American Journal of Epidemiology Vol. 132, No. 3: 540-549
Copyright © 1990 by The Johns Hopkins University School of Hygiene and Public Health
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RISK OF INJURY FROM RESISTING RAPE
From the Division of Injury Epidemiology and Control, Center for Environmental Health and Injury Control, Centers for Disease Control Atlanta, GA
Reprint requests to Dr. Polly A. Marchbanks, Centers for Disease Control, Division of Sexually Transmitted Diseases and HIV Prevention, Mailstop E02, 1600 Clifton Road, Atlanta, GA 30333
Women may resist rape by taking a variety of self-protective measures. To examine the association between a woman's use of self-protection during a rape incident and four injury outcomes, the authors analyzed data from the National Crime Survey, an ongoing survey of self-reported victimizations throughout the United States. The study population was 851 women 
12 years of age who reported being a victim of completed or attempted rape during 1973–1982. Logistic regression was used to control for eight covariates, including use of weapons by the offender and the nature of the victim-offender relationship. The use of self-protection during a rape incident was protective against completed rape. The odds ratios for completed rape were 0.2 for all measures of self-protection—nonforceful, forceful, and both forceful and nonforceful (all 95% confidence intervals between 0.1 and 0.4). After controlling for type of rape incident, the odds ratios for physical injury were greater than 1.0 for all measures of self-protection but, in the case of physical injury requiring medical attention, only the odds ratio for use of both forceful and nonforceful measures was statistically significant. Because of the limitations of the National Crime Survey, these findings should be interpreted cautiously. Further research is needed to help women respond in ways that will minimize injury should a rape incident occur.
rape; women; wounds and injuries
1Current address: Division of Sexually Transmitted Diseases and HIV Prevention, Center for Prevention Services, Centers for Disease Control, Atlanta,Atlanta, GA
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