Evidence map›Paper›PMID 33032388›Full record

ArticleDepression and anxiety2021

Health care utilization by women sexual assault survivors after emergency care: Results of a multisite prospective study.

Nicole A Short, Megan Lechner, Benjamin S McLean, Andrew S Tungate, Jenny Black, Jennie A Buchanan, Rhiannon Reese, Jeffrey D Ho, Gordon D Reed, Melissa A Platt and 10 more

Open access · greenAbstract read
In one paragraph

Article in Depression and anxiety, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 35 citations in OpenAlex.

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  11. Adolescent Female Victims of Sexual Violence: Analysis of Loss of Follow-up after Emergency Care and Outpatient Follow-up.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2023
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  16. "I still feel so lost": experiences of women receiving SANE care during the year after sexual assault.Journal of the American College of Emergency Physicians open · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 16 institutions in 1 country.

Nicole A ShortDepartment of Anesthesiology, Institute for Trauma Recovery, University of North Carolina, Chapel Hill, North Carolina, USA.
Megan LechnerForensic Nurse Examiner Team, UC Health Memorial Hospital, Colorado Springs, Colorado, USA.
Benjamin S McLeanDepartment of Anesthesiology, Institute for Trauma Recovery, University of North Carolina, Chapel Hill, North Carolina, USA.
Andrew S TungateDepartment of Anesthesiology, Institute for Trauma Recovery, University of North Carolina, Chapel Hill, North Carolina, USA.
Jenny BlackAustin SAFE, The SAFE Alliance, Austin, Texas, USA.
Jennie A BuchananDepartment of Emergency Medicine, Denver Health, Denver, Colorado, USA.
Rhiannon ReeseSexual Assault Services, Crisis Center Birmingham, Birmingham, Alabama, USA.
Jeffrey D HoDepartment of Emergency Medicine, Hennepin Healthcare, Minneapolis, Minnesota, USA.
Gordon D ReedDepartment of Emergency Medicine, Christiana Care, Newark, Delaware, USA.
Melissa A PlattDepartment of Emergency Medicine, University of Louisville, Louisville, Kentucky, USA.
Ralph J RivielloDepartment of Emergency Medicine, University of Texas Health San Antonio, Texas, USA.
Catherine H RossiForensic Nursing Program, Cone Health, Greensboro, North Carolina, USA.
Patricia P NouhanDepartment of Emergency Medicine, Wayne State University, Detroit, Michigan, USA.
Carolyn A PhillipsDepartment of Emergency Medicine, DC SANE, Washington, District of Columbia, USA.
Sandra L MartinDepartment of Anesthesiology, Institute for Trauma Recovery, University of North Carolina, Chapel Hill, North Carolina, USA.
Israel LiberzonDepartment of Psychiatry, Texas A&M University, Bryan, Texas, USA.
Sheila A M RauchDepartment of Psychiatry and Behavioral Sciences, Emory University, Atlanta, Georgia, USA.
Kenneth A BollenDepartment of Anesthesiology, Institute for Trauma Recovery, University of North Carolina, Chapel Hill, North Carolina, USA.
Ronald C KesslerDepartment of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA.
Samuel A McLeanDepartment of Anesthesiology, Institute for Trauma Recovery, University of North Carolina, Chapel Hill, North Carolina, USA.
University of North Carolina at Chapel Hill · USApplied Physical Sciences (United States) · USBryan College · USChristiana Care Health System · USCone Health · USDenver Health Medical Center · USDistrict of Columbia Department of Health · USEmory University · USHarvard University · USHennepin Healthcare Research Institute · USSafe States Alliance · USThe University of Texas Health Science Center at San Antonio · USUniversity of Alabama at Birmingham · USUniversity of Colorado Denver · USUniversity of Louisville · USWayne State University · US

Funding

Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Influence of PTSD Symptoms on Chronic Pain Development after Sexual AssaultR01AR064700 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MCLEAN, SAMUEL A. · 2014 to 2018
$3.6M
NIAMS NIH HHS R01 AR064700NICHD NIH HHS P2C HD050924
6 · The paper itself

Abstract

backgroundApproximately, 100,000 US women receive emergency care after sexual assault each year, but no large-scale study has examined the incidence of posttraumatic sequelae, receipt of health care, and frequency of assault disclosure to providers. The current study evaluated health outcomes and service utilization among women in the 6 weeks after sexual assault.

methodsWomen ≥18 years of age presenting for emergency care after sexual assault to twelve sites were approached. Among those willing to be contacted for the study (n = 1080), 706 were enrolled. Health outcomes, health care utilization, and assault disclosure were assessed via 6 week survey.

resultsThree quarters (76%) of women had posttraumatic stress, depression, or anxiety, and 65% had pain. Less than two in five reported seeing health care provider; receipt of care was not related to substantive differences in symptoms and was less likely among Hispanic women and women with a high school education or less. Nearly one in four who saw a primary care provider did not disclose their assault, often due to shame, embarrassment, or fear of being judged.

conclusionMost women receiving emergency care after sexual assault experience substantial posttraumatic sequelae, but health care in the 6 weeks after assault is uncommon, unrelated to substantive differences in need, and limited in socially disadvantaged groups. Lack of disclosure to primary care providers was common among women who did receive care.

Indexed as

Emergency Medical ServicesSex OffensesAdolescentAdultFemaleHumansPatient Acceptance of Health CareProspective StudiesSurvivorsYoung Adultemergency carehealth services utilizationposttraumatic stresssexual assault

Identifiers

PMID33032388
PMCPMC7785610
OpenAlexW3091912197

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.