Transmissão de verrugas anogenitais em crianças e associação com abuso sexual

Drezett, Jefferson; Vasconcellos, Raquel Molina de; Pedroso, Daniela; Blake, Márcia de Toledo; Oliveira, Adriana Gonçalves de; Abreu, Luíz Carlos de

doi:10.7322/jhgd.20047

J. Hum. Growth Dev.

2012

DOI: 10.7322/jhgd.20047

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Transmissão de verrugas anogenitais em crianças e associação com abuso sexual

Jefferson Drezett

Raquel Molina de Vasconcellos

Daniela Pedroso

et al.

Abstract: Introduction: the incidence of anogenital condyloma acuminata in children shows remarkable increase in the last two decades, as well as by its association with sexual abuse. However, this relationship presents controversies regarding the etiology of infection, which makes answering challenging, particularly in legal-ethical aspects.

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Cited by 3 publications

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“…This scenario is very similar to the Brazilian reality, where 83.2% of the victims of libidinous act against children are female and 39.5% occur in victims between 10 and 14 years of age 18,19 . Regarding ethnicity, the findings of the National Committee of Combating Sexual Violence against Children and Adolescents 20 also report a higher incidence of libidinous act in white children and adolescents.…”

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confidence: 63%

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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supporting

confidence: 63%

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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Prevalência de Chlamydia trachomatis em mulheres submetidas à fertilização assistida em Goiânia

Proto

Carneiro

Passos

et al. 2013

Reprodução & Climatério

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

Vertamatti¹,

Abreu²,

Drezett³

et al. 2013

J. Hum. Growth Dev.

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Resumo:Objetivo: Descrever as características sócio-demográficas e clínicas de vítimas de violência sexual e sua associação com o tempo decorrido entre a agressão sexual e a chegada ao serviço de saúde. Método: Estudo retrospectivo de 439 casos de mulheres vítimas de agressão sexual, atendidas por serviço público de São Bernardo do Campo, São Paulo, Brasil, no período de 2000 a 2007. Resultados: De 439 pacientes incluídas, 374 chegaram antes de 72 horas ao hospital. A média de idade foi de 24,5 anos; 45,1% cursava ou havia concluído o segundo grau. A penetração vaginal foi a ocorrência mais comum, sendo exclusiva em 43,9% dos casos, enquanto que a associação desta com penetração anal ou oral ocorreu em 31,4% dos casos. Foram estatisticamente significantes para a chegada após 72 horas da agressão: a ausência de trauma não genital (OR = 2,58; IC95%: 1,04; 6,38), a não realização de denúncia policial (OR = 2,74; IC 95%: 1,58; 4,78) e o agressor conhecido (OR = 0,51; IC95%: 0,28; 0,96). Conclusões: O traumatismo não genital e a denúncia policial foram protetores para as vítimas, trazendo-as ao hospital dentro das primeiras 72 horas após a ocorrência; já o agressor conhecido foi fator determinante no atraso à chegada ao serviço de saúde. Políticas públicas para capacitação, divulgação e integração entre os setores envolvidos na abordagem deste tipo de violência podem reduzir as complicações dela decorrentes.Palavras-chave: saúde pública; saúde da mulher; violência sexual; prevenção e controle; infecção por HIV. Abstract:Background: We aimed to describe the social, demographic and medical characteristics of victims of sexual violence and their association with the lapsed time between the aggression and the search for medical attention, and to identify the possible reasons for delay in access to hospital. Methods: We reviewed the records of 439 female cases of sexual violence, treated through the medical services in Sao Bernardo do Campo, Brazil, during an eight-year period, from 2000 to 2007. Results: Of the 439 patients, 374 arrived at the hospital within 72 hours after the aggression. The average age was 24.5 years; 45.1% completed or were finishing high school. The most common form of sexual aggression was vaginal penetration in 43.9% of the cases, followed by multiple forms of penetration such as vaginal plus anal, or vaginal plus oral in 31.4% of the patients. Patients who did not suffer extra-genital injury and those who did not notify the authorities were significantly more likely to present to care after 72 hours: OR = 2.58 (95%CI: 1.04; 6.38) and OR = 2.74 (95%CI: 1.58; 4.78) respectively. Patients who had prior knowledge of their aggressor were significantly less likely to present after 72 hours (OR = 0.51; 95%CI: 0.28; 0.96). Conclusions: patients who suffered from extra-genital trauma and those who notified the authorities were more likely to seek care within 72 hours whereas patients who knew their aggressor were more likely to suffer the consequences of seeking care later than 72 hours. Public policies a...

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Transmissão de verrugas anogenitais em crianças e associação com abuso sexual

Cited by 3 publications

References 37 publications

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

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

Prevalência de Chlamydia trachomatis em mulheres submetidas à fertilização assistida em Goiânia

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

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