Sexual violence in the ABC Paulista: portrait of 142 cases

Main Article Content

Josyandra Paula de Freitas Rosa
Manuella Missawa de Oliveira
Manoel Messias de Oliveira Filho
César Eduardo Fernandes
Emerson Oliveira

Abstract

Introduction: Sexual abuse leaves severe sequels, such as social limitations. Objective: To investigate aspects of sexual violence and the victims treated at a specialized service in the city of Mauá, São Paulo, between 2008 to 2009. Methods: We analyzed 138 women, assisted at a University Hospital. Study is retrospective with survey of medical records for data collection. We studied: age, ethnicity, marital and sexual relationship, time of violence, number of aggressors, search for medical assistance, use of medications and protocol examinations, communication to the competent authorities, use of the weapon by the aggressor and number of resulting pregnancies. Results: The mean age  as 22 years. Most had no stable relationship, had sexual activity before the violence, were of white ethnicity, sought medical help within 72 hours after the event and used protocol medications. At night there were more crimes and violence at that time was more likely to be committed by more than one perpetrator. Only 26.7% of the patients acknowledged the perpetrators and only 42.9% and 21.8% of the women did report bullying and examination of the body of crime, respectively. In 40.8% some kind of weapon was used in the approach or during the crime. Finally, none of the patients who did emergency contraception became pregnant. Conclusion: The characterization of people who suffer sexual violence is of extreme importance for the creation of strategies for the care of prophylaxis of sexually transmitted diseases and outpatient follow-up until the end of treatment, as well as psychological counseling.

Downloads

Download data is not yet available.

Article Details

How to Cite
Rosa, J. P. de F., Oliveira, M. M. de, Oliveira Filho, M. M. de, Fernandes, C. E., & Oliveira, E. (2018). Sexual violence in the ABC Paulista: portrait of 142 cases. ABCS Health Sciences, 43(1). https://doi.org/10.7322/abcshs.v43i1.994
Section
Original Articles

References

Krug EG, Dahlberg LL, Mercy JA, Zwi A, Lozano R. Relatório mundial sobre violência e saúde. Genebra: Organização Mundial da Saúde; 2002.

Brasil. Presidência da República. Lei n. 12.015, de 7 de agosto de 2009. Altera o Título VI da Parte Especial do Decreto-Lei no 2.848, de 7 de dezembro de 1940 - Código Penal, e o art. 1o da Lei no 8.072, de 25 de julho de 1990, que dispõe sobre os crimes hediondos, nos termos do inciso XLIII do art. 5o da Constituição Federal e revoga a Lei no 2.252, de 1º de julho de 1954, que trata de corrupção de menores. Disponível em: http://www.planalto.gov.br/ccivil_03_Ato2007-2010/2009/Lei/L12015.htm Acesso em: 29 out. 2017

Jones JS, Alexander C, Wynn BN, Rossman L, Dunnuck C. Why women don’t report sexual assault to the police: the influence of psychosocial variables and traumatic injury. J Emerg Med. 2009;36(4):417-24. http://dx.doi.org/10.1016/j.jemermed.2007.10.077

Lang DL, Sales JM, Salazar LF, Hardin JW, Diclemente RJ, Wingood GM, et al. Rape victimization and high-risksexual behaviors: longitudinal study of African-American adolescent females. West J Emerg Med. 2011;12(3):333-42.

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Prevenção e tratamento dos agravos resultantes da violência sexual contra mulheres e adolescentes. Brasília: MS; 2012.

Eastgate G, Van Driel ML, Lennox N, Scheermeyer E. Women with intellectual. Disabilities.A study of sexuality, sexual abuse and protection skills. Aust Fam Physician. 2011;40(4):226-30.

Gal G, Levav I, Gross R. Psychopathology among adults abused during childhood or adolescence. J Nerv Ment Dis.2011;199(4):222-9. http://dx.doi.org/10.1097/NMD.0b013e31820c7543

Swain SN, Saggurti N, Battala M, Verma RK, Jain AJ. Experience of violence and adverse reproductive health outcomes, HIV risks among mobile female sex workers in India. BMC Public Health. 2011;11:357.http://dx.doi.org/10.1186/1471-2458-11-357

Peschers UM, Du Mont J, Jundt K, Pfürtner M, Dugan E, Kindermann G. Prevalence of sexual abuse among women seeking gynecologic care in Germany. Obstet Gynecol. 2003;101(1):103-8.

Haydon AA, Hussey JM, Halpern CT. Childhood abuse and neglect and the risk of STDs in early adult hood. Perspect Sex Reprod Health. 2011;43(1):16-22. http://dx.doi.org/10.1363/4301611

Abajobir AA, Kisely S, Maravilla JC, Williams G, Najman JM. Gender differences in the association between childhood sexual abuse and risky sexual behaviours: a systematic review and meta-analysis. Child Abuse Neglect. 2017;63:249-60. https://doi.org/10.1016/j.chiabu.2016.11.023

Yoshida K, DuMont J, Odette F, Lysy D. Factors associated with physical and sexual violence among canadian women living with physical disabilities. Health Care Women Int. 2011;32(8):762-75. https://dx.doi.org/10.1080/07399332.2011.555826

Machado CL, Azevedo RCS, Facuri CO, Vieira MJN, Fernandes AMS. Posttraumatic stress disorder, depression, and hopelessness in women who are victims of sexual violence. Int J Gynaecol Obstet. 2011;113(1):58-62. https://dx.doi.org/10.1016/j.ijgo.2010.10.016

