Sexual violence against adolescents notified by health professionals in Southern Brazil from 2009 to 2016
DOI:
https://doi.org/10.33233/eb.v21i3.5072Keywords:
sexual violence, adolescent, adolescent health, epidemiological monitoringAbstract
Introduction: Sexual violence is one of the forms of expression of domestic violence that occurs across different cultures and afflicts thousands of adolescents around the world. Objective: To describe the characteristics of sexual domestic violence against adolescents in the southern region of Brazil, reported by health professionals, relating them to demographic factors, gender, age group of victims and perpetrators of aggression. Methods: Cross-sectional study on sexual domestic violence against adolescents based on SINAN data. Variables: characteristics of the victim, aggressor, occurrence and typology of violence. Crude and adjusted analyzes were performed with values expressed as odds ratio (OR) and the respective 95% confidence intervals. Results: 10,104 notifications, predominantly female; white and brown skin color, age group 10 to 14 years, male aggressors, known to the victims and who did not consume alcohol. The age group of 10-14 years, having non-white skin color and having a disability were some of the factors that increased the chance of adolescents suffering sexual violence. Conclusion: Sexual violence in the southern region of Brazil occurred in greater proportion among female adolescents, aged 10-14 years, white and brown, with 5 to 8 years of schooling and single. It is necessary to broaden the discussion between the government, civil entities, professionals, researchers and the population; in the search for forms of prevention and support for victims.
References
WHO. Responding to children and adolescents who have been sexually abused: WHO clinical guidelines. Responding to children and adolescents who have been sexually abused: WHO clinical guidelines: WHO; 2017 [Internet]. [cited 2022 May 23]. Available from: https://www.who.int/publications/i/item/9789241550147
Brasil. Ministério dos Direitos Humanos. Secretaria Nacional de Proteção dos Direitos das Criança e Adolescente. Violência contra Crianças e Adolescentes: Análise de Cenários e Propostas de Políticas Públicas. Brasília: Ministério dos Direitos Humanos, 2018. 494 p.
Karayianni E, Fanti KA, Diakidoy IA, Hadjicharalambous MZ, Katsimicha E. Prevalence, contexts, and correlates of child sexual abuse in Cyprus. Child Abuse Negl 2017;66:41-52. doi: 10.1016/j.chiabu.2017.02.016
Sethi D, Bellis M, Hughes K, Gilbert R, Mitis F, Galea G. European report on preventing child maltreatment: World Health Organization, Regional Office for Europe Copenhagen, Denmark; 2013 [Internet]. [cited 2022 May 23]. Available from: https://www.euro.who.int/__data/assets/pdf_file/0019/217018/European-Report-on-Preventing-Child-Maltreatment.pdf
Van der Kolk BA. Developmental Trauma Disorder: Toward a rational diagnosis for children with complex trauma histories. Psychiatric Annals 2017;35(5):401-8. doi: 10.3928/00485713-20050501-06
United Nation Children's Fund. A familiar face: violence in the lives of children and adolescents [Internet]. New York: UNICEF; 2017 [cited 2018 Dec 12]. Available from: https://www.unicef.org/publications/index_101397.html
Lima AAF, Pereira DEM, Delgado GA, Pinto IV, Freitas MG, Souto RMCV, et al. Boletim Epidemiológico 27. Análise epidemiológica da violência sexual contra crianças e adolescentes no Brasil, 2011 a 2017. Brasília: Ministério da Saúde; 2018.
Delziovo CR, Bolsoni CC, Nazário NO, Coelho EBS. Características dos casos de violência sexual contra mulheres adolescentes e adultas notificados pelos serviços públicos de saúde em Santa Catarina, Brasil. Cad Saúde Pública 2017;33(6):e00002716. doi: 10.1590/0102-311X0000271
Gaspar RS, Pereira MUL. Evolução da notificação de violência sexual no Brasil de 2009 a 2013. Cad Saúde Pública 2018;34:e00172617. doi: 10.1590/0102-311X00172617
Cerqueira D, Lima RS, Bueno S, Neme C, Ferreira H, Coelho D, et al. Atlas da Violência. Rio de Janeiro: Ipea; 2018.
