Journal of Obstetrics and Gynecology, 187(4), 1002–1007. https://doi.org/10.1067/mob.2002.126649
33.
RivaraF. P.AndersonM. L.FishmanP.BonomiA. E.ReidR. J.CarrellD.ThompsonR. S. (2007). Healthcare utilization and costs for women with a history of intimate partner violence. American Journal of Preventative Medicine, 32(8), 89–96. https://doi.org/10.1016/j.amepre.2006.10.001
34.
RobohmJ. S.ButtenheimM. (1996). The gynecological care experience of adult survivors of childhood sexual abuse: A preliminary investigation. Women & Health, 24(3), 59–75. https://doi.org/10.1300/J013v24n03_04
35.
SelwynC. N.LathanE. C.RichieF.GiglerM. E.Langhinrichsen-RohlingJ. (2021). Bitten by the system that cared for them: Towards a trauma-informed understanding of patients’ healthcare engagement. Journal of Trauma & Dissociation, 22(5), 636–652. https://doi.org/10.1080/15299732.2020.1869657
36.
ShortN. A.LechnerM.McLeanB. S.TungateA. S.BlackJ.BuchananJ. A.ReeseR.HoJ. D.ReedG. D.PlattM. A.RivielloR. J.RossiC. H.NouhanP. P.PhillipsC. A.MartinS. L.LiberzonI.RauchS. A. M.BollenK. A.KesslerR. C.McLeanS. A. (2020). Health care utilization by women sexual assault survivors after emergency care: Results of a multisite prospective study. Anxiety and Depression Association of America, 38(1), 67–78. https://doi.org/10.1002/da.23102
37.
SommersM. S. (2007). Defining patterns of genital injury from sexual assault. Trauma, Violence, & Abuse, 8(3), 270–280. https://doi.org/10.1177/1524838007303194
38.
SualpK.ForgettaS.AndersonK.RevellJ.GodbeeB. (2021). “Let's not talk about it:” multiple perspectives on service barriers and recommendations for black sexual assault survivors: A mixed-methods study. Journal of Social Service Research, 47(1), 118–130. https://doi.org/10.1080/01488376.2020.1725218
39.
TaftA.WatsonL. F. (2008). Depression and termination of pregnancy (induced abortion) in a national cohort of young Australian women: The confounding effect of women's experience of violence. BMC Public Health, 8, 75. https://doi.org/10.1186/1471-2458-8-75
40.
TruongB.PhoK.DinhC.McAleerM. (2021). Zero-inflated Poisson regression models: Applications in the sciences and social sciences. Annals of Financial Economics, 16(2), 1–19. https://doi.org/10.1142/S2010495221500068
41.
Van BuurenS.Groothuis-OudshoornK. (2011). mice: Multivariate imputation by chained equations in R. R package version 3.16.0. https://CRAN.R-project.org/package=mice
42.
WalshK.ZinzowH. M.BadourC. L.RuggieroK. J.KilpatrickD. G.ResnickH. S. (2016). Understanding disparities in service seeking following forcible versus drug- or alcohol-facilitated/incapacitated rape. Journal of Interpersonal Violence, 31(14), 2475–2491. https://doi.org/10.1177/0886260515576968
43.
Watson-JohnsonL. C.TownsendJ. S.BasileK. C.RichardsonL. C. (2012). Cancer screening and history of sexual violence victimization among U.S. adults. Journal of Women's Health (2002), 21(1), 17–25. https://doi.org/10.1089/jwh.2011.2751
44.
WilliamsonJ.SernaK. (2018). Reconsidering forced labels: Outcomes of sexual assault survivors versus victims (and those who choose neither). Violence Against Women, 24(6), 668–683. https://doi.org/10.1177/1077801217711268
45.
WrightE. N.AndersonJ.PhillipsK.MiyamotoS. (2022). Help-seeking and barriers to care in intimate partner sexual violence: A systematic review. Trauma, Violence, & Abuse, 23(5), 1510–1528. https://doi.org/10.1177/1524838021998305
46.
ZilkensR. R.SmithD. A.PhillipsM. A.MukhtarS. A.SemmensJ. B.KellyM. C. (2017). Genital and anal injuries: A cross-sectional Australian study of 1266 women alleging recent sexual assault. Forensic Science International, 275, 195–202. https://doi.org/10.1016/j.forsciint.2017.03.013
47.
ZinzowH. M.ResnickH. S.McCauleyJ. L.AmstadterA. B.RuggieroK. J.KilpatrickD. G. (2012). Prevalence and risk of psychiatric disorders as a function of variant rape histories: Results from national survey of women. Social Psychiatry and Psychiatric Epidemiology, 47(6), 893–902. https://doi.org/10.1007/s00127-011-0397-1
