Maltrato infantil y del adolescente registrado en un hospital de referencia nacional, 2006 - 2011

Escalante-Romero, Lorena; Huamaní, Charles; Serpa, Hilda; Urbano-Durand, Carlos; Farfán-Meza, Gaudy; Ferrer-Salas, Carolina; Granados-Chávez, Gilda

doi:10.1590/s1726-46342012000100005

Cited by 6 publications

(5 citation statements)

References 16 publications

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“…In the focus groups in stage 3, text messages about violence received high scores, which affirms the demand for information on the subject. Our results affirm the findings of past studies and reports in Peru, which have found high rates of violence in the country [ 37 – 41 ]. A study in Peru found the following for cases of sexual abuse: in 74% of cases, the perpetrators were part of the victim’s close environment; and in 38% of cases, the perpetrators were consanguineous family members [ 42 ].…”

Section: Discussionsupporting

confidence: 93%

Developing an SMS text message intervention on sexual and reproductive health with adolescents and youth in Peru

et al. 2020

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Background: Improved access to sexual and reproductive health (SRH) services and information is essential for supporting adolescents and youth in making informed decisions and optimizing each young person's outcomes related to their SRH, health and well-being and countries' current and future social and economic development. Mobile phones offer opportunities for young people to privately access SRH content and to be linked to SRH services. The objective of this study was to develop the content for an SMS (short message service or "text message") platform jointly with adolescents and youth in three regions in Peru (Lima, Ayacucho and Loreto) as part of the ARMADILLO (Adolescent/Youth Reproductive Mobile Access and Delivery Initiative for Love and Life Outcomes) Study. Methods: Content development was done in three stages. During Stage 1, we held community consultations with 13-17 year old adolescents, 18-24 year old youth and professionals who work with young people through the education and health sectors ("adult advisers") to identify and rate SRH topics of interest through group free-and guided-brainstorming activities and an individual written sharing activity. During Stage 2, the team developed the preliminary domains, sub-domains and content for the SMS platform. During Stage 3, we held focus groups with adolescents to validate the SMS content, including both individual scoring of and group feedback for each SMS. Group feedback asked about their general impressions and understanding and their thoughts about the language and usefulness of the SMS. Results: A total of 172 adolescents and youth ages 13-24 and 20 adult advisers participated. Adolescents and youth brainstormed and rated SRH topics and sub-topics that led to the initial structure for the SMS platform, with 9 domains, 25 sub-domains and 146 draft SMS. Adolescents provided high scores for the SMS, with all sub-domains receiving average scores of 3.0 or higher (out of 4.0) for the SMS included. Adolescents also provided suggestions to optimize content, including improvements to unclear messages, resulting in SMS with adolescent-friendly content in simple, straightforward language. This process also revealed that adolescents lacked knowledge and had misconceptions related to contraceptive methods.

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Section: Discussionsupporting

confidence: 93%

Developing an SMS text message intervention on sexual and reproductive health with adolescents and youth in Peru

et al. 2020

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“…In a second effort to investigate the direction of the relationship between menarche and childhood sexual abuse, Kendall et al, interviewed 365 adults and found that the average age of onset of sexual abuse was 7 years, indicating that abuse preceded the onset of puberty [17]. A short survey of childhood abuse among children admitted to a referral hospital in Lima, Peru was able to determine that among the admitted, sexually abused girls, the average age of reported abuse was 9 years old [23]. Collectively, the US studies help to clarify the possible temporal relation between abuse experience and early menarche.…”

Section: Discussionmentioning

confidence: 99%

“…In the United States, population-based studies that have assessed racial differences in age at menarche demonstrated that non-Hispanic black women reported the earliest median age (12.1 years), non-Hispanic white women reported the latest (12.6 years) and Mexican American women fell in-between (12.3 years) [40]. Studies measuring differences in age of menarche between racial/ethnic groups are limited and few explore childhood abuse on menarche in developing countries with a high prevalence of childhood abuse, such as Peru [21–23], in part due to the lack of consensus on how to define harsh physical discipline that is widespread and culturally acceptable [22]. This study is the first, to our knowledge, to examine the relationship between childhood physical and sexual abuse and age at menarche among a Peruvian cohort.…”

