Differences of medical evidence overview of sexual violence between girl and adult women examined at sanglah central public hospital

Background: There are differences of genital structure between girls and adult women in terms of anatomy and histology which it may affect medical evidence which is obtained during the verification. Objective: This study aimed at determining the differences of medical evidence of sexual violence that includes promiscuity signs and violence signs among victims of sexual violence who were examined at Sanglah Central Public Hospital. Methods: Cross sectional studies were conducted of 56 girls (<18 years) and 56 adult women (> 18 years) to collect data from visum et repertum (VER) 2011-2015 by consecutive sampling. Sexual violence cases were taken in this studies based on the request letters of VER from police investigators. Medical evidence variables in this study consisted of promiscuity sign (divided into genital wounds findings and positive sperm findings) and violence signs. Results: The finding of this study indicated that promiscuity sign in the form of genital wounds in girls were lower than adult women (44.6% vs 85.7%; P <0.05). Conversely, there was no significant difference of the finding associated with sperm positive findings among girls and women (7.1% vs 17.9%; P> 0.05). Violence signs in women were more than girls (39.3% vs 17.9%; P <0.05). Conclusion: It could be concluded, from 2 types of medical evidences of sexual violence found significant differences associated with promiscuity sign in the form genital wounds and violence signs among girls and adult women.