{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T11:06:56Z","timestamp":1784804816517,"version":"3.55.0"},"reference-count":20,"publisher":"American Academy of Pediatrics (AAP)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2008,6,1]]},"abstract":"<jats:p>OBJECTIVES. We assessed the offering of American Academy of Pediatrics\u2013recommended tests and prophylaxes after sexual assault to adolescents who presented to Rhode Island emergency departments for 3 categories of sexual exposures: sexual assault, consensual sex, and suspected sexual abuse.<\/jats:p>\n               <jats:p>PATIENTS AND METHODS. This study entailed a retrospective review of visits for adolescent sexual exposures across 11 Rhode Island emergency departments between January 1995 and June 2001. Cases were identified through billing codes. Offering of each test and prophylaxis was compared by gender, category of sexual exposure, and type of sexual assault. Multivariable linear regression models were used to identify factors associated with the offering of a greater number of tests and prophylaxes after sexual assault.<\/jats:p>\n               <jats:p>RESULTS. The vast majority of emergency department visits for adolescent sexual exposures were by sexually assaulted girls (82.5%). Across the 3 sexual exposure categories, girls were offered tests and prophylaxes more often than boys (eg, chlamydia or gonorrhea testing and prophylaxis). Among sexually assaulted adolescents, 32.8% of girls and no boys were offered all recommended tests and prophylaxes. The multivariable linear regression found that vaginally and\/or anally assaulted girls were offered, on average, 2.5 more tests and prophylaxes than patients with other types of sexual assaults. Girls presenting for care at the state's women's health care specialty hospital emergency departments were offered 1.7 more tests and prophylaxes than those evaluated in general hospital emergency departments.<\/jats:p>\n               <jats:p>CONCLUSIONS. Many adolescents did not receive American Academy of Pediatrics\u2013recommended tests and prophylaxes after sexual assault. Boys received fewer tests than girls. Testing and prophylaxis varied by type of emergency department. Efforts are needed to improve and standardize emergency department medical management of adolescent sexual exposures.<\/jats:p>","DOI":"10.1542\/peds.2007-3100","type":"journal-article","created":{"date-parts":[[2008,6,2]],"date-time":"2008-06-02T14:15:50Z","timestamp":1212416150000},"page":"e1660-e1667","source":"Crossref","is-referenced-by-count":18,"title":["Compliance in Rhode Island Emergency Departments With American Academy of Pediatrics Recommendations for Adolescent Sexual Assaults"],"prefix":"10.1542","volume":"121","author":[{"given":"Roland C.","family":"Merchant","sequence":"first","affiliation":[{"name":"Departments of Emergency Medicine"},{"name":"Community Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin T.","family":"Kelly","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Warren Alpert Medical School, Brown University, Providence, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth H.","family":"Mayer","sequence":"additional","affiliation":[{"name":"Community Health"},{"name":"Departments of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce M.","family":"Becker","sequence":"additional","affiliation":[{"name":"Departments of Emergency Medicine"},{"name":"Community Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan J.","family":"Duffy","sequence":"additional","affiliation":[{"name":"Departments of Emergency Medicine"},{"name":"Pediatrics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David L.","family":"Pugatch","sequence":"additional","affiliation":[{"name":"Pediatrics"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2008,6,1]]},"reference":[{"key":"2021120905460915900_R1","doi-asserted-by":"crossref","unstructured":"Catalano SM. Criminal Victimization, 2005. Washington DC: US Department of Justice Bureau of Justice Statistics; 2006","DOI":"10.1037\/e308412005-001"},{"key":"2021120905460915900_R2","doi-asserted-by":"crossref","unstructured":"Saltzman LE, Basile KC, Mahendra RR, Steenkamp M, Ingram E, Ikeda R. National estimates of sexual violence treated in emergency departments. Ann Emerg Med.