Coerced anal sex against spouses in Turkey

Abstract

Objective: The aim of this study was to investigate medicolegal aspects of sexual assaults involving anal penetration against females by their partners. Methods: This study includes 34 females claimed to be exposed to anal sexual assaults and referred to the Department of Forensic Medicine, Kahramanmaraş Sütçü İmam University between January 2007 and June 2012. Data were obtained from physical examination records and a face to face applied questionnaire composed of questions about socio-demographic features. Results: Sexual assaults involving anal penetration were committed against females in all 34 cases included in the study. The mean age of the victims was 23.2±5.2 years. Twenty-four women (70.6%) had a history of physical violence, but 10 (29.4%) did not. Out of all, only four women were presented to hospital because of assault. The rest were noticed to be transferred with conditions other than assaults but they were found out to be exposed to anal assaults on examinations. Most of the cases were young, female and a housewife and were exposed to anal assault. Conclusion: Anal sexual assault against females by their partners is a serious problem in our region. Therefore, screening studies on women should be conducted to determine the frequency of the condition and to provide solutions for the problem. J Clin Exp Invest 2014; 5 (4): 529-533

Keywords

• Sexual assaults, anal assaults, intimate partner violence

Türkiye\'de eşe karşı anal yoldan cinsel saldırılar

Öz

Amaç: Bu çalışmada; eşe karşı anal yoldan cinsel saldırı eylemlerinin medikolegal yönüyle incelenmesi amaçlanmıştır. Yöntemler: Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Adli Tıp Anabilim Dalı'na Ocak 2007 ile Haziran 2012 tarihleri arasında anal yoldan cinsel saldırı iddiası ile getirilen 34 vaka çalışma kapsamına alındı. Olguların muayene bulguları değerlendirilerek, yüz yüze görüşülerek sosyodemografik özelliklerini içeren anket uygulandı. Bulgular: Çalışmaya dahil edilen 34 anal saldırı eylemi olan mağdurların 34'ü de (%100) kadın eşe karşı yapılmıştı. Mağdurların yaş ortalaması 23,2 ± 5,2 olarak bulundu. Saldırıya uğrayan eşlerden 24' ü (%70,6) daha önce fiziksel şiddet gördüğünü ifade etmişken, 10' u (%29,4) herhangi bir fiziksel şiddete uğramadığını beyan etmiştir. Olgulardan sadece 4' ü anal saldırı nedeniyle başvurduğu, diğer olguların farklı nedenlerle başvurup muayene sırasında anal saldırı tespit edildiği bilgisine ulaşıldı. Çalışmamızda eşe karşı anal saldırı mağdurlarının genellikle genç yaş, kadın, ev hanımı gurubunda olduğu ve anal saldırı eyleminin süreğenlik içerdiği bulgusuna ulaştık. Sonuç: Dünyada olduğu gibi bölgemizde de eşe karşı anal saldırılar önemli bir sorun olarak karşımıza çıkmaktadır. Evli kadınlar üzerinde tarama çalışmaları yaparak bu sorunun sıklığa hakkında tespit yapılmalı, soruna yönelik çözüm önerileri oluşturulmalıdır.

Anahtar Kelimeler

• Cinsel saldırı, anal saldırı, eş şiddeti

References

1. Krug EG, Dahlberg LL, Mercy JA, et al. Violence by intimate partner. World report on violence and health. World Health Organization. Geneva, 2002;87-113.
2. Starratt VG, Goetz AT, Shackelford TK, et al. Men’s Partner-Directed Insults and Sexual Coercion in Inti- mate Relationships. J Fam Viol 2008;23:315-23.
3. Alsaker K, Morken T, Baste V, et al. Sexual assault and other types of violence in intimate partner relation- ships. Acta Obstetr Gynecol Scand 2012;91:301-307.
4. Meit SS, Fitzpatrick KM, Selby JB. Domestic violence: intimate partner violence. In: Rakel RE, eds. Textbook of family medicine. Philadelphia: Saunders Elsevier, 2007:47-67.
5. Herbert CP, Grams GD, Berkowitz J. Sexual assault tracking study: who gets lost to follow-up? CMAJ 1992;147:1177-1184.
6. Holmes RM, Holmes ST. Profiling Violent Crimes: An Investigative Tool, 3rd edn. Ins. California: Sage Pub- lication, 2002.
7. Karaoglu L. Physical, emotional and sexual violence during pregnancy in Malatya, Turkey. Eur J Public Health. 2006;16:149-156.
8. Watts C, Zimmerman C. Violence against women: global scope and magnitude. Lancet 2002;359:1232- 1237.

9. Santhya KG, Haberland N, Ram F, et al. Consent and coercion: Examining unwanted sex among mar- ried young women in India. Int Fam Plan Perspect 2007;33:124-132.
10. Tjaden P, Thoennes N. Extent, nature, and conse- quences of intimate partner violence: Findings from the National Violence against Women Survey. U.S. Department of Justice, Washington 2000. Publication No: NCJ 181867. URL: https:// www.ncjrs.gov/ pdf- files1/ nij/ 181867.pdf . Accessed: 10.09.2012
11. Finkelhor D, Yllo K. Forced sex in marriage: A pre- liminary research report. Crime & Delinquency 1982;28:459-478.
12. Hien PTT. Sexual coercion within marriage in Quang Tri, Vietnam. Culture, Health & Sexuality 2008;10:177- 187.
13. Riggs N, Houry D, Long G, et al. Analysis of 1,076 Cas- es of Sexual Assault. Ann Emerg Med 2000;35:358- 362.
14. Jänisch S, Meyer H, Germerott T, et al. Analysis of clinical forensic examination reports on sexual as- sault. Int J Legal Med 2010;124:227-223.
15. Grossin C, Sibille I, Grandmaison GL, et al. Analy- sis of 418 cases of sexual assault. Forensic Sci Int 2003;131:125-130.
16. Heger A, Tiscon L, Velasquez O, Bernier R. Children Referred for Possible Sexual Abuse: medical findings in 2384 children. Child Abuse & Neglect 2002;26:645- 649.
17. Küçüker H. Analysis of 268 child and adolescent vic- tims of sexual assault and the legal outcome. Turk J Pediatr 2008;50:313-316.
18. Mohammadkhani P, Khooshabi KS, Forouzan AS, et al. Associations Between coerced anal sex and psy- chopathology, marital distress and non-sexual vio- lence. J Sex Med 2009;6:1938-1946.
19. Kaur G, Herbert L. Recognizing and intervening in IPV. Cleveland Clin J Med 2005;72:75.
20. Hwa HL, Chen SC, Wu M, et al. Analysis of cases of sexual assault presenting at a medical center in Tai- pei. Taiwan J Obstet Gynecol 2010;49:165-169.
21. Sugar NF, Fine DN, Eckert LO. Physical injury after sexual assault: Findings of a large case series. Am J Obstet Gynecol 2004;190:71-76.
22. Adhikari R, Tamang J. Sexual coercion of married women in Nepal. BMC Women’s Health 2010;10:31.
23. Brousseau MM, Bergeron S, He´bert M, McDuff P. Sexual coercion victimization and perpetration in het- erosexual couples: A Dyadic Investigation. Arch Sex Behav 2011;40:363-372.
24. Walker LEA. The Battered Woman Syndrome: De- scriptions of violence and the cycle of violence, Third ed., New York: Springer Publishing Com- pany, 2009:85-105. URL: http://books.google. com.tr/books?id=SX4fDoqCdhcC&printsec. cessed:10.09.2012. Ac