Dworkin ER. Risk for mental disorders associated with sexual assault: A meta-analysis. Trauma Violence Abuse 2020;21(5):1011-28. doi: 10.1177/1524838018813198
Mossige S, Huang L. Poly-victimization in a Norwegian adolescent population: Prevalence, social and psychological profile, and detrimental effects. Plos One 2017;12(12):1-14. doi: 10.1371/journal.pone.0189637
Vigilância de Violências e Acidentes em Serviços de Urgência e Emergência [Internet]. [cited 2022 May 23]. Brasília: Ministério da Saúde; 2018. Available from: http://svs.aids.gov.br/dantps/acesso-a-informacao/inqueritos-de-saude/viva-inquerito/
Platt VB, Back IC, Hauschild DB, Guedert JM. Violência sexual contra crianças: autores, vítimas e consequências. Ciênc Saúde Coletiva 2018;23(4):1019-31. doi: 10.1590/1413-81232018234.11362016
Zanatta EA, Dal Pai D, Resta DG, Argenta C, da Motta MGC. Caracterização das notificações de violência contra adolescentes. Enferm Foco 2012;3(4):165-8. doi: 10.21675/2357-707X.2012.v3.n4.376
Hohendorff JV, Habigzang LF, Koller SH. Violência sexual contra meninos: dados epidemiológicos, características e consequências. Psic USP 2012;23(2):395-415. doi: 10.1590/S0103-65642012005000007
Duarte MC, Fonseca RMGS, Souza V, Pena ED. Gênero e violência contra a mulher na literatura de enfermagem: uma revisão. Rev Bras Enferm 2015;68(2):325-32. doi: 10.1590/0034-7167.2015680220i
Ngo QM, Veliz PT, Kusunoki Y, Stein SF, Boyd CJ. Adolescent sexual violence: prevalence, adolescente risks, and violence characteristics. Prev Med 2018;116:68-74. doi: 10.1016/j.ypmed.2018.08.032
Monterrosa-Castro Á, Arteta-Acosta C, Ulloque-Caamaño L. Violencia doméstica en adolescentes embarazadas: caracterización de la pareja y prevalencia de las formas de expresión. Iatreia 2017;30(1):34-46. doi: 10.17533/udea.iatreia.v30n1a03
Santos TMB, Pitangui ACR, Bendo CB, Paiva SM, Cardoso MD, Melo JPR, et al. Factors associated with the type of violence perpetrated against adolescents in the state of Pernambuco, Brazil. Child Abuse Negl 2017;67:216-27. doi: 10.1016/j.chiabu.2017.02.006
Miranda MHH, Fernandes FEC, Melo RA, Meireles RC. Violência sexual contra crianças e adolescentes: uma análise da prevalência e fatores associados. Rev Esc Enferm USP 2020;54:e03633. doi: 10.1590/S1980-220X2019013303633
Krahe B, Berger A, Vanwesenbeeck I, Bianchi G, Chliaoutakis J, Fernandez-Fuertes AA, et al. Prevalence and correlates of young people's sexual aggression perpetration and victimisation in 10 European countries: a multi-level analysis. Cult Health Sex 2015;17(6):682-99. doi: 10.1080/13691058.2014.989265
Ferraz MMP, Veloso MMX, Cabral IR. Violência sexual contra crianças e adolescentes: análise das notificações a partir do debate sobre gênero. Desidades [Internet] 2021[cited 2022 May 23];29(9):134-50. Available from: http://desidades.ufrj.br/featured_topic/violencia-sexual-contra-criancas-e-adolescentes-analise-das-notificacoes-a-partir-do-debate-sobre-genero/
Santos TMB, Sousa TDA, Rocha GSA, Silva LMP. Análise da produção científica sobre a notificação da violência contra adolescentes. Rev Bras Promoç Saúde 2015;27(4):560-7. doi: 10.5020/2750
Shamu S, Shamu P, Zarowsky C, Temmerman M, Shefer T, Abrahams N. Does a history of sexual and physical childhood abuse contribute to HIV infection risk in adulthood? A study among post-natal women in Harare, Zimbabwe. Plos One 2019;14(1):e0198866. https://doi:10.1371/journal.pone.0198866
Pan Y, Juang K, Lu S, Chen S, Wang Y, Fuh J, Wang S. Longitudinal risk factors for suicidal thoughts in depressed and non-depressed young adolescents. Aust N Z J Psychiatry 2017;51(9):930-7. https://doi:10.1177/0004867417717795
Silva DM. O perfil psicossocial de crianças e adolescentes vítimas de violência sexual. Educação, Psicologia e Interfaces 2020;4(1):144-59. doi: 10.37444/issn-2594-5343.v4i1.194
UNFPA. Young persons with disabilities: global study on ending gender-based violence and realising sexual and reproductive health and rights [Internet]. United Nations Population Fund. 2018. 436 p. [cited 2022 May 23]. Available from: https://www.unfpa.org/publications/young-persons-disabilities
Additional Files
Published
Issue
Section
License
Copyright (c) 2022 Carlos Magno Neves, Carolina Carvalho Bolsoni, Thays Berger Conceição, Sheila Rúbia Lindner, Judizeli Baigorria, Elza Berger Salema Coelho
This work is licensed under a Creative Commons Attribution 4.0 International License.
