Changes in Psychiatric and Medical Conditions and Health Care Utilization Following a Diagnosis of Sexual Assault
A Retrospective Cohort Study
Bibliographic Data
| ID | 9097965 |
|---|---|
| Authors | Kelly C Young-Wolff (0000-0002-6177-534X, Kaiser Permanente Northern California, corresponding author), Varada Sarovar (0009-0005-1860-5133, Kaiser Permanente Northern California, corresponding author), Daniella Klebaner (0000-0003-2523-4164, Kaiser Permanente Northern California, corresponding author), Felicia Chi (Kaiser Permanente Northern California, corresponding author), Brigid McCaw (0000-0001-5113-2853, Kaiser Permanente) |
| Year | 2018 |
| Volume | 56 |
| Issue | 8 |
| Pages | 649-657 |
| Publication date | 2018-08-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000000930 |
| PMID | 29781924 |
| OpenAlex | W2803299850 |
| Language | EN |
| Citations received | 5 |
| References cited | 22 |
INTRODUCTION: Sexual assault (SA) is alarmingly common and is associated with higher prevalence of psychiatric and medical conditions. However, many prior studies are limited to cross-sectional designs. Health care systems with electronic health records provide unique longitudinal data to examine whether SA is associated with changes in health and health care utilization. METHODS: The sample included 1350 Kaiser Permanente Northern California adult female patients with a SA diagnosis from 2009 to 2015 and 4050 adult female patients without a SA diagnosis, matched on age, medical facility, and continuous enrollment during the study period. Using a retrospective cohort design, we tested whether a SA diagnosis was associated with 12-month changes in psychiatric and medical comorbidities and health care utilization using difference-in-difference models. Analyses were conducted in 2017. RESULTS: Patients with a SA diagnosis had a higher prevalence of psychiatric and medical comorbidities and greater health care utilization than matched patients without SA in the 12 months before the SA diagnosis, and greater increases in the prevalence of psychiatric disorders and stress-related somatic conditions, and psychiatry and obstetrics/gynecology utilization (all P<0.001), 12 months after the SA diagnosis, relative to matched non-SA patients during this time. DISCUSSION: SA is associated with increases in psychiatric disorders and stress-related somatic conditions as well as increases in utilization of psychiatry and obstetrics/gynecology. Clinicians should be trained in how to inquire about, respond to, and refer women who have experienced SA
Health care · Medical emergency · Poison control · Psychiatry · Sexual assault · Suicide prevention · Child Abuse and Trauma · Medicine · Psychology · Sexual Assault and Victimization Studies · Sexual function and dysfunction studies
Having One Person Tell Me I Didn’t Do the Wrong Thing”
Sexual Assault Survivors’ Individual and Group Therapy Experiences at Rape Crisis Center
Lifetime History of Sexual Assault and Emergency Department Service Use among Women Veterans
Sexual Assault and Women’s Health
Coming out of the closet about sexual assault
Sexual assault victimization and psychopathology
Adverse childhood experiences and sexual victimization in adulthood
Intimate Partner Violence and Adverse Health Consequences
From the Margins to the Center
Health Care-Based Interventions for Women Who Have Experienced Sexual Violence
Predictors of posttraumatic stress disorder and symptoms in adults
Relationships between sexual violence and chronic disease
Sexual assault history and use of health and mental health services
Predictors of posttraumatic stress disorder and symptoms in adults
| Citations per year | 0.63 |
|---|---|
| Citation span | 2018 - 2024 (7) |
| Highly cited | No |