{ "abstract": "Introduction: Drug-facilitated sexual assault (DFSA) is a common form of sexual violence among young people in party settings, predominantly involving opportunistic assaults facilitated by alcohol. Although highly prevalent, little is known about disclosure patterns following DFSA, despite their implications for prevention and survivors' recovery. This study aimed to estimate the prevalence of disclosure of DFSA experiences in Spain, with a particular focus on opportunistic assaults, and to identify victim and assault characteristics associated with disclosure.\n\nMaterials and methods: A cross-sectional study was conducted using an anonymous online survey administered to a national sample of young adults aged 18–35 years residing in Spain. Analyses were restricted to participants reporting lifetime DFSA victimization in party settings. Disclosure was classified as no disclosure, disclosure to the close social environment only, or disclosure to authorities. The prevalence of disclosure and its associations with sociodemographic and assault characteristics were examined using generalized ordinal logistic regression and partial proportional odds models.\n\nResults: Among victims of DFSA in party settings, 17.5% had never disclosed the assault, 78.2% disclosed it only to their close social environment, and only 4.3% disclosed it to authorities. Women showed higher odds of disclosure than men. Perpetrator strategy showed the strongest association with disclosure to authorities, although estimates were imprecise because formal disclosure was uncommon. Opportunistic DFSA involving voluntary substance consumption showed particularly low levels of formal disclosure.\n\nDiscussion: Most victims of DFSA disclose the assault to someone but do not reach formal support systems. This gap may compromise secondary prevention by limiting timely access to healthcare, while also hindering primary prevention by perpetuating the invisibility of DFSA and restricting surveillance and public awareness. Perpetrator strategy emerged as the factor most strongly associated with disclosure, suggesting that opportunistic DFSA remains particularly hidden. To inform prevention efforts, we propose a conceptual model in which an interconnected set of barriers may hinder victims' disclosure and access to support. These findings highlight the need for prevention policies and awareness campaigns that explicitly address opportunistic DFSA rather than portraying DFSA primarily as covert drink spiking, while also strengthening victim-support interventions aimed at improving recognition of opportunistic DFSA and reducing barriers to formal help-seeking.", "abstract_shown": true, "affiliations": [ "Department of Public Health and Maternal and Child Health, Faculty of Medicine, Universidad Complutense de Madrid", "Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP)", "Instituto Universitario de Investigación en Ciencias Policiales, Universidad de Alcalá", "Observatorio Universitario de Violencia Sexual Facilitada por Drogas, Universidad de Alcalá", "Fundación para la Investigación Biomédica del Hospital Clínico San Carlos (IDISSC)", "Department of Analytical Chemistry, Physical Chemistry and Chemical Engineering, Universidad de Alcalá, Alcalá de Henares" ], "article_type": "research article", "arxiv": null, "author_total": 5, "authors": [ { "affs": [ 0, 1, 2, 3 ], "name": "Pablo Prego-Meleiro" }, { "affs": [ 0, 1, 2, 3, 4 ], "name": "Luis Sordo" }, { "affs": [ 0, 3 ], "name": "Paula Meira-Pliego" }, { "affs": [ 0, 1, 2, 3 ], "name": "José Pulido" }, { "affs": [ 2, 3, 5 ], "name": "Gemma Montalvo" } ], "bibtex": "https://research.draconitic.com/paper/71cce1c7gj6ab.bib", "cited_by": 0, "doi": "10.3389/fpubh.2026.1924643", "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13724494/?tool=EBI", "id": "71cce1c7gj6ab", "issns": [ "2296-2565" ], "landing_url": "https://www.frontiersin.org/articles/10.3389/fpubh.2026.1924643/full", "language": "eng", "licence": "CC-BY-4.0", "licence_label": "CC BY 4.0", "licence_source": "article", "licence_url": "https://creativecommons.org/licenses/by/4.0/", "metadata_licence": null, "native_subjects": [ [ "heading", "Original Research" ], [ "openalex", "3318|Sexual Assault and Victimization Studies" ] ], "openalex": "W7222967907", "pdf_url": "https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1924643/pdf", "pmcid": "PMC13724494", "pmid": "42973775", "published": "2026-10-19", "publisher": "Frontiers Media SA", "ris": "https://research.draconitic.com/paper/71cce1c7gj6ab.ris", "sources": [ { "first_seen": "2026-10-30T12:20:24Z", "native_id": "10.3389/fpubh.2026.1924643", "source": "crossref", "url": "https://www.frontiersin.org/articles/10.3389/fpubh.2026.1924643/full" }, { "first_seen": "2026-11-03T15:20:51Z", "native_id": "PMC:PMC13724494", "source": "europepmc", "url": "https://europepmc.org/article/PMC/PMC13724494" }, { "first_seen": "2026-11-04T12:23:03Z", "native_id": "PMC13724494", "source": "pmc", "url": "https://doi.org/10.3389/fpubh.2026.1924643" }, { "first_seen": "2026-11-04T15:20:48Z", "native_id": "MED:42973775", "source": "europepmc", "url": "https://europepmc.org/article/MED/42973775" } ], "subjects": [ { "field": "medicine", "origin": "issn:2296-2565", "subfield": "epidemiology-public-health" } ], "title": "Breaking the silence on drug-facilitated sexual assault: disclosure patterns and barriers to reporting among young people in Spain", "title_text": "Breaking the silence on drug-facilitated sexual assault: disclosure patterns and barriers to reporting among young people in Spain", "type": "peer-reviewed", "updated_at": "2026-11-06T12:20:57Z", "url": "https://research.draconitic.com/paper/71cce1c7gj6ab", "venue": "Frontiers in Public Health", "versions": [] }