Time Lapsed Between Sexual Aggression and Arrival at the Brazilian Health Service

Vertamatti, Maria Auxiliadora Figueredo; Abreu, Luíz Carlos de; Drezett, Jefferson; Valenti, Vítor Engrácia; Barbosa, Caio Parente

doi:10.7322/jhgd.50390

Cited by 16 publications

(19 citation statements)

References 21 publications

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“…Therefore, it is essential to obtain data that will assist the practitioner in the difficult task of reducing the consequences of such a painful situation, identifying the possible reasons linked to the delay in accessing hospital services [8].…”

Section: Introductionmentioning

confidence: 99%

Factors associated with the delay in seeking legal abortion for pregnancy resulting from rape

et al. 2015

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Background: About 7% of rape cases in Brazil result in pregnancy.Overall, Brazilian women are unaware of the right to legal interruption of pregnancy after rape, so they delay in applying the procedure to get a legal abortion or at the end they try to abort in a condition that may be unsafe. Objective:To analyse factors associated with the leadtime to have a legal abortion after rape.Methods: This is a cross-sectional study. The data were collected from electronical medical records of 1,270 women who requested legal abortion in a public hospital in São Paulo during the period of 1994 to 2013. The variables age, education, race, marital status, religion, form of intimidation, vulnerable condition, perpetrator of sexual violence, number of perpetrators, and police report were analysed in relation to gestational age, according to multiple multinomial logistic regression models. Results BackgroundSexual crimes particularly affect vulnerable young females and may be associated with physical trauma, mortality, sexual disorders, unwanted pregnancy, and psychological consequences. Damages to reproductive health include increased risk of infertility, anogenital cancer, and sexually transmitted diseases (STDs) [1]. In addition to representing a public health problem in developing countries, the subject of discussing the conflict of interrupting an unwanted pregnancy, as a consequence of a rape or not, requires a well informed decision making proccess, covering the scope of legal, moral, religious, social, and cultural aspects that are linked to it [2].Emerging data on violence against females around the world suggest that in some countries, one in five female suffer rape or attempted rape in their lifetime. Recent research on the behaviour, attitudes, and sexual experiences of young people in areas of Africa, Asia, and Latin America revealed that between 5 and 20% of females' first sexual experience was forced. Regardless of whether they have access to contraception, a forced sexual act is usually unprotected, exposing females not only to unwanted pregnancy but also to STDs, including HIV [3].In Brazil, about 7% of rape cases resulted in pregnancy. Under Brazilian law, the victim of this type of violence has the right to abort. However, 67.4% of females who were pregnant after being raped didn't get the access to legal abortion in a The delay verified in the decision to search for legal termination of pregnancy cannot be attributed to or explained by the cost of abortion in Brazil. The Brazilian Unified Health System (SUS) ensures full and free coverage for abortion in these cases, regardless of the woman has any sort of health insurance. Therefore, the females who have participated in this study did not face any financial barriers to make legal abortion.According to the Allan Guttmacher Institute, the highest rates of abortions were observed between 1995 and 2008 mainly in those regions where laws against abortion are more rigid. In 2008, an average of 28 women per thousand carried out an abortion, indicating a...

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Section: Introductionmentioning

confidence: 99%

Factors associated with the delay in seeking legal abortion for pregnancy resulting from rape

et al. 2015

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“…This is because most of the time, the abuser oppresses the victim, or tries to hide the case 21 . Two-thirds of the sexual assaults that occurred in the study population were characterized as rape.…”

