Fear of the perpetrator: a major reason why sexual assault victims delayed presenting at hospital

Trop Med Int Health. 2014 Mar;19(3):342-347. doi: 10.1111/tmi.12249. Epub 2013 Dec 21.

Abstract

Objective: To identify the reasons for presentation of sexual assault more than 72 h after the incidents at Newcastle Hospital, South Africa.

Methods: A retrospective analysis of 534 medical records of victims seen between 2005 and 2009 at the hospital's sexual assault service centre.

Results: Overall, 219 (41%) of the victims presented at the hospital more than 72 h after the alleged sexual assault, mainly for fear of the perpetrator (37.4%). Females constituted 87%, and rape with vaginal penetration was the most common form of sexual assault reported (74%). Tests of significance showed a positive association between fear of the perpetrator and delayed presentation at hospital. Age under 9 years and being scared of what relatives would say about alleged sexual assault were also associated with delayed presentation.

Conclusions: Attention needs to be focused on educating society on the importance of reporting sexual assault incidents promptly in order for victims to benefit from appropriate medical treatment.

Keywords: delayed presentation; fear of perpetrator; post‐exposure prophylaxis; sexual assault.

MeSH terms

  • Adolescent
  • Adult
  • Age Distribution
  • Aged
  • Aged, 80 and over
  • Child
  • Child, Preschool
  • Crime Victims / psychology
  • Crime Victims / statistics & numerical data*
  • Disclosure*
  • Emergency Service, Hospital / statistics & numerical data*
  • Fear*
  • Female
  • Humans
  • Male
  • Medical Records / statistics & numerical data
  • Middle Aged
  • Odds Ratio
  • Patient Acceptance of Health Care / psychology
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Post-Exposure Prophylaxis
  • Retrospective Studies
  • Risk Factors
  • Sex Distribution
  • Sex Offenses / psychology
  • Sex Offenses / statistics & numerical data*
  • South Africa / epidemiology
  • Time Factors
  • Young Adult