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Epidemiological, Behavioral and Judicial Profile of Sexual Assault Perpetrators in Conakry (Guinea): A Five-Year Medico-Legal Study of 1,014 Cases

Abstract

Namandian Traore*, Thierno Mamadou Cherif Diallo, Ousmane Camara, Sia Marie Ouendeno, Ousmane Soumah, Djenabou BAH, Aly Badara Camara, Sambou Oulare, Marie Rose Lamah and Idiatou Balde

Introduction: Sexual assault is a major public health concern and an important medico-legal issue, particularly in resource limited countries. This study aimed to analyze the epidemiological, behavioral, and judicial profile of perpetrators of sexual assault in Conakry.

Methods: A retrospective descriptive and analytical study was conducted from 2021 to 2025 in the Department of Forensic Medicine of the Regional Hospital of Conakry. Data were collected from forensic, judicial, and law enforcement records. Statistical analyses were performed using the Chi-square (χ²) test and the calculation of Odds Ratios (ORs) with 95% Confidence Intervals (95% CIs).

Results: A total of 1,014 perpetrators were included, all of whom were male. The mean age was 29.8 years, with a predominance of individuals aged 18–30 years (60.2%). Most perpetrators had a low level of education and were from socioeconomically disadvantaged backgrounds. Substance use was identified in 22.8% of cases. Addictive behaviors were significantly associated with arrest (OR=1.62; 95% CI: 1.18-2.23; p=0.003). Younger perpetrators had a higher likelihood of substance use (OR=1.78; p=0.002) and arrest (OR=1.68; p=0.001).

Conclusion: These findings highlight the importance of socio-behavioral determinants in the dynamics of sexual assault and emphasize the need for targeted interventions integrating social prevention strategies and measures to combat substance abuse.

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