The Centers for Disease Control and Prevention (CDC)'s updated guidelines for treating survivors of sexual assault include recommendations for treating them appropriately and minimizing further trauma. Women who have been forced to have sex are at greater risk for sexually transmitted diseases (STDs) than other women, but they are also less likely to be treated for their illness, according to study results presented at the 2016 CDC STD Prevention Conference in Atlanta.
"Overall, 19.5% of the women experienced forced sex in their life, which is consistent with what we saw in the literature, that about 1 in every 5 women experienced forced sex," Dr. Oscar Beltran, a research fellow in the Division of Sexually Transmitted Disease Prevention at CDC, said in his session at the conference.
"Sexual violence against women is a great issue right now in the United States. We need to better understand the links between the experiences, diagnoses, and treatment of sexual violence so clinicians evaluating the sexual history of their patients can identify the women at higher risk and give them timely referrals to interventions and programs that can assist them," he told Contagion®
Survivors of sexual assault should be examined by an experienced clinician who chooses to obtain genital or other specimens for STD diagnosis based on the individual survivor. Care systems for survivors should deliver continuity of care, including timely test results, support, and monitoring of any adverse reactions to treatment.
Dr. Beltran, a research fellow, and his co-authors Drs. Kate Brookmeyer and Neetu Abad, behavioral scientists in the Division of Sexually Transmitted Diseases in Atlanta, investigated how STD treatment pathways may be altered for women who have been coerced into sex.
They collected 2011 through 2013 data from the National Survey of Family Growth (NSFG) nationwide representative household survey of individuals aged 15 through 44 years, and they performed logistic regressions controlling for age, race/ethnicity, poverty level and education.
Overall, 25% of the 4962 women identified were 18 through 24 years of age; 38% were 25 through 34, and 37% were 35 through 44. A total of 20% of the women were Hispanic; 14% were non-Hispanic Black, 59% were non-Hispanic White, and 7% identified as other. A total of 11% of the women had not completed high school studies, 27% had graduated from high school or had completed their General Educational Development (GED) requirements, and 62% had education beyond high school.
For women 18 years of age and above who were sexually active, the researchers examined the links between forced vaginal intercourse perpetrated by anyone and the following conditions: risky sex (no condom use during most recent sex or 2 or more male partners in 12 months, no condom use at last sex, paid sex), risky partners (partner who is a man who has sex with men (MSM), an injection-drug user, or is HIV positive), and substance abuse (4 or more drinks within two hours within the last 30 days, use of cocaine, crack cocaine, crystal meth, or injection drugs within the last 12 months).
The researchers assessed the link between forced vaginal intercourse and lifetime diagnosis of herpes, syphilis, or genital warts; 12-month diagnosis of chlamydia or gonorrhea; and 12-month STD treatment.