From: Anal signs of child sexual abuse: a case–control study
Time since last assault | Unknown | <7 days | 7 days to 6 months | >6 months | P* |
---|---|---|---|---|---|
Reflex anal dilatation | 17 (29%) | 13 (22%) | 9 (20%) | 2 (9%) | 0.21 |
Laxity | 18 (31%) | 15 (25%) | 11 (25%) | 5 (23%) | 0.76 |
Reddening | 21 (36%) | 23 (39%) | 11 (25%) | 1 (4.3%) | 0.002 |
Venous congestion | 22 (38%) | 23 (39%) | 15 (34%) | 6 (26%) | 0.28 |
Fissure | 5 (9%) | 11 (19%) | 9 (16%) | 1 (4%) | 0.21 |
Scar | 6 (10.3%) | 2 (3.4%) | 2 (4.5%) | 0 | 0.57 |
Any core sign | 44 (76%) | 48 (81%) | 33 (75%) | 11 (48%) | 0.005 |
2 or more core signs | 30 (52%) | 30 (51%) | 14 (32%) | 5 (22%) | 0.008 |
Fold changes | 10 (17%) | 15 (25%) | 7 (16%) | 2 (8.7%) | 0.07 |
Twitching | 2 (3.4%) | 9 (15%) | 4 (9.1%) | 2 (8.7%) | 0.32 |
Swelling | 5 (8.6%) | 6 (10%) | 1 (2%) | 0 | 0.04 |
Funnelling | 2 (3.4%) | 2 (3.4%) | 3 (7%) | 1 (4.3%) | 0.69 |
Mucosal prolapse | 4 (6.9%) | 3 (5%) | 0 | 1 (4.3%) | 0.57 |
Abrasion | 1 (2%) | 6 (10%) | 0 | 0 | 0.018 |
Total | 54 | 58 | 55 | 17 |