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Medical Findings in 2975 Examinations for Child Sexual Abuse: A Retrospective Review | Synapse

April 10, 2026Open Access

Medical Findings in 2975 Examinations for Child Sexual Abuse: A Retrospective Review

Key Points

To assess changes in demographics and findings over 20 years in examinations for child sexual abuse.
Retrospective review of 2975 examinations for child sexual abuse.
Comparison of findings over two decades.
Assessment of the age distribution among the examined cohort.
Increase in adolescent proportion in the cohort over the last 20 years.
Decrease in the overall examination rates.
Higher rates of abnormal findings observed in recent years.

Abstract

The cohort seen for sexual abuse concerns has changed over 20 years, becoming increasingly adolescent. This has resulted in a decrease in the proportion examined and an increase in the rate of abnormal findings. Anogenital examinations are often normal in pregnancy or with semen present, reinforcing the international consensus that normal does not mean nothing happened.

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Authors

P

Patrick J. Kelly

K

Kate Wallace

P

Peter Reed

Journals

Journal of Paediatrics and Child Health

Actions

Institutions

University of Auckland

Starship Children's Health

Rotorua Hospital

References and Citations

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Cite this study

Kelly et al. (Tue,) studied this question.

www.synapsesocial.com/papers/69d8962d6c1944d70ce07640 — DOI: https://doi.org/10.1111/jpc.70374