Villela WV, Lago T. Conquistas e desafios no atendimento das mulheres que sofreram violência sexual. Cad Saúde Pública. 2007;23(2):471-5. http://dx.doi.org/10.1590/S0102-311X2007000200025

Oliveira PS, Rodrigues VP, Morais RLGL, Machado JC. Assistência de profissionais de saúde à mulher em situação de violência sexual: revisão integrativa. RevEnfermUFPE.2016;10(5):1828-39. http://dx.doi.org/10.5205/reuol.9003-78704-1-SM.1005201632

Deslandes S, Mendes CHF, Lima JS, Campos DS. Indicadores das ações municipais para a notificação e o registro de casos de violência intrafamiliar e exploração sexual de crianças e adolescentes. Cad Saúde Pública. 2011;27(8):1633-45. http://dx.doi.org/10.1590/S0102-311X2011000800018

Silva PA, Lunardi VL, Lunardi GL, Arejano CB, Oliveira AMN, Vasques TCS. Violência intrafamiliar contra crianças e adolescentes: análise reflexiva sobre as dificuldades e a atuação da enfermagem. J Nurs UFPE. 2014;8(7):2498-2506. http://dx.doi.org/10.5205/reuol.5927-50900-1-SM.0807suppl201439

Brasil. Instituto Brasileiro de Geografia e Estatística (IBGE). Síntese de Indicadores Sociais. IBGE; 2010.

Jones JS, Alexander C, Wynn BN, Rossman L, Dunnuck C. Why women don't report sexual assault to the police: the influence of psychosocial variables and traumatic injury. J Emerg Med. 2009;36(4):417-24. http://dx.doi.org/10.1016/j.jemermed.2007.10.077

Brasil. Ministério da Saúde. Prevenção e tratamento dos agravos resultantes da violência sexual contra mulheres e adolescentes. 2ª ed. Brasília: MS; 2005.

Gomez AM. Sexual violence as a predictor of unintended pregnancy, contraceptive use, and unmet need among female youth in Colombia. J Womens Health (Larchmt). 2011;20(9):1349-56. http://dx.doi.org/10.1089/jwh.2010.2518

Cook JM, Dinnen S, O’Donnell C. Older women survivors of physical and sexual violence:a systematic review of the quantitative literature. J Womens Health (Larchmt). 2011;20(7):1075-81. http://dx.doi.org/10.1089/jwh.2010.2279

Guimarães JATL, Villela WV. Características da violência física e sexual contra crianças e adolescentes atendidos no IML de Maceió, Alagoas, Brasil. Cad Saúde Pública. 2011;27(8):1647-53. http://dx.doi.org/10.1590/S0102-311X2011000800019

Facuri CO, Fernandes AMS, Oliveira KD, Andrade TS, Azevedo RCS. Violência sexual: estudo descritivo sobre as vítimas e o atendimento em um serviço universitário de referência no Estado de São Paulo, Brasil. Cad Saúde Pública. 2013;29(5):889-98. http://dx.doi.org/10.1590/S0102-311X2013000500008

Oshikata CT, Bedone AJ, Faundes A. Atendimento de emergência a mulheres que sofreram violência sexual: características das mulheres e resultados até seis meses pós-agressão. Cad Saúde Pública. 2005;21(1):192-9. http://dx.doi.org/10.1590/S0102-311X2005000100021

Go VF, Srikrishnan AK, Salter ML, Mehta S, Johnson SC, Sivaram S, et al. Factors associated with the perpetration of sexual violence among wine-shop patrons in Chennai, India. Soc Sci Med. 2010;71(7):1277-84.http://dx.doi.org/10.1016/j.socscimed.2010.07.005

Dalal K, Andrews J, Dawad S. Contraception use and associations with intimate partner violence among women in Bangladesh. J Biosoc Sci. 2012;44 (1):83-94. http://dx.doi.org/10.1017/S0021932011000307

Sandor M, Dalal K. Influencing factors on time of breastfeeding initiation among a national representative sample of women in India. Health. 2013;5(12):2169-80. http://dx.doi.org/10.4236/health.2013.512296

Bacchus LJ, Bewley S, Vitolas CT, Aston G, Jordan P, Murray SF. Evaluation of a domestic violence intervention in the maternity and sexual health services of a UK hospital. Reprod Health Matters. 2010;18(36):147-57. http://dx.doi.org/10.1016/S0968-8080(10)36526-8

Moreno CL, Morril, AC, El-BasselN. Sexualrisk factors for Hiv and violence among Puerto Rican women in new York City. Health Soc Work. 2011;36(2):87-97. http://dx.doi.org/10.1093/hsw/36.2.87

Fanslow JL, Robinson EM. Physical injuries resulting from intimate partner violence and disclosure to healthcare providers: results from a New Zealand population-based study. Inj Prev. 2011;17(1):37-42.http://dx.doi.org/10.1136/ip.2009.026104

Trigueiro TH; Merighi MAB; Medeiros ARP; Lopes CE; Mata NDS; Jesus MCP. Victims of sexual violence attended in a specialized service. Cogitare Enferm. 2015; 20(2):249-56. http://dx.doi.org/10.5380/ce.v20i2.40355

Souto RQ, Araújo FKDC, Xavier AFC, Cavalcanti AL. Rape against Brazilian Women: Characteristics of Victims and Sex Offenders. Iran J Public Health. 2015; 44(12):1613-9.