The effects of skin pigmentation on the detection of genital injury from sexual assault

For the purposes of this study, injury was defined as any tissue trauma visible on inspection which was then subsequently classified using the TEARS classification system: tears, ecchymosis, abrasions, redness, or swelling in the topology proposed by Slaughter and Brown [3]. Because the registry dat...

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Bibliographic Details
Published in:The American journal of emergency medicine 2019-05, Vol.37 (5), p.974-975
Main Authors: Rossman, Linda, Solis, Stephanie, Rechtin, Crosby, Bush, Colleen, Wynn, Barbara, Jones, Jeffrey
Format: Article
Language:English
Subjects:
Adolescent
Adult
African Americans
Alcohol
Alcoholic beverages
Anal Canal - injuries
Anogenital
Colposcopy
Crime Victims
Demographics
Demography
Ecchymosis - diagnosis
Edema - diagnosis
Emergency medical care
Erythema - diagnosis
European Continental Ancestry Group
Female
Forensic Nursing
Genital injury
Genitalia, Female - injuries
Humans
Injuries
Lacerations - diagnosis
Marital status
Minority & ethnic groups
Patients
Physical Examination
Pigmentation
Police
Retrospective Studies
Sex crimes
Sex Offenses
Sexual assault
Sexual behavior
Sexual intercourse
Skin
Skin Pigmentation
Topology
Trauma
Vagina
White people
Young Adult
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Summary:For the purposes of this study, injury was defined as any tissue trauma visible on inspection which was then subsequently classified using the TEARS classification system: tears, ecchymosis, abrasions, redness, or swelling in the topology proposed by Slaughter and Brown [3]. Because the registry data does not provide specific information on skin pigmentation, race/ethnicity was used as a proxy for skin pigmentation [1]. The two cohorts were comparable in terms of age, marital status, type of sexual assault, alcohol and drug use, known assailant, and time to physical exam (Table 1). White Black Total 1862 (83.3%) 372 (16.7%) Age of victim, mean (SD) 25.2 (11.1) 26.3 (13.2) Marital status (% single) 75.7% 76.6% No prior history of sexual intercourse 12.4% 9.5% Alcohol or drug use
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2018.09.019