Sexual assault as a risk factor for gynaecological morbidity: An exploratory systematic review and meta-analysis
Among Australian females, sexual assault affects 1 in 5 Australian women [1], and 1 in 10 girls [2]. While it is well known that females who experience sexual assault have an increased risk of future pelvic pain, there is limited knowledge regarding the occurrence of other gynaecological morbidity....
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| Veröffentlicht in: | European journal of obstetrics & gynecology and reproductive biology Jg. 255; S. 222 - 230 |
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| Format: | Journal Article |
| Sprache: | Englisch |
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Elsevier B.V
01.12.2020
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| ISSN: | 0301-2115, 1872-7654, 1872-7654 |
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| Abstract | Among Australian females, sexual assault affects 1 in 5 Australian women [1], and 1 in 10 girls [2]. While it is well known that females who experience sexual assault have an increased risk of future pelvic pain, there is limited knowledge regarding the occurrence of other gynaecological morbidity.
We performed systematic review and meta-analysis for the relationship between sexual assault and gynaecological morbidity. We searched online electronic databases for observational studies on the subject published between 1993 and 2018. Search terms included variants of ‘sexual abuse’, ‘sexual assault’ and a range of gynaecological morbidity. Two independent reviewers completed study selection, quality assessment and data extraction. For each gynaecological symptom we calculated common odds ratios and 95 % confidence intervals in relation to sexual abuse history. Our search identified 1846 studies, of which 38 studies were included. A history of sexual assault was significantly associated with overall gynaecological morbidity (RR 1.42; 95%CI, 1.27–1.59), pelvic pain (RR 1.60; 95%CI, 1.36–1.89), ‘dyspareunia’ (pooled RR 1.74, 95%CI, 1.50–2.02); ‘dysmenorrhea’ (pooled RR 1.20; 95%CI, 1.11–1.29); ‘abnormal menstrual bleeding’ (pooled RR 1.29; 95%CI, 1.12–1.49)) and ‘urinary incontinence’ (pooled RR 1.31; 95%CI, 1.12–1.53)), while association was not statistically significant for ‘vaginismus’(pooled RR 1.71; 95%CI, 0.87–3.36) and ‘vulvodynia’ (pooled RR 1.49; 95%CI, 0.76–2.91). There was no relation with ‘prolapse’ (pooled RR 1.10; 95%CI, 0.53–2.30). Females with a history of sexual assault have a significantly increased risk of different gynaecological disorders later in life. |
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| AbstractList | Among Australian females, sexual assault affects 1 in 5 Australian women [1], and 1 in 10 girls [2]. While it is well known that females who experience sexual assault have an increased risk of future pelvic pain, there is limited knowledge regarding the occurrence of other gynaecological morbidity. We performed systematic review and meta-analysis for the relationship between sexual assault and gynaecological morbidity. We searched online electronic databases for observational studies on the subject published between 1993 and 2018. Search terms included variants of 'sexual abuse', 'sexual assault' and a range of gynaecological morbidity. Two independent reviewers completed study selection, quality assessment and data extraction. For each gynaecological symptom we calculated common odds ratios and 95 % confidence intervals in relation to sexual abuse history. Our search identified 1846 studies, of which 38 studies were included. A history of sexual assault was significantly associated with overall gynaecological morbidity (RR 1.42; 95%CI, 1.27-1.59), pelvic pain (RR 1.60; 95%CI, 1.36-1.89), 'dyspareunia' (pooled RR 1.74, 95%CI, 1.50-2.02); 'dysmenorrhea' (pooled RR 1.20; 95%CI, 1.11-1.29); 'abnormal menstrual bleeding' (pooled RR 1.29; 95%CI, 1.12-1.49)) and 'urinary incontinence' (pooled RR 1.31; 95%CI, 1.12-1.53)), while association was not statistically significant for 'vaginismus'(pooled RR 1.71; 95%CI, 0.87-3.36) and 'vulvodynia' (pooled RR 1.49; 95%CI, 0.76-2.91). There was no relation with 'prolapse' (pooled RR 1.10; 95%CI, 0.53-2.30). Females with a history of sexual assault have a significantly increased risk of different gynaecological disorders later in life. Among Australian females, sexual assault affects 1 in 5 Australian women [1], and 1 in 10 girls [2]. While it is well known that females who experience