Portal da USP Portal da USP Portal da USP

Sexual abuse characteristics in Santo André, São Paulo, Brazil: from victims to aggressors, from diagnosis to treatment

Maria Aparecida Dix Chehab, Laércio da Silva Paiva, Francisco Winter dos Santos Figueiredo, Blanca Elena Guerrero Daboin, Lígia de Fátima Nobre Reato, Fernando Adami

Resumo


Introduction: Sexual violence against children and adolescents in Brazil is an underreported public health problem. Knowing the profile of the victims and the factors related to each case is a strategy for the development of more effective public policies.

Objective: To describe the profile of children and adolescent victims of sexual abuse, characteristics of aggression and aggressors, consequences for victims, and legal actions related to sexual abuse.

Methods: Sociodemographic characteristics of the victims were analyzed, as well as characteristics of the aggressors and aggression, and clinical, psychological, and legal aspects of 61 sexually abused patients admitted to the specialized outpatient clinic of the Network of Health for Violence and Sexual Abuse located in Santo André, São Paulo State, Brazil.

Results: Victims had a mean age of 10.4 years, female (60.7%, n= 37), white (70.5%, n= 43), and admitted to the care network after of 72 hours of having been a victim of abuse (68.3%, n = 40). Most of the aggressions were by a sexual act (65.6%, n = 40) and by an individual known by the victim (72.1%, n= 44). As a result of sexual abuse, the children had a change in family composition (42.6%, n = 26), cognitive disturbances (34.4%, n= 21), emotional disturbances (83.6%, n= 51), and behavioral disorders (54.1%, n= 33). Two-thirds of the cases resulted in a police investigation, only 20% of the offenders were convicted.

Conclusion: Girls suffer sexual abuse where the perpetrator is known and close to the family; they delay seeking health services and can present mental disorders related to those abuses, but the perpetrators remain unpunished in most cases.


Palavras-chave


Sexual abuse; sexual violence; children; adolescents; public health.

Texto completo:

PDF (English) PDF

Referências


Dias MB. Incesto: um pacto de silêncio. Rev CEJ. 2006;10(34):11-14.

Wingo AP, Wrenn G, Pelletier T, Gutman AR, Bradley B, Ressler KJ. Moderating effects of resilience on depression in individuals with a history of childhood abuse or trauma exposure. J Affect Disord. 2010;126(3):411-4. DOI: http://dx.doi.org/10.1016/j.jad.2010.04.009

Friedman MS, Marshal MP, Guadamuz TE, Wei C, Wong CF, Saewyc E, et al. A meta-analysis of disparities in childhood sexual abuse, parental physical abuse, and peer victimization among sexual minority and sexual nonminority individuals. Am J Public Health. 2011;101(8):1481-94. DOI: http://dx.doi.org/10.2105/AJPH.2009.190009

Ferreira JD. Estudo de fatores relacionados com a violência sexual contra crianças, adolescentes e mulheres adultas. Rev Bras Ginecol Obstet. 2000:22(7):459. DOI:

http://dx.doi.org/10.1590/S0100-72032000000700011

Hill JM, Vernig PM, Lee JK, Brown C, Orsillo SM. The development of a brief acceptance and mindfulness-based program aimed at reducing sexual revictimization among college women with a history of childhood sexual abuse. J Clin Psychol. 2011;67(9):969-80. DOI: http://dx.doi.org/10.1002/jclp.20813

Heimer G, Posse B, Stenberg A, Ulmsten U. A national center for sexually abused women in Sweden. Int J Gynaecol Obstet. 1996;53(1):35-9.

Kassim K, Kasim MS.. Sexual abuse: psychosocial aspects of 101 cases seen in an urban Malaysian setting. Child Abuse Negl. 1995;19(7):793-9.

