Abstract
Adolescent sexual assault is unfortunately all too common. An analysis of the 2001 Youth Risk Behavior Survey revealed that 10.2% of women and 5.1% of men reported forced sexual intercourse at least once in their lifetimes. Recent National Criminal Victimization Survey results revealed that annually 1/10 of one percent of all individuals aged 12 or older had survived rape or sexual assault. The ratio of male/female survivors is 1:10 and 29% of victims are 12 to 17 years old. There is a general concern that survivors are at increased risk for acquiring human immunodeficiency virus (HIV) infection via the sexual assaults. Most reviews cite a case report by Murphy et al which describes HIV seroconversion related to rape. Epidemiological studies of consensual coitus have shown that the risk for heterosexual sexual transmission from 1 coital act ranges from 0.001 to 0.008.4 Estimates vary by the stage of the infected person (eg time since seroconversion: 15 months) and type of exposure (eg insertive anal intercourse receptive vaginal intercourse). (excerpt)
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