sexual assault have an increased risk of future pelvic pain, there is limited knowledge regarding the occurrence of other gynaecological morbidity. We performed systematic review and meta-analysis for the relationship between sexual assault and gynaecological morbidity. We searched online electronic databases for observational studies on the subject published between 1993 and 2018. Search terms included variants of ‘sexual abuse’, ‘sexual assault’ and a range of gynaecological morbidity. Two independent reviewers completed study selection, quality assessment and data extraction. For each gynaecological symptom we calculated common odds ratios and 95 % confidence intervals in relation to sexual abuse history. Our search identified 1846 studies, of which 38 studies were included. A history of sexual assault was significantly associated with overall gynaecological morbidity (RR 1.42; 95%CI, 1.27–1.59), pelvic pain (RR 1.60; 95%CI, 1.36–1.89), ‘dyspareunia’ (pooled RR 1.74, 95%CI, 1.50–2.02); ‘dysmenorrhea’ (pooled RR 1.20; 95%CI, 1.11–1.29); ‘abnormal menstrual bleeding’ (pooled RR 1.29; 95%CI, 1.12–1.49)) and ‘urinary incontinence’ (pooled RR 1.31; 95%CI, 1.12–1.53)), while association was not statistically significant for ‘vaginismus’(pooled RR 1.71; 95%CI, 0.87–3.36) and ‘vulvodynia’ (pooled RR 1.49; 95%CI, 0.76–2.91). There was no relation with ‘prolapse’ (pooled RR 1.10; 95%CI, 0.53–2.30). Females with a history of sexual assault have a significantly increased risk of different gynaecological disorders later in life. Among Australian females, sexual assault affects 1 in 5 Australian women [1], and 1 in 10 girls [2]. While it is well known that females who experience sexual assault have an increased risk of future pelvic pain, there is limited knowledge regarding the occurrence of other gynaecological morbidity. We performed systematic review and meta-analysis for the relationship between sexual assault and gynaecological morbidity. We searched online electronic databases for observational studies on the subject published between 1993 and 2018. Search terms included variants of 'sexual abuse', 'sexual assault' and a range of gynaecological morbidity. Two independent reviewers completed study selection, quality assessment and data extraction. For each gynaecological symptom we calculated common odds ratios and 95 % confidence intervals in relation to sexual abuse history. Our search identified 1846 studies, of which 38 studies were included. A history of sexual assault was significantly associated with overall gynaecological morbidity (RR 1.42; 95%CI, 1.27-1.59), pelvic pain (RR 1.60; 95%CI, 1.36-1.89), 'dyspareunia' (pooled RR 1.74, 95%CI, 1.50-2.02); 'dysmenorrhea' (pooled RR 1.20; 95%CI, 1.11-1.29); 'abnormal menstrual bleeding' (pooled RR 1.29; 95%CI, 1.12-1.49)) and 'urinary incontinence' (pooled RR 1.31; 95%CI, 1.12-1.53)), while association was not statistically significant for 'vaginismus'(pooled RR 1.71; 95%CI, 0.87-3.36) and 'vulvodynia' (pooled RR 1.49; 95%CI, 0.76-2.91). There was no relation with 'prolapse' (pooled RR 1.10; 95%CI, 0.53-2.30). Females with a history of sexual assault have a significantly increased risk of different gynaecological disorders later in life.Among Australian females, sexual assault affects 1 in 5 Australian women [1], and 1 in 10 girls [2]. While it is well known that females who experience sexual assault have an increased risk of future pelvic pain, there is limited knowledge regarding the occurrence of other gynaecological morbidity. We performed systematic review and meta-analysis for the relationship between sexual assault and gynaecological morbidity. We searched online electronic databases for observational studies on the subject published between 1993 and 2018. Search terms included variants of 'sexual abuse', 'sexual assault' and a range of gynaecological morbidity. Two independent reviewers completed study selection, quality assessment and data extraction. For each gynaecological symptom we calculated common odds ratios and 95 % confidence intervals in relation to sexual abuse history. Our search identified 1846 studies, of which 38 studies were included. A history of sexual assault was significantly associated with overall gynaecological morbidity (RR 1.42; 95%CI, 1.27-1.59), pelvic pain (RR 1.60; 95%CI, 1.36-1.89), 'dyspareunia' (pooled RR 1.74, 95%CI, 1.50-2.02); 'dysmenorrhea' (pooled RR 1.20; 95%CI, 1.11-1.29); 'abnormal menstrual bleeding' (pooled RR 1.29; 95%CI, 1.12-1.49)) and 'urinary incontinence' (pooled RR 1.31; 