Some coercive aspects of culture in the medical field that have traditionally been regarded as routine practice are now gradually changing in the aftermath of the MeToo movement that has come to Korea, due to improved awareness of sexual violence. It is important for the medical community to endeavor to eradicate sexual violence by implementing the measures against sexual violence proposed by medical organizations, including the Korean Medical Women's Association. The medical field should undergo a self-purification process, so that medical personnel can change themselves and their own behavior in the context of the medical profession, which is a noble occupation that deals with life-and-death matters. As such, essential elements of the training system of doctors should be maintained. Developing action plans to properly deal with sexual violence incidents in medical institutions can be considered the first step in this process.
Korea ; Occupations ; Sex Offenses

Background: Child sexual assault has been underreported, more so, those who minor perpetrators have assaulted. Surveillance for these children, victims and perpetrators alike, must be established. Objective: The objective was to describe the characteristic profile of the minor perpetrators who committed child sexual abuse seen in Philippine General Hospital - Child Protection Unit (PGH-CPU) from January 2013 to December 2018. Methodology: This retrospective cohort study was conducted using chart review and data retrieval from the Child Protection Management Information System (CPMIS) of the PGH-CPU. Results: There were 931 minor perpetrators. 55.9% were 15-19 years old and were predominantly male. 12.7% came from Cavite and 9.5% from Manila. Most were neighbors, acquaintances, and cousins of the victims. 39.4% were still students. 14.4% engaged in alcohol consumption. 7.7% have repeatedly abused children. 6.1% already had police blotter records. 7.3% were exposed to pornography. 7.5% are currently in jail, and 4.1% are in the same household as the victim. Conclusion A child’s environment is potentially contributory to their actions. The minor perpetrators reported were observed to have adverse childhood experiences like violence in their families. Although sexual abuse cases focus on the victims, it is equally vital that authorities give attention to minor perpetrators because they are also children. Programs and interventions should be provided for them to grow up to be better individuals in society.
Sex Offenses ; Child

In 1998, biological samples were collected from the body of a 17-year old female rape-homicide victim within 24 hours post-contact. In the absence of a sexual assault investigation kit, locally available medical supplies were used to collect biological samples. The victim’s family filed a case naming the victim’s uncle as the assailant. More than a year into the trial, samples from the victim and the accused were tested for DNA. The vaginal smears yielded DNA profiles originating from at least two persons, with one DNA source being male. Upon discovery, the victim’s age, the state of her body, and medicolegal examination results supported the allegation of sexual assault rather than consensual sex. This paper described the DNA testing conducted for this rape with homicide case. The prosecution used the DNA test results to support the charges against the accused, who was eventually convicted and sentenced to death in 2001. Upon automatic review in 2004, the Philippine Supreme Court affirmed the conviction and dismissed the defense’s claim that DNA testing violated the defendant’s right against self-incrimination. The defendant’s death conviction was commuted to life imprisonment when the Death Penalty was suspended via Republic Act No. 9346 in 2006. The case described here is considered one of the DNA landmark cases cited in the Philippine Rule on DNA Evidence of 2007.
Sex Offenses ; Microsatellite Repeats

Background: There has been an increasing trend in reported sexual abuse patients in the Philippines in the past 20 years. Patient evaluation is critical from health care providers and it is imperative to have an acute care protocol that heath care providers can use in managing these patients. Objective: To assess the adherence to the acute care protocol as applied to adult female sexual abuse patients who consulted at the Philippine General Hospital OB Admitting Section from March to August 2019 Methods: The study design used was an observational, cross-sectional study via descriptive analysis using a designed questionnaire. Relevant data regarding compliance to the acute care protocol was assessed from patient experience via the questionnaire after undergoing the standard services of the hospital. Data was then documented, tabulated and processed via Microsoft Excel data sheets. Results: In terms of patient perspective, 96.2 % of all cases (n=27) were provided service by OBGYNs and psychiatrists and 100% were assessed by social workers. Although stated in the protocol, legal and/or police assistance was not provided by the hospital during patient consult. Conclusion The institution was able to adhere to the acute care protocol services of patients in terms of obstetric and gynecologic, psychiatric and social worker services but not legal and/or police assistance.
Humans ; Sex Offenses ; Patient Compliance

