Profil épidémioclinique et prise en charge des victimes d’abus sexuels à la clinique gynécologique et obstétricale du CHU de Dakar

Dieme, Marie Edouard Faye; Traoré, A.; Guèye, Serigne; Moreira, Philippe Marc; Diouf, Abdoul Aziz; Moreau, J. C.

doi:10.1016/j.jgyn.2007.11.002

Cited by 21 publications

(14 citation statements)

References 10 publications

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“…The seriousness of the problem has been similarly reported in other African countries despite differences in the magnitude. A Senegalese study reported a figure smaller than our finding while a hospital based study in Cape Town indicated an even higher proportion of children with child abuse who presented to the hospital over a defined period [16,17]. The differences in magnitude could partly be attributable to the differences in setting where the studies were conducted, population being studied, definitions given to child physical and sexual abuse and the problem that not all of the abused children report the incident.…”

Section: Discussioncontrasting

confidence: 66%

Time to presentation, pattern and immediate health effects of alleged child sexual abuse at two tertiary hospitals in Addis Ababa, Ethiopia

2014

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BackgroundChildren are vulnerable to abuse and violence because their level of development makes them unable to protect themselves. Such adversities during early childhood may have a negative impact on the future lives of the victims.This study was done to determine the delay to hospital presentation, clinical manifestations and immediate health effects of child sexual abuse in two tertiary care hospitals in Ethiopia.MethodsWe reviewed records of all cases of child sexual and physical abuse between January 2011 and December 2012. Bivariate and multivariate logistic regression models were used to test the presence and strength of association between time to reporting to hospital and, age and sex of the victim, place of residence and relation of the victim to the perpetrator. Odds ratio and 95% confidence intervals were generated. Significance was taken as p-value < 0.05.ResultsDuring the study period, we identified records of 275 children who were seen for alleged physical and sexual abuse; they accounted for 0.6% of the outpatient department (OPD) visits. The majority of the victims were cases of sexual abuse (97.3%) and most of them were female (75.7%). The mean age of the victims was 9.5 years (standard deviation (SD) = 4.2 years). The majority of the abusers were known to the victim (73.0%) and male (98.8%). Neighbors (38.95%), teachers (7.9%) and relatives (13.4%) were the most commonly reported perpetrators. The median length of time taken to present to hospital after the abuse incident was 4 days (range = 2 hours to 3 years). Male victims were 2.4 times more likely to have a delay of greater than one week to present to hospital (Adjusted Odds Ratio (AOR), 2.40; 95% Confidence interval (CI), 1.34-4.31; P-value = 0.002). Sexual abuse was associated with various immediate health effects, for example, hymenal tear, urinary tract infection and, perineal laceration or tear.ConclusionPresentation for care was often delayed. Male sex was independently associated with a delayed presentation to care. We recommend that further studies are carried out to identify the reasons for delay to reporting and design mechanisms to address them.

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Section: Discussioncontrasting

confidence: 66%

Time to presentation, pattern and immediate health effects of alleged child sexual abuse at two tertiary hospitals in Addis Ababa, Ethiopia

2014

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“…He was in the family circle or known to the victims in 76% of cases and unknown in 24% of cases. This similarity has been reported by other authors [5] [7] [13].…”

Section: Epidemiologysupporting

confidence: 93%

“…The mean age in our series was de 18 years. It is close to that reported by Ayadi [11] in Tunisia which was 18,6 years and greater than those reported by Some Burkina [12], Mbassa in Cameroon [7] and Faye Dieme in Senegal [5], who were respectively 7 years, 11.6 and 15 years. Victims of sexual abuse are especially children and adolescents in the African series.…”

Section: Epidemiologysupporting

confidence: 87%

“…It is close to that reported by Drama [4] in 2008 in the same department which was 0.12%. Our frequency is lower than those reported by Faye Dieme [5] in Senegal and Nguessan [6] in Ivory Coast, which were 0.4% and 0.68% respectively. Mbassa [7] in a school survey in Cameroon reported a higher frequency of 15.9%.…”

Section: Epidemiologycontrasting

confidence: 86%

“…Victims of sexual abuse are especially children and adolescents in the African series. Children and adolescents accounted for 62% in our series, 72.5% in the series of Mbassa in Cameroon [7], 90.2% for Buambo-Bamanga in Congo Brazzaville [13] and 95% for Faye Dieme in Senegal [5]. The precarious economic conditions (housekeepers, vendors), the low level of education, promiscuity, celibacy are factors that expose sexual abuse.…”

Section: Epidemiologymentioning

confidence: 96%

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Sexual Assault in the Department of Obstetrics and Gynaecology of the Bamako’s 5th Municipality Medical Center

Bambara¹,

Karim²,

Aziz³

et al. 2016

OJOG

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Background: The authors report cases of sexual assault reported to the obstetrics and gynecology department of the Bamako's 5th municipality medical center during a prospective study of eight months from 1st January to 31st August 31st, 2012. Results: Twenty-one cases of assault were reported out of a total of 13,482 consultations, representing a frequency of 0%, 15%. Most victims were represented by students and accounted 43% of the study population. In 76% of cases the victims knew their assailant. The type of sexual contact was genito-genital vaginal penetration in 67% of cases and the condom was used in only one case. The average time before consultation was 3 days. The preventive ARV treatment was administered in 24% of cases and emergency contraception in 43% of cases. Conclusion: Sexual assault is common in Bamako. The reality is probably underestimated because many cases are not reported. The victims are mostly children and adolescents. The risk of transmission of STIs and HIV is very high during the sexual assault. Education and awareness of the population are essential for early consultation. Training of health workers to care for victims of sexual assault is needed.

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Sexually Transmissible Infections in Infants, Children and Adolescents

Beck-Sague¹,

Dominguez²,

Robinson³

2010

Atlas of Sexually Transmitted Diseases and AIDS

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Profil épidémioclinique et prise en charge des victimes d’abus sexuels à la clinique gynécologique et obstétricale du CHU de Dakar

Cited by 21 publications

References 10 publications

Time to presentation, pattern and immediate health effects of alleged child sexual abuse at two tertiary hospitals in Addis Ababa, Ethiopia

Time to presentation, pattern and immediate health effects of alleged child sexual abuse at two tertiary hospitals in Addis Ababa, Ethiopia

Sexual Assault in the Department of Obstetrics and Gynaecology of the Bamako’s 5th Municipality Medical Center

Sexually Transmissible Infections in Infants, Children and Adolescents

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