Analysis of Sexually Assault Patients Presenting at a Secondary Hospital, South Africa

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DOI: 10.21522/TIJPH.2013.10.03.Art023

Authors : Reji E, Olayiwola Akintunde

Abstract:

Sexual assault and rape remain a huge problem in South Africa. However, only a few studies have investigated the association of demographic features and characteristics of sexual assault on the victims. The prevalence of rape in women globally is 7.2%, and in Sub-Saharan Africa 3 (21%). The objective was to determine the sexual assault characteristics and the relationship between the sexual assault characteristics and the socio-demographics of patients who presented for counselling. A retrospective, cross-sectional study was undertaken by reviewing 501 patient files who presented to a secondary-level hospital. A data capture sheet was used to collect information. The analysis included descriptive statistics and Chi-square test. The mean age was 21.5 ± 12.3 years. The women that presented to the hospital were black (92.4%), single (95.4%), unemployed (83.8%), and had a school education (27.6%). Only 4% of the participants were males. Fifty-eight percent of the participants reported that sexual assault had taken place between a Friday and a Sunday, between 18.00 to 05.59 hours. Women older than 20 years were three times more susceptible to sexual assault at night (p = 0.00). Young women were sexually assaulted more frequently at the perpetrator’s place (p = 0.01), and at party venues or in cars (p = 0.01). Health workers play a big role through preventive, educative, and curative measures. Health talks in educational institutes and public areas should be enforced. Safety and security officials should consider the identified risk factors for sexual assault and targeted interventions.

Keywords: Crisis centre, Level two hospital, Sexual assault, Secondary hospital.

References:

[1] World Health Organization/London School of Hygiene and Tropical Medicine. 2010. Preventing intimate partner and sexual violence against women: Taking action and generating evidence. Geneva: World Health Organization. http://whqlibdoc.who.int/publications/2010/9789241564007_eng.pdf . ISBN 978 92 4 156400 7.

[2] Criminal law: Sexual Offences and Related Matters, Amendment Act No 32 of 2007(2020). www.justice.gov.za/legislation/acts/2007-032.pdf . Accessed on June 13th, 2022.

[3] Naidoo, K. (2013). Rape in South Africa, a call to action. S Afr Med J, 103(4), 210-211. Available at http://www.samj.org.za/index.php/samj/article/view/7204/5267. [http://dx.doi.org/10.7196/SAMJ.6802].

[4] South African Police Services. The crime situation in South Africa 2009-2010. Available at https://www.saps.gov.za/about/stratframework/annualreports_arch.php (Accessed on June 11th, 2022).

[5] Jewkes, R., Vundule, C., Maforah, F., Jordaan E. (2001). Relationship dynamics and teenage pregnancy in South Africa.SocialScienceandMedicine.52(5),733–744. https://www.sciencedirect.com/science/article/pii/S0277953600001775?via%3Dihub.

[6] Statistics South Africa. (2011). Victims of Crime Survey. Statistical release P0341. Available from http://www.statssa.gov.za/publications/P0341/P03412011.pdf.

[7] Ezechi, O, C, Adesolamusa, Z, David, A, N et al. (2016). Trends and patterns of sexual assaults in Lagos South western, Nigeria.PanAfrMedJ;24:261. www.ncbi.nlm.nih.gov.innopac.wits.ac.za/pmc/articles/PMC5075452/. doi:10.11604/pamj.2016.24.261.9172. http://www.panafrican-med-journal.com/content/article/24/261/pdf/261.pdf .

[8] Al-Azad, M, A, S, Rahman, Z, Ahmad, M, Wahab, M, A, Ali, M., Khalil, M, I. (2011) Socio-demographic characteristics of alleged sexual assault (rape) cases in Dhaka City. JAFMC;7(2):21-4. https://www.banglajol.info/index.php/JAFMC/article/download/10391/7677.

[9] Department of the Attorney General, Crime Prevention & Justice Assistance Division, State of Hawaii. (2004). Sexual Assault Victims in Honolulu, A Statistical Profile. http://ag.hawaii.gov/cpja/files/2013/01/Sex-Assault-Victims-2004.pdf.

[10] Ononge, S., Wandabwa, J., Kiondo, P., Busingye, R. (2005). Clinical presentation and management of alleged sexually assaulted females at Mulago hospital, Kampala, Uganda. African Health Sciences, 5(1): 50-4. PMCID: PMC1831897.

[11] Raj, A. and McDougal, L. (2014). Sexual Violence and Rape in India. The Lancet, Mar 8; 383:865. [PubMed]. http://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(14)60435-9.pdf (accessed 13.8.2017).

[12] Akinlusi, F, M, Rabiu, K, A., Olawepo, T, A., Adewunmi, AA., Ottun, T, A., Akinola, O, I. (2014). Sexual assault in Lagos, Nigeria: A five-year retrospective review. BMC women’s health 14:115. http://bmcwomenshealth.biomedcentral.com/articles/10.1186/1472-6874-14-115.

[13] Tiemensma M. (2016). Current approaches to the management of adult survivors of sexual offences. SAfrMedJ;106(11):1071-4. http://www.scielo.org.za/pdf/samj/v106n11/11.pdf .

[14] Ezechi, O, C., Adesolamusa, Z., David, A, N et al. (2016). Trends and patterns of sexual assaults in Lagos Nigeria.PanAfrMedJ;24:261. www.ncbi.nlm.nih.gov.innopac.wits.ac.za/pmc/articles/PMC5075452/. doi:10.11604/pamj.2016.24.261.9172 https://www.panafrican-medjournal.com/content/article/24/261/pdf/261.pdf.

[15] Azza, HE., Sahar, MM., Abeer, MH.(2011) Reported cases of female sexual assault over 5 years period in Suez Canal area, Egypt: Demographic study. Egyptian Journal of Forensic Sciences.1, 118-123 www.sciencedirect.com. https://doi.org/10.1016/j.ejfs.2011.08.002.

[16] Abbey, A., Zawacki, T., Buck, PO., Clinton, MA., McAuslan, P. (2004). Sexual assault and alcohol consumption: what do we know about their relationship, and what types of research are still needed? Aggressive Violent Behaviour. 9(3), 271-303. PMCID: PMC4616254. DOI: 10.1016/S1359-1789(03)00011-9.

[17] Abbey, A., Ross, LT., McDuffie, D. (1994). Alcohol’s role in sexual assault. Drug and Alcohol Abuse Reviews: Vol 5. Addictive Behaviours in Women. Totowa, NJ: Humana Press. 97-123. https://link.springer.com/chapter/10.1007/978-1-4612-0299-8_4.

[18] Abbey, A., Zawacki, T., Buck, PO., Testa, M., Parks, K., Norris, J., et al. (2002). How Does Alcohol Contribute to Sexual Assault? Explanations from Laboratory and Survey Data. Alcoholism: Clinical and Experimental Research. 26(4), 575-581. PMID 11981135. http://onlinelibrary.wiley.com/doi/10.1111/j.1530-0277.2002.tb02576.x/pdf.

[19] Crowell, NA. and Burgess, AW. (1996). Understanding Violence Against Women. Washington DC: National Academy Press. https://www.ncjrs.gov/pdffiles1/Digitization/162272NCJRS.pdf (accessed 07.8.2017).

[20] Bechtel, LK., and Holstege, CP. (2007). Criminal Poisoning: Drug-Facilitated Sexual Assault.
Emergency Medicine Clinics of North America.25(2),499-525. Philadelphia: WB Saunders Company. http://europepmc.org/abstract/MED/17482030.