\u20082007;49(2):210\u2013217","DOI":"10.1016\/j.annemergmed.2006.10.015"},{"key":"2021120905460915900_R3","doi-asserted-by":"crossref","unstructured":"Riggs N, Houry D, Long G, Markovchick V, Feldhaus KM. Analysis of 1,076 cases of sexual assault. Ann Emerg Med.\u20082000;35(4):358\u2013362","DOI":"10.1016\/S0196-0644(00)70054-0"},{"key":"2021120905460915900_R4","unstructured":"Rovi S, Shimoni N. Prophylaxis provided to sexual assault victims seen at US emergency departments. J Am Med Womens Assoc.\u20082002;57(4):204\u2013207"},{"key":"2021120905460915900_R5","doi-asserted-by":"crossref","unstructured":"Amey AL, Bishai D. Measuring the quality of medical care for women who experience sexual assault with data from the National Hospital Ambulatory Medical Care Survey. Ann Emerg Med.\u20082002;39(6):631\u2013638","DOI":"10.1067\/mem.2002.123357"},{"key":"2021120905460915900_R6","unstructured":"American Academy of Pediatrics, Committee on Adolescence. Sexual assault and the adolescent. Pediatrics.\u20081994;94(5):761\u2013765"},{"key":"2021120905460915900_R7","doi-asserted-by":"crossref","unstructured":"American Academy of Pediatrics, Committee on Adolescence. Care of the adolescent sexual assault victim. Pediatrics.\u20082001;107(6):1476\u20131479","DOI":"10.1542\/peds.107.6.1476"},{"key":"2021120905460915900_R8","doi-asserted-by":"crossref","unstructured":"Kellogg N; American Academy of Pediatrics, Committee on Child Abuse and Neglect. The evaluation of sexual abuse in children. Pediatrics.\u20082005;116(2):506\u2013512","DOI":"10.1542\/peds.2005-1336"},{"key":"2021120905460915900_R9","unstructured":"Merchant RC, Mayer KH, Browning CA. Nonoccupational HIV post-exposure prophylaxis: guidelines for Rhode Island from the Brown University AIDS Program and the RI Department of Health. Available at: www.health.ri.gov\/disease\/NPEPFinalDraftJuly26.pdf. Accessed April 4, 2008"},{"key":"2021120905460915900_R10","doi-asserted-by":"crossref","unstructured":"American Academy of Pediatrics, Committee on Child Abuse and Neglect. Guidelines for the evaluation of sexual abuse of children: subject review. Pediatrics.\u20081999;103(1):186\u2013191","DOI":"10.1542\/peds.103.1.186"},{"key":"2021120905460915900_R11","doi-asserted-by":"crossref","unstructured":"Babl FE, Cooper ER, Kastner B, Kharasch S. Prophylaxis against possible human immunodeficiency virus exposure after nonoccupational needlestick injuries or sexual assaults in children and adolescents. Arch Pediatr Adolesc Med.\u20082001;155(6):680\u2013682","DOI":"10.1001\/archpedi.155.6.680"},{"key":"2021120905460915900_R12","unstructured":"Smith DK, Grohskopf LA, Black RJ, et al. Antiretroviral postexposure prophylaxis after sexual, injection-drug use, or other nonoccupational exposure to HIV in the United States: recommendations from the US Department of Health and Human Services. MMWR Recomm Rep.\u20082005;54(RR-2):1\u201320"},{"key":"2021120905460915900_R13","doi-asserted-by":"crossref","unstructured":"Babl FE, Cooper ER, Damon B, Louie T, Kharasch S, Harris J. A. HIV postexposure prophylaxis for children and adolescents. Am J Emerg Med.\u20082000;18(3):282\u2013287","DOI":"10.1016\/S0735-6757(00)90123-2"},{"key":"2021120905460915900_R14","doi-asserted-by":"crossref","unstructured":"Neu N, Heffernan-Vacca S, Millery M, Stimell M, Brown J. Postexposure prophylaxis for HIV in children and adolescents after sexual assault: a prospective observational study in an urban medical center. Sex Transm Dis.\u20082007;34(2):65\u201368; discussion 69\u201370","DOI":"10.1097\/01.olq.0000225329.07765.d8"},{"key":"2021120905460915900_R15","doi-asserted-by":"crossref","unstructured":"Fajman N, Wright R. Use of antiretroviral HIV post-exposure prophylaxis in sexually abused children and adolescents treated in an inner-city pediatric emergency department. Child Abuse Negl.\u20082006;30(8):919\u2013927","DOI":"10.1016\/j.chiabu.2006.02.013"},{"key":"2021120905460915900_R16","doi-asserted-by":"crossref","unstructured":"Merchant RC, Keshavarz R, Low C. 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