A source of healthcare disparity: race, skin color, and injuries after rape among adolescents and young adults.
A source of healthcare disparity: race, skin color, and injuries after rape among adolescents and young adults.
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DOI：
10.1111/j.1939-3938.2010.01070.x
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发表时间：
2010-01-01
影响因子：
1
通讯作者：
Sommers, Marilyn S
中科院分区：
文献类型：
--
作者：
Baker, Rachel B;Fargo, Jamison D;Sommers, Marilyn S
由于成年女性的种族或肤色差异，强奸造成的肛门生殖器损伤可能存在差异。确定这些差异是否也与青少年和年轻人受伤患病率和频率的差异有关至关重要。在对医疗记录的回顾性审查中，我们检查了黑人青少年/年轻成年女性与白人女性在强奸后是否有不同的肛门生殖器损伤。接下来，我们研究了肤色差异是否在很大程度上解释了受伤方面的种族差异。我们回顾了 234 名 14 至 29 岁女性强奸受害者的图表。总体伤害发生率为 62.8%。种族与多个解剖部位的受伤频率显着相关，白人受害者的受伤频率高于黑人受害者。在许多解剖部位，肤色与受伤频率显着相关，浅色皮肤的受害者比深色皮肤的受害者遭受更多伤害。即使将肤色纳入关系中，种族仍然是一个统计上显着的因素，这表明种族和伤害之间的关系可能比仅仅被错误标记为种族差异的肤色差异更复杂。
Differences in anogenital injury resulting from rape may occur because of racial or skin color differences in adult women. It is critical to determine if these differences also are associated with differences in injury prevalence and frequency in adolescents and young adults. In a retrospective review of medical records, we examined whether Black adolescent/young adult females had different anogenital injuries as compared to White females following rape. Next, we examined whether skin color differences explained a significant amount of the racial difference in injuries. We reviewed charts of 234 female victims of rape ages 14 to 29. Overall injury prevalence was 62.8%. Race was significantly associated with frequency of injuries in several anatomical locations, with White victims having a higher frequency of injuries than Black victims. Skin color was significantly associated with injury frequency in many anatomical locations, with victims with light skin sustaining more injuries than victims with dark skin. Even when skin color was included in the relationship, race remained a statistically significant factor, suggesting that the relationship between race and injuries may be more complicated than merely a skin color difference that has been mislabeled a racial difference.