# Current medical support for victims of domestic violence and sexual assault: A nationwide survey among obstetricians and gynecologists in Japan

## TL;DR

A survey of Japanese doctors reveals limited training and experience in handling cases of domestic and sexual violence, highlighting the need for better support systems.

## Contribution

The study reveals gaps in medical training and awareness among Japanese obstetricians and gynecologists regarding sexual violence and domestic abuse.

## Key findings

- Most doctors recognize sexual violence but have limited knowledge about cases involving children, men, and sexual minorities.
- Only a small percentage of doctors have examined cases involving sexual violence against men and sexual minorities.
- Training opportunities significantly correlate with doctors' experience in examining such cases.

## Abstract

In 2018, one‐stop support centers for victims of sexual crime and violence were established across Japan. Despite this initiative, recent findings suggest inadequate medical response methods for victims of sexual violence. This study conducted a nationwide survey to assess the current state of medical support available to such victims.

A survey was conducted via e‐mail on 16,500 obstetricians and gynecologists from December 10, 2022, to January 20, 2023. A total of 1387 responses were received (response rate: 8.4%), and 1158 valid responses (valid response rate: 7.0%) were analyzed.

Among the respondents, 76.5% reported examining patients suspected of being victims of domestic or sexual violence, with 90.5% recognizing the definition of sexual violence and 73.8% aware of the one‐stop support centers. However, only 42.3%, 25.9%, and 19.6% had opportunities to learn about sexual violence against children, men, and sexual minorities, respectively. The most common learning opportunity was attending academic lectures on sexual violence. The actual examination rates for cases involving sexual violence against children, men, and sexual minorities were 26.5%, 1.6%, and 1.8%, respectively. Physicians who learned about sexual violence against children, men, and sexual minorities were significantly more likely to have experience in examining each case (p < 0.001, p < 0.01, p < 0.001).

Despite their critical role, obstetricians and gynecologists in Japan have limited opportunities to learn about and support victims of domestic or sexual violence. Urgent actions are needed to ensure timely medical care, establish collaborative practices, and develop systematic protocols nationwide.