{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T07:05:29Z","timestamp":1780643129598,"version":"3.54.1"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,7,21]],"date-time":"2022-07-21T00:00:00Z","timestamp":1658361600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2022,7,21]],"date-time":"2022-07-21T00:00:00Z","timestamp":1658361600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Services Research"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore trends in documented sexual abuse\/assault (SA) related episodes in California hospitals and emergency departments (ED), including the impact of a change in health care service reporting codification (from ICD\u20109\u2010CM to ICD\u201010\u2010CM) that more clearly defined SA in October 2015.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>Hospital and ED data were drawn from California's Office of Statewide Health Planning and Development (OSHPD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Descriptive and trend analyses of SA\u2010related hospital and ED records (including patients' demographic information) were conducted to determine whether changes in ICD codification had an impact on documented SA\u2010related episodes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Collection<\/jats:title>\n                    <jats:p>\n                      All SA\u2010related episodes (ICD\u20109\u2010CM codes 995.83, 995.53; ICD\u201010\u2010CM codes T74.21\u2010T74.22, T76.21\u2010T76.22) in California hospitals and EDs for the last decade of available data (2008\u20132017) were analyzed (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a020,215).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Principal Findings<\/jats:title>\n                    <jats:p>An abrupt increase in documented SA episodes in hospitals and EDs began in October 2015, when specific ICD10 codes for suspected cases of SA were created. Documented SA\u2010related episodes doubled in 1\u2009month (164 vs. 385 episodes in September 2015 and October 2015, respectively). More than half (58.2%) of all SA\u2010related episodes documented in Oct 2015 were coded as suspicious. The number of documented SA\u2010related episodes continued increasing to the end of the time series (December 2017). Overall, the annual number of documented SA\u2010related episodes increased by over 700% in only 4\u2009years (900 vs. 6441 in 2013 and 2017, respectively), suggesting high rates of prior under\u2010reporting and the need to introduce the new codes. African Americans were disproportionally impacted; however, the highest increases in age\u2010adjusted rates between the ICD\u20109\u2010CM and the ICD\u201010 codification period were found among the White population (2.46 vs. 16.53 per 100,000 inhabitants).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>SA episodes in the clinical population have been underestimated for many decades. Identifying SA victims and measuring SA\u2010related health care utilization is a real challenge that needs further investigation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1475-6773.14021","type":"journal-article","created":{"date-parts":[[2022,7,5]],"date-time":"2022-07-05T05:13:53Z","timestamp":1656998033000},"page":"807-816","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Advances in diagnostic codes to document sexual assault in health care service"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1154-7859","authenticated-orcid":false,"given":"Alvaro","family":"Medel\u2010Herrero","sequence":"first","affiliation":[{"name":"Department of Chicana\/o Studies University of California Davis  Davis California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzette","family":"Smiley\u2010Jewell","sequence":"additional","affiliation":[{"name":"Department of Molecular Biosciences, School of Veterinary Medicine University of California Davis  Davis California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martha","family":"Shumway","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of California, San Francisco, Weill Institute for Neurosciences  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis E.","family":"Reidy","sequence":"additional","affiliation":[{"name":"School of Public Health and Center for Research on Interpersonal Violence Georgia State University  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Bonomi","sequence":"additional","affiliation":[{"name":"Harborview Injury Prevention Research Center University of Washington  Broadway Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,7,21]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Darkness to Light.Child sexual abuse statistics compilation of statistics.2021.http:\/\/www.d2l.org\/wp\u2010content\/uploads\/2017\/01\/all_statistics_20150619.pdfAccessed May 26 2021."},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1524838009334456"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1524838009339755"},{"issue":"10","key":"e_1_2_9_5_1","first-page":"1165","article-title":"Intimate partner violence","volume":"83","author":"Cronholm PF","year":"2011","journal-title":"Am Fam Physician"},{"key":"e_1_2_9_6_1","unstructured":"DeukmejianG.California medical protocol for examination of sexual assault and child sexual abuse victimsJuly 1987.https:\/\/www.ojp.gov\/pdffiles1\/Digitization\/129431NCJRS.pdf"},{"key":"e_1_2_9_7_1","doi-asserted-by":"crossref","unstructured":"RodriguezMA.Against: mandatory reporting does not guarantee safety Volume 173 October 2000 wjm 225.","DOI":"10.1136\/ewjm.173.4.225-a"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/003335490812300513"},{"key":"e_1_2_9_9_1","unstructured":"RudmanWJ.Coding and documentation of domestic violence. 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