{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T04:45:47Z","timestamp":1782449147720,"version":"3.54.5"},"reference-count":29,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Sexual violence presents a major public health concern in the United States with an increase in both incidence and reporting, especially in large metropolitan areas such as New York City. Factors such as age, race, gender, LGBTQIA+ status, mental health conditions, disability, and substance abuse have been identified in current literature as potential vulnerabilities or risk factors in sexual assault patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To evaluate demographic and vulnerability factors of patients seen within one of New York City\u2019s Sexual Assault Forensic Examiners (SAFE) Program and correlate to the degree of physical trauma severity following sexual assault.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A retrospective electronic health record data study on female patients 13 and older seen by the SAFE program from 2021 to 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Vulnerability risk factors of age, race, ethnicity, sexual orientation, disability, mental health, substance abuse, and assailant type were analyzed and correlated to the degree of trauma injury, with\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      -value of less than 0.05 considered statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      One hundred sixty-seven cases were included. Age ranged from 13 to 93\u2009years. One hundred four patients (62.3%) experienced no injury, 51 (30.5%) minor trauma, and 12 (7.2%) major trauma. Alcohol intoxication at the time of assault (25.7%), substance abuse (47.9%), mental health condition (58.7%), or disability (25.7%) did not increase injury severity. Assault by an intimate partner increased risk of major trauma compared to acquaintance or stranger (50.0% versus 33.3% versus 16.7%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.002).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This study highlights the diversity of the sexual assault victim population and the rate of traumatic injuries and vulnerability risk factors present. Knowledge of these factors may aid in both treatment and connection to appropriate resources following assault.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057261430431","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T09:34:02Z","timestamp":1782207242000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Vulnerability factors for trauma injuries in female sexual assault patients in a diverse urban city population"],"prefix":"10.1177","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-8194-2828","authenticated-orcid":false,"given":"Emily","family":"Stone","sequence":"first","affiliation":[{"name":"Department of Family Medicine, University of Alabama, Tuscaloosa, AL, USA"},{"name":"Department of Trauma Surgery, Richmond University Medical Center, Staten Island, NY, USA"},{"name":"Department of Obstetrics and Gynecology, Richmond University Medical Center, Staten Island, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"III","given":"Thomas","family":"Joyce","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Richmond University Medical Center, Staten Island, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isa","family":"Shoneyin","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery, Richmond University Medical Center, Staten Island, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Kokkinakis","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Richmond University Medical Center, Staten Island, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8413-4684","authenticated-orcid":false,"given":"Nisha","family":"Lakhi","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery, Richmond University Medical Center, Staten Island, NY, USA"},{"name":"Department of Obstetrics and Gynecology, Richmond University Medical Center, Staten Island, NY, USA"},{"name":"Department of Obstetrics and Gynecology, School of Medicine, New York Medical College, Valhalla, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,23]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"NYPD COMPSTAT. 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Racial disparities in sexual assault characteristics and mental health care after sexual assault medical forensic exams. J Womens Health (Larchmt) 2021; 30(10): 1448\u20131456. https:\/\/doi.org\/10.1089\/jwh.2020.8935","DOI":"10.1089\/jwh.2020.8935"},{"key":"e_1_3_3_10_2","doi-asserted-by":"crossref","unstructured":"Miles L Valentine JL Mabey L et al. Mental illness as a vulnerability for sexual assault: a retrospective study of 7 455 sexual assault forensic medical examinations. J Forensic Nurs 2022; 18(3): 131\u2013138. https:\/\/doi.org\/10.1097\/JFN.0000000000000361","DOI":"10.1097\/JFN.0000000000000361"},{"key":"e_1_3_3_11_2","doi-asserted-by":"crossref","unstructured":"Zilkens RR Smith DA Kelly MC et al. Sexual assault and general body injuries: a detailed cross-sectional Australian study of 1163 women. 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National intimate partner and sexual violence survey (NISVS). CDC https:\/\/www.cdc.gov\/nisvs\/about\/index.html (2025 accessed 23 August 2025)."},{"key":"e_1_3_3_19_2","unstructured":"National Alliance to End Sexual Violence. Where we stand: Racism and rape. Washington (DC): NAESV https:\/\/endsexualviolence.org\/where_we_stand\/racism-and-rape (accessed 23 August 2025)."},{"key":"e_1_3_3_20_2","volume-title":"Community health needs assessment & community service plan for Richmond County","author":"Staten Island University Hospital","year":"2002","unstructured":"Staten Island University Hospital. Community health needs assessment & community service plan for Richmond County. Staten Island University Hospital, 2002."},{"key":"e_1_3_3_21_2","doi-asserted-by":"crossref","unstructured":"Monk L Jones A. Alcohol consumption as a risk factor for sexual assault: a retrospective analysis. 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