Medical Assessment and Legal Outcome in Child Sexual Abuse

Article Abstract:

Physical findings suggestive of child sexual abuse are associated with an increased likelihood of prosecution and conviction of the perpetrator. Researchers reviewed the cases of 497 children examined for possible sexual abuse. When sexual abuse was disclosed by the child, the likelihood that physical signs would be detected, and that a criminal warrant would be issued, increased. However, prosecution and conviction were 2.5 times as likely in cases where the medical examination uncovered evidence of abuse than in cases where no physical signs were evident. The medical examination of the child can provide important evidence necessary to convict the abuser.

United States, Investigations, Medical examination, Crime, Child sexual abuse, Child sexual abusers, Sexually abused children

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Increased prevalence of abnormal Papanicolaou smears in urban adolescents

Article Abstract:

The rate of abnormal Pap smears among adolescent girls may be rising. Researchers analyzed trends in the development of abnormal cervical tissue as detected by Papanicolaou smears among 871 urban sexually active adolescent girls. From 1982 to 1983, the rate of abnormal Pap smears in this group was 2.8%; the rate climbed to 11.7% in 1992 to 1993. Rates of benign cervical cellular change rose from 8.7% in the 1980s to 20.1% in 1992 to 1993. Adolescent girls should be counseled to delay initiation of sexual activity or to limit high risk sexual behavior.

Abnormalities, Pap test

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Use of medication by adolescents for the management of menstrual discomfort

Article Abstract:

A large majority of adolescent girls experience menstrual discomfort, and many of them use over-the-counter (OTC) medications improperly and ineffectively. Many of the users of prescription drugs also varied from prescribed dosage. Of 291 adolescent girls, grades 10 through 12, 93% had menstrual discomfort and 70% of them used OTC medication. While most took the proper single dosage, 57% used it less often than the maximum daily dosage. Of the girls who were using prescribed medication, 29% took less or more than the prescribed amount.

Usage, Drug therapy, Dysmenorrhea, Self medication

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