Section: Discussionmentioning

confidence: 99%

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

Chehab

Paiva

Figueiredo

et al. 2017

J. Hum. Growth Dev.

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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 libidinous act, characteristics of aggression and aggressors, consequences for victims, and legal actions related to sexual abuse.Methods: This is a descriptive study. Sociodemographic characteristics of the victims, 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, were analyzed.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 libidinous act (65.6%, n = 40) and by an individual known by the victim (72.1%, n= 44). As a result of libidinous act, 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. Sexual violence against children and adolescents is a global public health problem, especially in low and middle income countries, where cases remain largely hidden. Less than 10% of cases reach the health system and the police due to the so-called "silence pact" Keywords1 . This pact of silence is where victims of sexual assault and those responsible are aware of the violence, but for various reasons, they prefer to not to report it. This challenge becomes greater in relation to sexual and domestic violence, where it is more present and associated with feelings of fear and prejudice.In children and adolescents, sexual violence has short-and long-term consequences for health. The victims may present physical sequelae (unwanted pregnancies, sexually transmitted diseases, and other injuries in general), psychological (cognitive, emotional, and behavioral dysfunction) 2,3 and social (school dropout, family dysfunction, child prostitution) 4 with a higher incidence of revictimization during adolescence and/or in adulthood 5 . In recent decades, recognition of this problem and its hidden nature has resulted in intersectoral mobilization focused on early diagnosis, treatment, and prevention strategies [6][7][8][9][10][11] . The data collected through RESAVAS are essential to determine the magnitude and nature of violence, the profile...

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“…Em relação a maior incidência de abuso sexual no sexo feminino, alguns autores explicam que a sociedade brasileira adota a concepção machista de culpar aquelas vítimas na faixa etária de 12 a 18 anos de idade. Os ofensores preferem adolescentes e crianças mais jovens, uma vez que a imaturidade dessas vítimas as torna mais vulneráveis à agressão (Habigzang & Koller, 2011;Serafim et al, 2011;Vertamatti et al, 2013).…”

Section: Informações Sobre a Vítimaunclassified

“…Relatos nacionais e internacionais descrevem situações de maior incidência nos casos de abuso intrafamiliar, quando comparado ao extrafamiliar, tal como aqui observado (Baptista et al, 2008;Bella et al, 2007;Gerko et al, 2005, Habigzang & Koller, 2011Omer, 2011;Pelisoli, Pires, Almeida, & Dell'Aglio, 2010;Serafim et al, 2011;Vertamatti et al, 2013;Weiss, 2010). O abuso sexual intrafamiliar é considerado uma forma de violência que dificulta ainda mais a sua revelação, ainda que essa dinâmica seja rapidamente interrompida.…”

Section: Informações Sobre Abuso Sexual (N=15)unclassified

Caracterização do Abuso Sexual em Clientela do CREAS

Marra

Costa

2016

Rev. Subj.

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ResumoBuscou-se caracterizar o perfil de 15 famílias de baixa renda que vivenciaram a situação de abuso sexual e estavam sendo atendidas no CREAS, ressaltando-se o tempo vivido por elas entre a revelação da violência sexual e o início do atendimento. Utilizou-se como instrumentos entrevistas semiestruturadas com as famílias e dados dos prontuários destas. Estatísticas descritivas simples foram utilizadas como forma de sistematização dos dados. Os resultados assinalam que as vítimas são predominantemente do sexo feminino; tinham em média oito anos quando o abuso ocorreu; e foram vítimas de abuso sexual intrafamiliar. As famílias são eminentemente chefiadas por mulheres, sendo estas quem comumente acompanham as filhas em sua trajetória desde a revelação até o atendimento pelas intuições especializadas. Nesta amostra constata-se que a criança vive o abuso em uma média de dois anos e que da revelação à notificação ocorre mais um período de tempo, que dura em média um ano e seis meses. Conclui-se que intervalo de tempo entre a revelação do abuso sexual e as providências para o atendimento são vividas em função da assimilação do ocorrido, além da necessária reorganização familiar, física e/ou emocional. Importante apontar para a mudança na celeridade do atendimento pelos órgãos públicos, após a revelação do abuso sexual na comunidade e dos efeitos propulsores em direção ao papel protetor dos diferentes agentes.Palavras-chave: violência; família; abuso sexual; intervenção psicossocial. AbstractThe study aimed to characterize the profile of 15 low-income families who experienced sexual abuse and were being treated at CREAS, highlighting the time they lived between the disclosure of sexual violence and the beginning of treatment. Semi-structured

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Time Lapsed Between Sexual Aggression and Arrival at the Brazilian Health Service

Cited by 16 publications

References 21 publications

Factors associated with the delay in seeking legal abortion for pregnancy resulting from rape

Factors associated with the delay in seeking legal abortion for pregnancy resulting from rape

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

Caracterização do Abuso Sexual em Clientela do CREAS

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