Evidence map›Paper›PMID 40660622›Full record

ArticleActa obstetricia et gynecologica Scandinavica2025

Changes in physical violence and injury during sexual assaults over time among females 16-29 years.

Frida M Larsson, Anna Nielsen, Zangin Zeebari, Mariano Salazar, Anna Mia Ekström, Anna Möller

Abstract read
In one paragraph

Article in Acta obstetricia et gynecologica Scandinavica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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0cells of the map it votes in
5citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Frida M LarssonDepartment of Global Public Health, Karolinska Institute, Stockholm, Sweden.ORCID 0000-0001-7080-5689
Anna NielsenDepartment of Global Public Health, Karolinska Institute, Stockholm, Sweden.
Zangin ZeebariDepartment of Global Public Health, Karolinska Institute, Stockholm, Sweden.ORCID 0000-0003-2733-4441
Mariano SalazarDepartment of Global Public Health, Karolinska Institute, Stockholm, Sweden.ORCID 0000-0001-6935-9781
Anna Mia EkströmDepartment of Global Public Health, Karolinska Institute, Stockholm, Sweden.
Anna MöllerDepartment of Clinical Science and Education, Södersjukhuset, Karolinska Institute, Stockholm, Sweden.ORCID 0000-0002-4097-6169

Funding

The research school of health science, Karolinska Institute 2020-026997
6 · The paper itself

Abstract

introductionDespite movements like "Me Too" and refined laws, many young people in Sweden still experience sexual violence. The changing nature and severity of these assaults are of significant interest, especially due to common long-term effects like post-traumatic stress disorder (PTSD). Understanding these trends can help healthcare providers support victims and develop effective prevention strategies. This study aimed to examine changes in the severity of physical violence and injury during sexual assaults over the past decade among women aged 16-29 in Stockholm, Sweden, with a particular focus on trends in non-fatal strangulation and its associated factors. MATERIAL AND

methodsThis retrospective study analyzed data from the Emergency Clinic for Rape Victims at South General Hospital, which centralizes care for sexual assault victims in Region Stockholm, Sweden. A final sample of 1074 records of women aged 16-29 was included in the analysis (299 in 2012, 391 in 2017, and 384 in 2022). Data were analyzed using descriptive and regression analysis to assess adjusted odds ratios (AORs) and 95% confidence intervals (CIs).

resultsMost victims experienced physical violence during sexual assault (65.3% in 2012, 68.1% in 2017 and 67.6% in 2022). In 2022, there was an increase in hitting (13.7% to 21.7%, p = 0.008), multiple physical violence (28.4% to 37.7%, p = 0.012), and severe physical violence (15.1% to 28.9% p < 0.001) compared to 2012. Non-fatal strangulation rose significantly from 8.2% in 2012 to 24.5% in 2022 (p < 0.001), with adjusted AORs of 2.2 (95% CI: 1.2, 3.9) in 2017 and 3.3 (95% CI: 1.9, 5.8) in 2022 compared to 2012. Factors linked to non-fatal strangulation included assaults in a home environment (AOR = 1.8, 95% CI: 1.2, 2.8), vaginal penetration along with another sexual act (AOR = 2.9, 95% CI: 1.6, 5.1), and blunt force (AOR = 5.9, 95% CI: 4.0, 8.5). Genital injuries also increased significantly from 25.2% in 2012 to 37.6% in 2022.

conclusionsThis study highlights a rise in severe physical violence in sexual assaults, involving non-fatal strangulation and an increased presence of genital injuries. Findings underscore the need for thorough medical follow-up and nationally representative research to inform prevention and understand associated violence dynamics.

Indexed as

Crime VictimsPhysical AbuseRapeSex OffensesWounds and InjuriesAdolescentAdultFemaleHumansRetrospective StudiesSwedenYoung Adultadolescenceinjurynon‐fatal strangulationNorVold abuse questionnaire (NorAQ)sexual violencetrendsviolence severityyoung adults

Identifiers

PMID40660622
PMCPMC12393985

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