000			02993nab a2200397Ia 4500
001			114701
005			20250625151148.0
008			110331s2006 eng
022			_a1034-4810
040			_aWSS _dAFV
100			_aKelly, Patrick _91477
245			_aDiagnostic findings in alleged sexual abuse : _bsymptoms have no predictive value _cKelly, Patrick; Koh, Jean; Thompson, John
260			_bBlackwell Publishing _c2006
365			_a00 _b0
520			_aThis journal article reports the findings of a study of demographic characteristics and trends, indications for referral and medical findings in children and young people seen for suspected sexual abuse. The study was carried out as an audit of the regional specialist child abuse assessment unit base at Starship Hospital Auckland known as Te Puaruruhau. The method of analysis was retrospective review of consecutive medical records over a 7-year period from 1992 to 1998. Genital examinations were performed in 2162 of the 2310 new patient cases in which sexual abuse and/or genital symptoms were a concern. Of these 2134 were statistically analysed. The age range of these patients was 1 month to 17 years, with peaks at 3 and 14 years. Eighty-six percent of patients were female. The majority of referrals were from statutory authorities. A marked reduction in these was noted from 1997. In cases where perpetrator information was available, 97% were male and 92% were family members or friends. Medical findings diagnostic of sexual abuse were found in 130 cases (6%). Diagnostic findings were more likely to be found in adolescent girls. The authors argue that, in general, physical symptoms were of no value in differentiating between patients who had been sexually abused and those who had not. In conclusion, the authors argue that the demographics are in agreement with the literature. The authors suggest the reduction in referrals may be a reflection of changes in practice by statutory authorities. In pre-pubertal children, referrals were often made on the basis of physical symptoms, which, the authors argue, have no predictive value in the diagnosis of sexual abuse.
650	2	7	_2FVC _aADOLESCENTS _943
650	2	7	_2FVC _aCHILD NEGLECT _9114
650	2	7	_2FVC _aCHILD WELFARE _9124
650	2	7	_2FVC _aCHILDREN AT RISK _9131
650	2	7	_2FVC _aCHILDREN _9127
650	2	7	_2FVC _aHEALTH _9283
650	2	7	_2FVC _aINTERVENTION _9326
650	2	7	_2FVC _aMEDICAL CARE _9368
650	2	7	_2FVC _aSURVIVORS _9593
650	2	7	_2FVC _aTREATMENT _9613
650	2	4	_aVICTIMS OF CRIMES _9623
650	2	4	_aVICTIMS OF DOMESTIC VIOLENCE _9624
650	2	7	_9458 _aPREVENTION _2FVC
650	2	7	_9103 _aCHILD ABUSE _2FVC
650	2	4	_aSEXUAL VIOLENCE _9531
700	1		_aKoh, Jean _91505
700	1		_aThompson, John _92208
500			_aJournal of Paediatrics and Child Health, 42(3) March 2006 : 112-117
773	0		_tJournal of Paediatrics and Child Health, 42(3) March 2006 : 112-117
942			_2ddc _cARTICLE
999			_c2008 _d2008