Male-On-Male Child and Adolescent Sexual Abuse in the Caribbean Region of Colombia: A Secondary Analysis of Medico-Legal Reports

Escalante-Barrios, Elsa Lucia; Fàbregues, Sergi; Meneses, Julio; García-Vita, María del Mar; Molinares, Daladier Jabba; Barreto, Carmen Ricardo; Pérez, Sandra Patricia Ferreira

doi:10.3390/ijerph17218248

Cited by 7 publications

(13 citation statements)

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“…Cutaneous CBDC lesions are known to affect the face, trunk, extremities, groin and genitals 1 . The preponderance of the condition in the facial, groin and genital regions (mainly in neonates) means that the possibility of sexual abuse needs to be considered as part of the clinical investigations into a CBDC case, as this distribution of lesions matches those from studies of abuse in children 7,14 . The recent finding that neonatal CBDC is generally due to intraoral exposure to pathogenic IgA in the maternal breast milk means that an intraoral, genital or other source of pathogenic autoantibodies from other bodily secretions should be considered 7 .…”

Section: Discussionmentioning

confidence: 94%

“…1 The preponderance of the condition in the facial, groin and genital regions (mainly in neonates) means that the possibility of sexual abuse needs to be considered as part of the clinical investigations into a CBDC case, as this distribution of lesions matches those from studies of abuse in children. 7,14 The recent finding that neonatal CBDC is generally due to intraoral exposure to pathogenic IgA in the maternal breast milk means that an intraoral, genital or other source of pathogenic autoantibodies from other bodily secretions should be considered. 7 Seminal fluid transmission of IgA autoantibodies has not been investigated or published as a cause of CBDC, but seminal fluid has been reported to contain IgA antibodies and allergy to seminal fluid has been reported previously to result in blistering.…”

Section: Discussionmentioning

confidence: 99%

“…Inclusion criteria included a diagnosis of CBDC, publication since 1980, case studies, children, clinical features documented and no language restriction. A search was conducted using Embase, MEDLINE and Scopus on 14 July 2021 (see Supplementary Table S1 for search terms). Reasons for exclusion can be seen in the PRISMA flow chart (Fig.…”

Section: Inclusion Criteria and Searchesmentioning

confidence: 99%

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Clinical features of chronic bullous dermatosis of childhood

Wilson

Murrell

2022

Clin Experimental Derm

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Summary Background Chronic bullous dermatosis of childhood (CBDC) is a rare autoimmune subepidermal blistering disease, which can develop following vaccination or medication, or with an autoimmune condition or illness, among other causes. Aim To identify and better understand the clinical features of CBDC by performing a systematic review, in line with the Preferred Reporting Items for Systematic Reviews and Meta‐analyses guidelines. Methods Eligible studies included publication since 1980, CBDC diagnosis, case studies, subjects aged < 18 years, clinical features and no language restriction. A database search was conducted including Embase, MEDLINE and Scopus on 14 July 2021 (see Appendix for search terms). Data were assessed for risk of bias. Jamovi was used for statistical analysis. Age and sex were compared with mucocutaneous involvement, cutaneous involvement, other symptoms, human leucocyte antigen type and lesion descriptions. Results After removing duplicate references using Endnote, 351 papers were identified, of which 91 met the inclusion criteria. These papers included 130 cases of CBDC: 110 children and 20 neonates. The ratio of male : female patients was 19 : 1 for neonates and 74:55 for children. χ² analysis with 1 degree of freedom showed that CBDC in neonates was associated with facial (χ²(1) = 9.67, P < 0.01), mouth (χ²(1) = 31.0, P < 0.001), upper airway (χ²(1) = 52.7, P < 0.001), oesophageal (χ²(1) = 34.6, P < 0.001), ophthalmic (χ²(1) = 6.27, P = 0.01) involvement and with respiratory distress (χ²(1) = 22.7 P < 0.001). CBDC in children was associated with genital (χ²(1) = 3.96, P < 0.05), arm (χ²(1) = 6.99, P < 0.01) and leg (χ²(1) = 7.03, P < 0.01) involvement. CBDC in male patients was associated with facial (χ²(1) = 7.01, P < 0.01), scalp (χ²(1) = 5.96, P < 0.02) and perianal (χ²(1) = 7.22, P < 0.01) involvement. Conclusion Neonates with CBDC are more likely to have a mucocutaneous distribution of lesions, whereas children are more likely to have cutaneous lesions. The limitations of this study include selection bias, and the small neonate sample size makes the study unrepresentative of the population. The review highlights the need for further research into the clinical features of CBDC in neonates.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Inclusion Criteria and Searchesmentioning

confidence: 99%

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Clinical features of chronic bullous dermatosis of childhood