Newton-Taylor B, DeWit D, Gliksman L. Prevalence and factors associated with physical and sexual assault of female university students in Ontario. Health Care Women Int. 1998;19(2):155-64. DOI: http://dx.doi.org/10.1080/073993398246485

Felizardo MJA, Ribeiro DAA, Santos LES, Gradim CVC. Uma abordagem sobre a violência infantil no campo histórico, social e de saúde. Pediatr Moderna. 2011;47(2):47-52.

Kellogg N; American Academy of Pediatrics Committee on Child Abuse and Neglect. The evaluation of sexual abuse in children. Pediatrics. 2005;116 (2):506-12. DOI: http://dx.doi.org/10.1542/peds.2005-1336

Njaine K, Assis SG, Constantino P. Impactos da violência na saúde. Rio de Janeiro: Sergio Arouca; 2009.

Thomazine AM, Toso BRGO, Viera CS. Abordagem da atenção primária à saúde

na violência intrafamiliar infantil. Rev Soc Bras Enferm Ped. 2014;14(2):105-12.

Instituto Brasileiro de Geografia (IBGE). Censos demográficos. [cited 2016 Ouc 15] Available from: http://www.ibge.gov.br/home/estatistica/populacao/censo2010/default.shtm

Linhares MBM, Marturano EM, Loureiro SR, Machado VLS, Lima AS. Crianças com queixa de dificuldade escolar que procuran ajuda psicológica: avaliação intelectual através do WISC. Estudos Psicol. 1996;13(1):27-39.

Silva MFX, Villemor-Amaral AE. A auto-estima no CAT-A e HTP: estudo de evidência de validade. Aval Psicol. 2006;5(2):205-15.

Pasquali L, Wechsler S, Bensusan E. Raven's colored progressive matrices for children: a validation study for Brazil. Aval Psicol. 2002;1(2):95-110.

Wecheler SM, Schelini PW. Validity of human figure drawing for children’s cognitive assessment. Aval Psicol. 2002;1:29-38.

Waiselfisz JJ. Mapa da violência 2012: crianças e adolescentes do Brasil. Flacso; 2012.

Drezet J, Vasconcellos RM, Pedroso D, Blake MT, Oliveira AG, Abreu LC. Transmission of anogenital warts in children and association with sexual abuse. J Hum Growth Dev. 2012;22(1):34-40. DOI: http://dx.doi.org/10.7322/jhgd.20047

Fundo das Nações Unidas para a Infância (UNICEF). The State of the world’s children 2006. Brasília: UNICEF; 2005.

Vertamatti MAF, Abreu LC, Barbosa CP. Time lapsed between sexual aggression and arrival at the Brazilian health service. J Hum Growth Dev. 2013;23(1):46-51. DOI: http://dx.doi.org/10.7322/jhgd.50390

Instituto Nacional de Estudos e Pesquisas Educacionais Anísio Teixeira (INEP). Ministry of Education and Culture. National Institute for Educational Studies and Research "Anísio Teixeira". Board of Education Statistics. 2009.

Pfeiffer L, Salvagni EP. [Current view of sexual abuse in childhood and adolescence]. J Pediatr (Rio J). 2005;81(5 Suppl.0):S197-204. DOI: http://dx.doi.org/10.1590/S0021-75572005000700010

Lucena KDT, Deninger LSC, Coelho HFC, Monteiro ACC, Vianna RPT, Nascimento JA. Analysis of the cycle of domestic violence against women. J Hum Growth Dev. 26(1):139-46. DOI: http://dx.doi.org/10.7322/jhgd.119238

Pathirana MIBD. Psychological impact of violence and abuse in the lives of street children in Sri Lanka. J Hum Growth Dev. 2000;10(2):47-59. DOI: http://dx.doi.org/10.7322/jhgd.39634

Brasil. Ministério da Saúde. Notificação de maus-tratos contra crianças e adolescentes pelos profissionais de saúde. Brasília: Ministério da Saúde; 2002.




DOI: http://dx.doi.org/10.7322/jhgd.123611

Métricas do Artigo

Carregando métricas...

Metrics powered by PLOS ALM

Apontamentos

  • Não há apontamentos.