Domestic Violence ; Women ; Sex Offenses

This study was undertaken to provide basis for the “Psychological Response and Coping Mechanism of Sexually Abuse Teenagers: A Basis for Psychiatric Nursing Care” which discover the different responses and coping mechanism of sexually abused teenagers. Respondents (50) were from the government institutions supervised by the Department of Social Welfare and Development (DSWD) namely residents of Marillac Hills at Town Center North Gate Avenue, Filinvest, Corporate City, Alabang, Munting Lupa City. Age of the respondents from 11-17 years old was included as the subject of the study.The study used a descriptive correlation research. The instrument used was a personal information sheet which includes their demographic variables, relationship to the Perpetrator, and reason for abused. Statistical measurements used are measures of Central Tendencies and Kruskall Wallis Two Way Anova by Ranks. This determines the respondents of the sample as to different area of functioning and coping mechanism. Also establish differences and correlation between two age groups (11-14 and 15-17 years old) based on the mentioned mechanism.In conclusion, the age group ratio was 3:1 (for 11-14 and 15-17 years old) distributed nationally from four regions of the country. Occupations of the parents were of blue-collar nature (driver, laborer, house maid) belong to the low socio-economic income of the society. Respondent educational attainment falls only up to the primary level of education. Majority of the respondents were abused by their father while other of their family relatives indicating that occurred within the household where the perpetrator tended to have close family relation with the victim. Result show there is no significant difference among the selected sexually abused teenagers when grouped as to birth of origin, father nature of work and five categories of coping mechanism.Based on the findings of the study, special programs for sexually abused teenagers should be conducted by the agency concerned and assisted by the NGO’s (the government centers). Their rights under the existing laws, victims of sexually abused women should be observed and respected. The center/ agency in charge of sexually abused teenagers provide assistance for them to continue their education, constant counseling, ensure reintegration in their family and community. That the agencies in-charge of keeping peace and order should enforce strictly rules in order to avoid/or minimize sexual abused. Further study maybe conducted in other agencies.
Sex Offenses ; Adolescent ; Psychology ; Organizations

Because violent injury have increased in recent years, the sexual assault, or rape, is a significant and serious crime in our society. It is important that the physician be knowledgeable about the management of sexual assault victims. The role of physician evaluating the sexual assault victims has both medical and legal. The goals of intervention of sexual assault include identification and treatment of injury and infection, pregnancy prevention, evidence collection, and psychological assessment. Care violently injured victims that follows these guidelines is likely to ease assess and manage the patients and to promote patient's physical and psychological recovery.
Crime ; Humans ; Pregnancy ; Rape ; Sex Offenses

OBJECTIVE: Experiencing traumatic events in childhood is related to various psychiatric problems in adulthood, and a comprehensive tool for measuring childhood trauma is necessary in this field. This study aimed to examine the psychometric properties, and factor structure of the Korean version of the Early Trauma Inventory Self Report-Short Form (ETISR-SF). ETISR-SF measures the childhood trauma, including physical, and emotional sexual abuse, as well as general traumas. METHODS: A clinical and nonclinical samples comprising of 97 subjects from a local community, and 207 patients with the ETISR-SF, were assessed. Other tools, including the Childhood Trauma Questionnaire-Short Form (CTQ-SF), the Beck Depression Inventory (BDI), and the Beck Anxiety Inventory (BAI) were used to assess clinical symptoms. Additional data from 69 college students was used to examine the test-retest reliability. RESULTS: The original four-factor model was supported by the confirmatory factor analysis scale [chi2 (351, n=304)=3374.025, p<0.001, TLI=0.969, CFI=0.972, RMSEA=0.030]. The ETISR-SF was found to be a reliable instrument (Cronbach's alpha=0.869). Comparison of the ETISR-SF scores discriminated the clinical group from that of the control group. The measure showed good convergent and divergent validity, in that the scores were correlated higher with the scores on the CTQ-SF (0.691) than with the scores on the BDI or BAI (0.424, 0.397 respectively). The ETISR-SF was found to be temporally stable, showing the moderate to high correlation (0.844). CONCLUSION: These findings suggest that the Korean version of the ETISR-SF appears to be a reliable and valid instrument for the measurement of reported childhood trauma.
Anxiety ; Depression ; Humans ; Psychometrics ; Sex Offenses

PURPOSE: The purpose of this study was to investigate the effects of sexual abuse prevention education program linked to elementary physical and psychological development on sexual knowledge and attitude. METHODS: The participants were the elementary school students of fifth and sixth grades in S city, South Korea (experimental, comparison, and control group=96, 96, and 74, respectively). The experimental group received sexual abuse prevention education linked physical and psychological development, 6 sessions (3 sessions are physical and psychological development educations and 3 other sessions are sexual abuse prevention educations). The comparison group received sexual abuse prevention educations, 3 sessions (the same curriculum of the experimental group). The control group didn't receive any sexual education. The data were analyzed by χ2 test and t-test, and ANOVA using the SPSS program. RESULTS: The experimental group showed significantly better sexual knowledge and attitude than the comparison and control group. CONCLUSION: Sexual abuse prevention education program linked physical and psychological development is required for elementary school students, to improve the sexual knowledge and attitude.
Curriculum ; Education* ; Humans ; Korea ; Sex Offenses*

A gradual increase of symptomatic syphilis in youngsters has been reported in the last few years. Although most cases of syphilis in childhood result from congenital syphilis, acquired syphilis in children may occur. Transmission of syphilis to children is usually related to sexual abuse. However, children may acquire syphilis by non-venereal contact. Acquired syphilis in a child has rarely been described in the current medical literature. Herein, we present a case of acquired secondary syphilis occurring in a 10-year-old girl in which non-sexual transmission is likely.
Child ; Humans ; Sex Offenses ; Syphilis ; Syphilis, Congenital