Comparative Study of Acute Anogenital Injury Between Consensual and Nonconsensual Postmenarche Adolescents
1
Issued Date
2022-06-01
Resource Type
eISSN
1533404X
Scopus ID
2-s2.0-85130639061
Pubmed ID
34939945
Journal Title
The American journal of forensic medicine and pathology
Volume
43
Issue
2
Start Page
126
End Page
141
Rights Holder(s)
SCOPUS
Bibliographic Citation
The American journal of forensic medicine and pathology Vol.43 No.2 (2022) , 126-141
Suggested Citation
Suttipasit P., Sinlapamongkolkul P., Wongwittayapanich S. Comparative Study of Acute Anogenital Injury Between Consensual and Nonconsensual Postmenarche Adolescents. The American journal of forensic medicine and pathology Vol.43 No.2 (2022) , 126-141. 141. doi:10.1097/PAF.0000000000000738 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/87298
Title
Comparative Study of Acute Anogenital Injury Between Consensual and Nonconsensual Postmenarche Adolescents
Author's Affiliation
Other Contributor(s)
Abstract
ABSTRACT: In Thailand, sexual activity involving those under the legal age of consent may be legally and medically problematic, even if it is consensual. Thus, differentiating anogenital injury characteristics that occur during consensual versus nonconsensual acts with adolescent female subjects could aid legal advocates and improve health care and social support for these patients. Our study included postmenarche female patients having acute anogenital injuries after consensual and nonconsensual penetration. We found that nonconsenting patients had more cases of anogenital injury than consenting (69.8% vs 55.5%), with at least 1 abrasion, contusion, laceration, labia major or minor injury, and external or internal site injury. Both consensual and nonconsensual cases had the same common sites for injury type, reflecting the same injury mechanism; prior sexual intercourse was a significant protective factor against some anogenital injury prevalence, types, and sites for both groups. Adolescents forced into nonconsensual acts had more nonanogenital injuries. Looking at factors such as age, prior sexual activity history, and use of condom and/or contraceptive pills, it is very clear that early sexual education, particularly around consent, is critically needed in Thailand for the best interests of adolescents and children so that they and/or their guardians can access the health and legal resources required.