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Injury and Intimate Partner Violence as Determinants of Reproductive Healthcare Utilization Post-Sexual Assault Nurse Examination

Thu, Nov 14, 11:00am to 12:20pm, Sierra A - 5th Level

Abstract

Sexual assault (SA) is associated with numerous reproductive health consequences. One such consequence, genital injury, increases utilization of SA nurse examinations (SANEs) in the immediate aftermath of SA, but the relation between genital injury and reproductive healthcare utilization post-SANE remains relatively unexplored. Given the negative association between intimate partner sexual assault (IPSA) and help-seeking behaviors, investigation into the potential moderating role of survivor-perpetrator relationship in the association between genital injury and long-term reproductive healthcare utilization is warranted. This study was a hospital record review of 227 female SA survivors (M(age)=29.86, SD(age)=11.32). We examined the impact of vaginal/anal injury on reproductive healthcare utilization in the year following a SANE and the moderating role of IPSA while controlling for age. Four moderation analyses indicated significant main effects of IPSA on reproductive healthcare utilization (Bs=0.69-1.02, ps=.02-.05) such that survivors who endorsed the perpetrator being an intimate partner attended more reproductive healthcare visits. Further, IPSA significantly moderated the association between vaginal/anal injury and solely pregnancy-related visits. Given IPSA survivors increased long-term healthcare needs, paying special attention to their psychosocial needs, specifically related to intimate partner violence, at SANE may help prevent longer term reproductive concerns.

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