95%CI, 1.12-1.53)), while association was not statistically significant for 'vaginismus'(pooled RR 1.71; 95%CI, 0.87-3.36) and 'vulvodynia' (pooled RR 1.49; 95%CI, 0.76-2.91). There was no relation with 'prolapse' (pooled RR 1.10; 95%CI, 0.53-2.30). Females with a history of sexual assault have a significantly increased risk of different gynaecological disorders later in life. AbstractAmong Australian females, sexual assault affects 1 in 5 Australian women [ 1], and 1 in 10 girls [ 2]. While it is well known that females who experience sexual assault have an increased risk of future pelvic pain, there is limited knowledge regarding the occurrence of other gynaecological morbidity. We performed systematic review and meta-analysis for the relationship between sexual assault and gynaecological morbidity. We searched online electronic databases for observational studies on the subject published between 1993 and 2018. Search terms included variants of ‘sexual abuse’, ‘sexual assault’ and a range of gynaecological morbidity. Two independent reviewers completed study selection, quality assessment and data extraction. For each gynaecological symptom we calculated common odds ratios and 95 % confidence intervals in relation to sexual abuse history. Our search identified 1846 studies, of which 38 studies were included. A history of sexual assault was significantly associated with overall gynaecological morbidity (RR 1.42; 95%CI, 1.27–1.59), pelvic pain (RR 1.60; 95%CI, 1.36–1.89), ‘dyspareunia’ (pooled RR 1.74, 95%CI, 1.50–2.02); ‘dysmenorrhea’ (pooled RR 1.20; 95%CI, 1.11–1.29); ‘abnormal menstrual bleeding’ (pooled RR 1.29; 95%CI, 1.12–1.49)) and ‘urinary incontinence’ (pooled RR 1.31; 95%CI, 1.12–1.53)), while association was not statistically significant for ‘vaginismus’(pooled RR 1.71; 95%CI, 0.87–3.36) and ‘vulvodynia’ (pooled RR 1.49; 95%CI, 0.76–2.91). There was no relation with ‘prolapse’ (pooled RR 1.10; 95%CI, 0.53–2.30). Females with a history of sexual assault have a significantly increased risk of different gynaecological disorders later in life. |
| Author | Kelso, Emma Yisma, Engida Chowdary, Prathima Hassam, Tayla Han, Alice Mol, Ben W. |
| Author_xml | – sequence: 1 givenname: Tayla surname: Hassam fullname: Hassam, Tayla email: taylahass11@gmail.com organization: Department of Obstetrics and Gynecology, Lyell McEwin Hospital, Haydown Road Elizabeth Vale, SA 5112, Australia – sequence: 2 givenname: Emma surname: Kelso fullname: Kelso, Emma email: emma.v.kelso@gmail.com organization: Department of Obstetrics and Gynecology, Flinders Medical Centre, Flinders Drive, Bedford Park, SA 5042, Australia – sequence: 3 givenname: Prathima surname: Chowdary fullname: Chowdary, Prathima email: prath1mak@yahoo.co.in organization: i3, Waitemata District Health Board, Private Bag 93-503, Takapuna, Auckland, 0740, New Zealand – sequence: 4 givenname: Engida orcidid: 0000-0003-0703-1515 surname: Yisma fullname: Yisma, Engida email: engida.derbie@adelaide.edu.au organization: Faculty of Health and Medical Sciences, The University of Adelaide, Level 3, Helen Mayo North, Frome Road, North Terrace Campus, Adelaide, 5005, Australia – sequence: 5 givenname: Ben W. surname: Mol fullname: Mol, Ben W. email: Ben.Mol@monash.edu organization: Department of Obstetrics and Gynaecology, Monash University, 246 Clayton Road, Clayton, 3168, Australia – sequence: 6 givenname: Alice orcidid: 0000-0001-8197-4955 surname: Han fullname: Han, Alice email: alh262@mail.harvard.edu organization: Department of Obstetrics and Gynaecology, Monash University, 246 Clayton Road, Clayton, 3168, Australia |
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| Keywords | Child abuse Sexual Gynecology Female Morbidity Sex offenses Genital diseases |
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| Snippet | Among Australian females, sexual assault affects 1 in 5 Australian women [1], and 1 in 10 girls [2]. While it is well known that females who experience sexual... AbstractAmong Australian females, sexual assault affects 1 in 5 Australian women [ 1], and 1 in 10 girls [ 2]. While it is well known that females who... |
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| SubjectTerms | Australia Child abuse Female Genital diseases Gynecology Humans Morbidity Obstetrics and Gynecology Prolapse Risk Factors Sex Offenses Sexual |
| Title | Sexual assault as a risk factor for gynaecological morbidity: An exploratory systematic review and meta-analysis |
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