2.50
Hdl Handle:
http://hdl.handle.net/2336/3531
Title:
A history of sexual abuse and health: a Nordic multicentre study
Authors:
Hilden, Malene; Schei, Berit; Swahnberg, Katarina; Halmesmäki, Erja; Langhoff-Roos, Jens; Offerdal, Kristin; Pikarinen, Ulla; Sidenius, Katrine; Steingrimsdottir, Tora; Stoum-Hinsverk, Hildegun; Wijma, Barbro
Citation:
BJOG 2004, 111(10):1121-7
Issue Date:
2004
Abstract:
OBJECTIVES: To determine if a history of sexual abuse is associated with objective and subjective indicators of health and if certain abusive incidents had a stronger impact on health than others. DESIGN: A cross-sectional, multicentre study. SETTING: Five gynaecological departments in the five Nordic countries. SAMPLE: Three thousand five hundred and thirty-nine gynaecology patients. METHODS: The NorVold Abuse Questionnaire (NorAQ) on abuse history and current health was mailed to all patients who consented to participate. MAIN OUTCOME MEASURES: Reason for index visit at the gynaeocological clinic as well as several questions on health were recorded. General health status was measured as self-estimated health, psychosomatic symptoms (headache, abdominal pain, muscle, weakness, dizziness), number of health care visits and number of periods on sick leave. RESULT: A history of sexual abuse was reported by 20.7% of respondents. A history of sexual abuse was significantly associated with chronic pelvic pain as reason for index visit (P < 0.01), laparoscopic surgery (P < 0.01), psychosomatic symptoms (P < 0.01), self-estimated poor health (P < 0.01), many health care visits (P < 0.01) and high incidence of sick leave (P < 0.01). Several subgroups within the group of sexually abused women were more likely to report poor health: women abused as both children and adults, women who experienced additional emotional and/or physical abuse and women abused by a person they knew. CONCLUSION: Sexual abuse has a profound impact on women's health. Taking a history of sexual abuse seems particularly warranted when the patient presents with chronic pelvic pain or symptoms of a vague and diffuse nature.
Additional Links:
http://www.blackwell-synergy.com/doi/abs/10.1111/j.1471-0528.2004.00205.x

Full metadata record

DC FieldValue Language
dc.contributor.authorHilden, Malene-
dc.contributor.authorSchei, Berit-
dc.contributor.authorSwahnberg, Katarina-
dc.contributor.authorHalmesmäki, Erja-
dc.contributor.authorLanghoff-Roos, Jens-
dc.contributor.authorOfferdal, Kristin-
dc.contributor.authorPikarinen, Ulla-
dc.contributor.authorSidenius, Katrine-
dc.contributor.authorSteingrimsdottir, Tora-
dc.contributor.authorStoum-Hinsverk, Hildegun-
dc.contributor.authorWijma, Barbro-
dc.date.accessioned2006-07-21T13:28:13Z-
dc.date.available2006-07-21T13:28:13Z-
dc.date.issued2004-
dc.identifier.citationBJOG 2004, 111(10):1121-7en
dc.identifier.issn1470-0328-
dc.identifier.pmid15383115-
dc.identifier.doi10.1111/j.1471-0528.2004.00205.x-
dc.identifier.urihttp://hdl.handle.net/2336/3531-
dc.description.abstractOBJECTIVES: To determine if a history of sexual abuse is associated with objective and subjective indicators of health and if certain abusive incidents had a stronger impact on health than others. DESIGN: A cross-sectional, multicentre study. SETTING: Five gynaecological departments in the five Nordic countries. SAMPLE: Three thousand five hundred and thirty-nine gynaecology patients. METHODS: The NorVold Abuse Questionnaire (NorAQ) on abuse history and current health was mailed to all patients who consented to participate. MAIN OUTCOME MEASURES: Reason for index visit at the gynaeocological clinic as well as several questions on health were recorded. General health status was measured as self-estimated health, psychosomatic symptoms (headache, abdominal pain, muscle, weakness, dizziness), number of health care visits and number of periods on sick leave. RESULT: A history of sexual abuse was reported by 20.7% of respondents. A history of sexual abuse was significantly associated with chronic pelvic pain as reason for index visit (P < 0.01), laparoscopic surgery (P < 0.01), psychosomatic symptoms (P < 0.01), self-estimated poor health (P < 0.01), many health care visits (P < 0.01) and high incidence of sick leave (P < 0.01). Several subgroups within the group of sexually abused women were more likely to report poor health: women abused as both children and adults, women who experienced additional emotional and/or physical abuse and women abused by a person they knew. CONCLUSION: Sexual abuse has a profound impact on women's health. Taking a history of sexual abuse seems particularly warranted when the patient presents with chronic pelvic pain or symptoms of a vague and diffuse nature.en
dc.language.isoenen
dc.publisherBlackwellen
dc.relation.urlhttp://www.blackwell-synergy.com/doi/abs/10.1111/j.1471-0528.2004.00205.xen
dc.subjectAdolescenten
dc.subjectAdulten
dc.subjectAgeden
dc.subjectCross-Sectional Studiesen
dc.subjectHealth Statusen
dc.subjectHumansen
dc.subjectIceland/epidemiologyen
dc.subjectMiddle Ageden
dc.subjectPelvic Painen
dc.subjectPrevalenceen
dc.subjectPsychophysiologic Disordersen
dc.subjectRegression Analysisen
dc.subjectResearch Support, Non-U.S. Gov'ten
dc.subjectScandinavia/epidemiologyen
dc.subjectSex Offenses/psychologyen
dc.titleA history of sexual abuse and health: a Nordic multicentre studyen
dc.typeArticleen
dc.identifier.journalBJOG : an international journal of obstetrics and gynaecologyen
dc.format.digYES-

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