Journal of forensic and legal medicine · 2025
Patterns and predictors of genital tract injuries among pre-pubertal and adolescent girls with child sexual abuse in Nigeria.
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Okunola Temitope Omoladun, Aduloju Olusola Peter, Olofinbiyi Babatunde Ajayi, Olatunya Oladele Simeon, Solomon Olusoji Abidemi, Olaogun Oluwole Dominic
Аннотация
BACKGROUND: Genital tract injuries are common following child sexual abuse. We aimed to describe the pattern of genital tract injuries and assess the predictors of genital tract injuries following child sexual abuse.
METHOD: ology: This was a cross-sectional study involving survivors of child sexual abuse in Ekiti State, Nigeria. The medical records of 386 children who received medical care on account of contact sexual abuse at Ekiti Sexual Assault Referral Centre, Ado- Ekiti, between June 2020 and August 2024 were reviewed and categorised according to Sommer's classification of genital injuries. Data were analysed with SPSS version 29. Binominal logistic regression was used to assess the predictors. A p-value of <0.05 was taken as statistically significant.
RESULTS: Of the 386 participants, 184 (47.7 %) had genital tract injuries, 43 (11.1 %) had severe genital tract injuries, and 123 (31.9 %) had hymenal injuries. Genital tract injuries were mostly entry-point injuries. Predictors of genital tract injuries were prior sexual activity (OR 0.52, 95 % CI 0.30-0.91, p = 0.002), use of force (OR 3.2, 95 % CI 1.64-6.26, p < 0.001), use of inducement (OR 0.55, 95 % CI 0.29-0.89, p = 0.04), other body injuries (OR 4.78, 95 % CI 1.51-15.1, p = 0.008), and injury to the perpetrator (OR 2.79, 95 % CI 1.92-8.39, p = 0.04).
CONCLUSION: The prevalence of anogenital tract injuries is comparable between pre-pubertal and adolescent girls. Diverse factors may preclude genital tract injuries in child sexual abuse; the use of force during the act remains the pivotal predictor, while prior sexual activity halves the risk.
METHOD: ology: This was a cross-sectional study involving survivors of child sexual abuse in Ekiti State, Nigeria. The medical records of 386 children who received medical care on account of contact sexual abuse at Ekiti Sexual Assault Referral Centre, Ado- Ekiti, between June 2020 and August 2024 were reviewed and categorised according to Sommer's classification of genital injuries. Data were analysed with SPSS version 29. Binominal logistic regression was used to assess the predictors. A p-value of <0.05 was taken as statistically significant.
RESULTS: Of the 386 participants, 184 (47.7 %) had genital tract injuries, 43 (11.1 %) had severe genital tract injuries, and 123 (31.9 %) had hymenal injuries. Genital tract injuries were mostly entry-point injuries. Predictors of genital tract injuries were prior sexual activity (OR 0.52, 95 % CI 0.30-0.91, p = 0.002), use of force (OR 3.2, 95 % CI 1.64-6.26, p < 0.001), use of inducement (OR 0.55, 95 % CI 0.29-0.89, p = 0.04), other body injuries (OR 4.78, 95 % CI 1.51-15.1, p = 0.008), and injury to the perpetrator (OR 2.79, 95 % CI 1.92-8.39, p = 0.04).
CONCLUSION: The prevalence of anogenital tract injuries is comparable between pre-pubertal and adolescent girls. Diverse factors may preclude genital tract injuries in child sexual abuse; the use of force during the act remains the pivotal predictor, while prior sexual activity halves the risk.