Medical approach to children victim of sexual violence

Authors

DOI:

https://doi.org/10.33448/rsd-v11i11.33397

Keywords:

Sexual offenses; Child sexual abuse; Health care.

Abstract

Introduction: Child sexual violence is highlighted among all violence committed in children, mainly because of its moral content, which involves from the family relationship to the involvement of the health team. Although not the most frequent, child sexual violence has often irreversible consequences that result in physical and psychological damage, as well as significant damage to the child's growth and development. Objectives: To describe the medical approach to children who are victims of sexual violence, in order to provide guidance to medical professionals on how to manage pediatric patients in situations of abuse. Justification: This research is relevant as it helps in the process of conducting medical care for a child victim of sexual abuse. Methodology: This is an integrative literature review carried out in the SciELO, PubMed, MEDLINE and LILACS databases, using the DeCS: “Sexual Abuse in Childhood” and “Medical Assistance”. Combined with each other by the AND operator. Studies in Portuguese, English and Spanish were included, available online in full, in the last five years (2016-2021), repeated studies between databases and that did not address the theme were excluded. Results and Discussion: In view of the above, three categories of findings emerged, in order to solve the proposed objective, which are conceptual and legal aspects of sexual crimes, medical care in cases of sexual violence against children, effectiveness of care protocols. Final considerations: We can observe the importance of the doctor during the care of a child victim of sexual abuse. Considering that the doctor is the professional who provides the first care to the child, identifying the abuse and calling the police and the guardianship council.

References

Adams, J. A., Kellogg, N. D., Farst, K. J., Harper, N. S., Palusci, V. J., Frasier, L. D., & Starling, S. P. (2016). Updated guidelines for the medical assessment and care of children who may have been sexually abused. Journal of pediatric and adolescent gynecology, 29(2), 81-87.

Al-Jilaihawi, S., Borg, K., Maguire, S., & Hodes, D. (2017). The value of paediatric assessment in historic child sexual abuse. Archives of disease in childhood, 102(6), 550-555.

Balbinotti, C. (2009). A violência sexual infantil intrafamiliar: a revitimização da criança e do adolescente vítimas de abuso. Direito & Justiça, 35(1).

BRAUN, S. (2002). A violência sexual infantil na família: do silêncio à revelação do segredo. Editora AGE Ltda.

da Conceição Sanches, L., de Araujo, G., Ramos, M., Rozin, L., & Rauli, P. M. F. (2019). Violência sexual infantil no Brasil: uma questão de saúde pública. Revista Iberoamericana de Bioética, (9), 1-13.

de Araujo, G., Ramos, M., Zaleski, T., Rozin, L., & da Conceição Sanches, L. (2018). Determinantes da violência sexual infantil no estado do Paraná-Brasil.

Ercole, F. F., Melo, L. S. D., & Alcoforado, C. L. G. C. (2014). Revisão integrativa versus revisão sistemática. Revista Mineira de Enfermagem, 18(1), 9-12.

Florian, P. M. (2018). The unwelcome guest: Working with childhood sexual abuse survivors in reproductive health care. Obstetrics and Gynecology Clinics, 45(3), 549-562.

Fontes, L. F. C., Conceição, O. C., & Machado, S. (2017). Violência sexual na adolescência, perfil da vítima e impactos sobre a saúde mental. Ciência & Saúde Coletiva, 22, 2919-2928.

Fridman, N., Saldías, M., Massera, G., & Zagalsky, P. (2017). Abuso sexual infantil: una modalidad de abordaje interdisciplinario. Med. infant, 149-154.

Habigzang, L. F., Koller, S. H., Azevedo, G. A., & Machado, P. X. (2005). Abuso sexual infantil e dinâmica familiar: aspectos observados em processos jurídicos. Psicologia: teoria e pesquisa, 21, 341-348.

Herbert, J. L., & Bromfield, L. (2019). Better together? A review of evidence for multi-disciplinary teams responding to physical and sexual child abuse. Trauma, Violence, & Abuse, 20(2), 214-228.

Kemmerich, S. B. (2016). Da (Im) Possibilidade de Relativização do Conceito de Vulnerabilidade Sexual Previsto no Artigo 217-A, Caput, do Código Penal. Artigo Elaborado A Partir do Trabalho de Conclusão. Aprovação com grau máximo pela banca examinadora composta pelos professores: Rogério Maia Garcia (orientador), Fernanda Corrêa Osório e Marcos Eberhardt. Porto Alegre.

Landini, T. S. (2006). Violência sexual contra crianças na mídia impressa: gênero e geração. cadernos pagu, 225-252.

Letourneau, E. J., Nietert, P. J., & Rheingold, A. A. (2016). Initial assessment of stewards of children program effects on child sexual abuse reporting rates in selected South Carolina counties. Child Maltreatment, 21(1), 74-79.

Misaka, M. Y. (2015). Violência sexual infantil intrafamiliar: não há apenas uma vítima! Revista Direitos sociais e políticas públicas (UNIFAFIBE), 2(2), 237-277.

Platt, V. B., Back, I. D. C., Hauschild, D. B., & Guedert, J. M. (2018). Violência sexual contra crianças: autores, vítimas e consequências. Ciência & Saúde Coletiva, 23, 1019-1031.

Reid, S. D., Reddock, R., & Nickenig, T. (2019). Action research improves services for child sexual abuse in one Caribbean nation: An example of good practice. Child abuse & neglect, 88, 225-234.

Spaziani, R., & Maia, A. (2015). Educação para a sexualidade e prevenção da violência sexual na infância: concepções de professoras.

Tal, R., Tal, K., & Green, O. (2018). Child-parent relationship therapy with extra-familial abused children. Journal of child sexual abuse, 27(4), 386-402.

Published

26/08/2022

How to Cite

BOMFIM, V. V. B. da S. .; BEHRENS, P. de A. C.; ARAÚJO, V. de A. .; SILVA, M. C. da; LIMA, S. L. de A. .; TANUS, M. A. .; JESUS, W. L. A. de .; KREBS, V. A. .; SOUSA, G. M. de .; PIRES, M. E. P. . Medical approach to children victim of sexual violence. Research, Society and Development, [S. l.], v. 11, n. 11, p. e396111133397, 2022. DOI: 10.33448/rsd-v11i11.33397. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/33397. Acesso em: 15 nov. 2024.

Issue

Section

Health Sciences