Wilson

Murrell

2022

Clin Experimental Derm

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“…Most studies show that the average age of sexually abused children is 11 years old [1], [26]. Researches carried out by Kovalev et al indicate that the victims of rape are, as a rule, persons under 14 years old -10%, 15 years old -10%, 16 years old -28%, 17 years old -14%, 18 years old -22%, 19 years old -8%, from 20 to 25 years old -8% [27].…”

Section: Discussionmentioning

confidence: 99%

“…More than half of Kazakhstani schoolchildren (66.2%) experience violence in schools [6]. Numerous data indicate that often parents, guardians, or other close persons for a child become perpetrators of sexual crimes, who, using his helpless or defenseless state, can commit these assaults for a long period of time [22], [23], [26]. In 45% of cases, the rapist is a relative, in 30% -a more distant acquaintance (brother's friend, mother's lover, etc.)…”

Section: Discussionmentioning

confidence: 99%

Sexual Inviolability of Minors in Central Kazakhstan: A Forensic Medical Analysis

Mussabekova

Mkhitaryan²

2022

Open Access Maced J Med Sci

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Abstract Child sexual abuse is a social phenomenon that requires special attention from society, as it leads to the suffering of the most vulnerable part of the world's population. Child sexual abuse around the world not only persists, but also continues to grow, despite the active measures of the world community against it. Taking into account the high latency of crimes against sexual inviolability and sexual freedom of the person, measures for their detection and prevention are of particular relevance. All this requires constant monitoring of the current situation not only in the world or in the country, but also in each region of the country separately. Forensic medical examination of victims of sexual violence plays an important role in the analysis of the situation on this problem, not only in the legal, but also in the medical aspect. Research aim: Analysis of quantitative and qualitative indicators of crimes against the sexual inviolability of minors on the territory of Central Kazakhstan for the formation of indicators for assessing the current situation in the region and recommendations for the prevention of these types of crimes. Methods A retrospective analysis of the situation on the number and structure of sexual crimes committed against children from 2018 to 2021 was carried out, and their dynamics was studied. There were investigated 1252 forensic medical examinations on cases of sexual crimes against the sexual inviolability of the person on the territory of Central Kazakhstan. Methods of applied statistical analysis were used to analyz obtained results. Results A detailed analysis made it possible to assess the structure and peculiarities of sexual crimes committed against children on the territory of Central Kazakhstan over the specified period of time. The number of sexual crimes against minors in the region is increasing every year. Statistically significant age characteristics of victims and specific indicators characterizing the socio-psychological aspects of sexual crimes in the region were revealed. It has been established that in most cases the aggressor is part of the victim's family or is very close to it. The analysis of the age structure of children showed that boys from 6 to 14 years old and girls over 14 are more likely to become victims. In the studied territory, the number of sexual harassment of children is more often committed by one person, often known to them, and in most cases occurs in enclosed spaces than on the street. Conclusion The progressive growth of crimes against the sexual inviolability of children in the region requires strengthening measures to improve legal means of countering sexual crimes against minors. A detailed study of the issue made it possible to identify lacks (organizational, tactical, diagnostic) and give the forensic medical examination of sexual conditions a qualitatively new level. The strategy of combating sexual crimes against minors should be based on active preventive work. Key words: forensic medical examination, sexual violence, Central Kazakhstan, children, minors.

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A current view on the neglected topic of male child sexual abuse in the context of literature

Sari,

Bilac,

Erten Almak

et al. 2023

Child Abuse Review

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Despite the growing numbers, awareness and reporting rates of male child sexual abuse (MCSA) are still well below the real values, especially in developing countries like Turkey. We examined MCSA to determine the predisposing factors, the characteristics of perpetrators and victims, and the consequences of sexual abuse in a Turkish sample. We retrospectively analysed the files and forensic reports of 51 MCSA victims aged between 6 and 18. The mean age of children was 13.6 ± 3.8 years, and the mean age at the time of abuse was 11.1 ± 3.52. The average exposure time for sexual abuse was 91 ± 226.8 days, and the frequency was 2.4 ± 2.47 times. 17.6 per cent of them had previously been sexually abused. Disclosure times until legal notification was 240.1 ± 552.25 days. Most (56.9 per cent) had suffered anal penetration, developed post traumatic stress disorder, and needed medical treatment. Most perpetrators (58.8 per cent) were strangers outside the family, reaching the children from the neighbourhood. In conclusion, although the number of our sample is limited, the results of our study will contribute valuably to the literature, given that there are few studies on MCSA. Further studies with large samples evaluating MCSA in multidimensional ways are needed to raise awareness and protect vulnerable children.

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Male-On-Male Child and Adolescent Sexual Abuse in the Caribbean Region of Colombia: A Secondary Analysis of Medico-Legal Reports

Cited by 7 publications

References 70 publications

Clinical features of chronic bullous dermatosis of childhood

Clinical features of chronic bullous dermatosis of childhood

Sexual Inviolability of Minors in Central Kazakhstan: A Forensic Medical Analysis

A current view on the neglected topic of male child sexual abuse in the context of literature

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