Changes in Psychiatric and Medical Conditions and Health Care Utilization Following a Diagnosis of Sexual Assault: A Retrospective Cohort Study

Medical Care
Kelly C Young-WolffBrigid McCaw

Abstract

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. 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. 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)...Continue Reading

References

Oct 1, 1988·American Journal of Community Psychology·J M GoldingS B Sorenson
Jan 11, 2003·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·C J Strike, L E Ferris
Jan 31, 2003·Psychological Bulletin·Emily J OzerDaniel S Weiss
May 4, 2004·General Hospital Psychiatry·Murray B SteinTimothy R Dresselhaus
Jan 6, 2007·Trauma, Violence & Abuse·Sandra L MartinC Christopher Bross
May 13, 2009·Trauma, Violence & Abuse·Rebecca CampbellGiannina Cabral
Jul 7, 2009·Trauma, Violence & Abuse·Thema Bryant-DavisAnnie Belcourt
Sep 4, 2012·Depression and Anxiety·Megan C KearnsBarbara Olasov Rothbaum
May 3, 2014·Obstetrics and Gynecology·UNKNOWN Committee on Health Care for Underserved Women
May 24, 2014·Journal of Traumatic Stress·Matthew PriceHeidi S Resnick
Dec 18, 2014·BMC Public Health·Jeanie SantaulariaBabalola Faseru
Sep 21, 2015·Child Abuse & Neglect·Katie A PortsMelissa T Merrick
May 5, 2016·Acta Obstetricia Et Gynecologica Scandinavica·Mie-Louise LarsenØjvind Lidegaard
Jan 31, 2017·Obstetrical & Gynecological Survey·Roxanne A Vrees
Jul 10, 2017·Clinical Psychology Review·Emily R DworkinNicole E Allen

❮ Previous
Next ❯

Citations

Jun 16, 2021·Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·Kylene P DailyAshley K Fernandes

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease
A T Ahmed, A J Karter
The American Journal of Emergency Medicine
Vincent LiuJohn W Morehouse
© 2022 Meta ULC. All rights reserved