Section: Discussionmentioning

confidence: 99%

Childhood Abuse and Early Menarche Among Peruvian Women

Barrios

Sanchez

Nicolaidis

et al. 2015

Journal of Adolescent Health

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A B S T R A C TPurpose: Childhood abuse has been associated with age of menarche in some studies, but not all, and few have assessed the independent associations of sexual and physical abuse with early menarche. We examined the association between childhood abuse and early menarche among pregnant women in Lima, Peru. Methods: Multinomial logistic regression procedures were used to estimate odds ratios (OR) and 95% confidence intervals (CIs) for early menarche ( 11 years) in relation to any physical or sexual childhood abuse, physical abuse only, sexual abuse only, and both physical and sexual abuse in a cohort of 1,499 pregnant (first trimester) women.Results: Approximately 69% of participants reported experiencing physical or sexual abuse in childhood. The frequencies of physical abuse only, sexual abuse only, and both physical and sexual abuse were 37.4%, 7.7%, and 24.5%, respectively. Compared with women who reported no childhood abuse, those who reported any childhood abuse had a 1.38-fold increased odds of early menarche (95% CI, 1.01e1.87). Compared with no abuse, the odds of early menarche was 1.60-fold among women with childhood sexual abuse only (OR, 1.60; 95% CI, .93e2.74) and 1.56-fold for those with both physical and sexual abuse (OR, 1.56; 95% CI, 1.07e2.25) during childhood. Isolated physical abuse was weakly associated with early menarche (OR, 1.23; 95% CI, .87e1.74). There was no clear evidence of association of childhood abuse with late menarche (!15 years). Conclusions: Childhood abuse, particularly joint physical and sexual abuse, is associated with early menarche. Our findings add to an expanding body of studies documenting the enduring adverse health consequences of childhood abuse.

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“…The high burden of childhood abuse in Peru and other low and middle income countries makes studying the long-term health consequences of childhood adversity a highly important global public health priority. [22] Further research is required to better understand factors that buffer or mitigate lasting health effects of early life adversity, including childhood abuse, on adult-onset asthma and other chronic conditions.…”

Section: Discussionmentioning

confidence: 99%

“…Peru is an example of a low and middle income country that experiences a high prevalence of childhood abuse, including both physical and sexual abuse. [22] Abuse is a perpetual cycle because victims of childhood abuse have been found to have a greater likelihood of re-experiencing adulthood abuse. [23] Prior studies have found that childhood abuse among pregnant women in Peru is associated with poor perinatal and mental health outcomes.…”

Section: Introductionmentioning

confidence: 99%

Childhood abuse and adult-onset asthma among Peruvian women

et al. 2017

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Objective Childhood abuse has been found to be associated with adult-onset asthma; however, this association has not been studied in low and middle income countries with a high burden of gender-based violence, including childhood abuse. We examined the odds of asthma diagnosed at age 18 or older in relation to history of physical and sexual abuse among Peruvian pregnant women. Methods This cross-sectional study collected demographic characteristics, history of abuse and asthma diagnoses from 3081 pregnant women. Logistic regression procedures estimated adjusted odds ratios and 95% confidence intervals (aOR,[95%CI]) for asthma diagnoses in relation to abuse. Results Overall, 71% of women reported a history of abuse (<18 years), and asthma was diagnosed among 2.6% of cohort participants. The prevalence of physical only, sexual only and both physical and sexual childhood abuse was 38%, 8% and 24%, respectively. History of physical only (1.16,[0.63–2.17]), sexual only (2.11,[0.92–4.84]) or both physical and sexual childhood abuse (1.75,[0.94–3.29]) were positively associated with increased odds of asthma, although the associations were not statistically significant in the multivariable analysis. However, the odds of asthma increased with increasing numbers of abuse events (ptrend=0.01). Women who reported ≥3 abuse events had an increased odds of asthma (1.88,[1.06–3.34]). Conclusion Our results do not provide convincing evidence that childhood abuse is associated with asthma among pregnant Peruvian women; however, we were able to demonstrate that an increased number of abuse events are associated with asthma. Further research is required to better understand the effects of abuse on asthma.

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Maltrato infantil y del adolescente registrado en un hospital de referencia nacional, 2006 - 2011

Cited by 6 publications

References 16 publications

Developing an SMS text message intervention on sexual and reproductive health with adolescents and youth in Peru

Developing an SMS text message intervention on sexual and reproductive health with adolescents and youth in Peru

Childhood Abuse and Early Menarche Among Peruvian Women

Childhood abuse and adult-onset asthma among Peruvian women

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