Factors associated with child sexual abuse confirmation at forensic examinations

Abstract

Resumo O Objetivo deste estudo é identificar potenciais fatores associados à confirmação de abuso

The Epidemiological and Clinical Profile of Sexually Abused Children: A Hospital-Based Study

“…This increasing trends could be due to increasing urbanization and promiscuity in the different homes as well as, little or no disclosure of already existing cases of child sexual abuse that only creates a conducive environment for further abuses. The age of victims was found in two age groups; <5 years and [9][10][11][12][13][14][15] years giving us a mean age of 7.87 ± 4.28 years which was in concordance with general trends following findings from previous studies [5,9,10]. Females were most victimized representing 92.1% against 7.9 % males in line with the findings of Singh et al, 2014 and Menick et al, 1998 who reported that victims were more often girls than boys: 95.2 % against 4.8 % respectively [6,9].…”

Age-Related Child Sexual Abuse Experiences

“…For example, young children might have been fondled through their clothes or touched superficially on their genitals, or the perpetrators may have made the child touch their genitals. While these sexual abuse activities may not produce physical evidence, they can result in psychological and emotional distress and trauma (Silva et al, 2018). It is important to note that not all child victims reported penetrative sexual experiences; therefore, not all child victims had physical genital contact (Vrolijk-Bosschaart et al, 2018).…”

“…Clinicians who have initial or acute care encounters in a child sexual abuse physical assessment should consider the potential for differences in the type of sexual experiences based on the age of the child. Some previous investigators have reported a range of sexual abuse experiences perpetrated on children, including non-penetrative sexual acts, attempted penetration, penetration, and multiple perpetrators during a single encounter, that are common in child victims before puberty (Goodyear-Brown, 2012; Silva et al, 2018). These acts inflict varying degrees of physical and psychological harm.…”

Sexual Abuse: Social Inequality and Poverty

“…Child Sex Abuse (CSA) sets up also as a gender and race problem, because it affects mainly girls and black girls; in addition, the crime is committed more than 90% of times by males [2-8].Every day, thousands of children are abused in places that were supposed to be safe. Several studies show that the most common places where this kind of crime occurs were at home and school, not to mention that such atrocity is perpetrated by those who are close to the victim [1,3,4,6,7,9].Sexual abuse is a harmful, humiliating, and traumatic experience to the physical and mental health of men and women with immediate and late consequences. When it comes to immediate repercussions victims usually experience suicidal thoughts, mental disturbs, behavioral disturb, post-traumatic stress disorder (PTSD) [10], and regarding the late consequences, they stumble upon senile depression, and high risk of suicide in elder individuals [11].…”

“…Every day, thousands of children are abused in places that were supposed to be safe. Several studies show that the most common places where this kind of crime occurs were at home and school, not to mention that such atrocity is perpetrated by those who are close to the victim [1,3,4,6,7,9].…”