Abstract:O objetivo deste estudo é analisar as características relativas às vitimizações sexuais intrafamiliares cometidas contra grupos etários categorizados segundo o critério de idade estabelecido pelo Estatuto da Criança e do Adolescente,atendidos no Centro de Referência da Criança e do Adolescente e nos Conselhos Tutelares de Ribeirão Preto, São Paulo, no período de 1995 a 2000. Identificou-se 234 agressões cometidas por 217 agressores contra 210 famílias e 226 vítimas. Foram vitimizadas 131 crianças (48,7%) e 95 … Show more
“…In this sense, according to the Map of Violence (2012), the reported cases of violence against women, 71,8% of incidents succeeded domestically and his attackers were his teammates and former teammates. These results corroborate the study Ribeiro, Ferriani and Reis 23 , in stating that in the home the limits imposed by privacy isolate the victim from the eyes and ears public, giving attackers a favorable location for the offense is committed without witnesses or covered by the complicit silence, which reveals itself as an element that reinforces the underreporting of sexual violence.…”
Objective: to analyze the access and the use of health practices given to 40 women in a situation of sexual violence in a public health service of reference in the State Paraiba, Brazil. Method: It is a descriptive documentary study with a quantitative and qualitative approach, performed in a public service of the State of Paraíba reference to assistance to women in situations of sexual violence. Results: in 39% of cases the higher frequency of aggressions predominated in women of low-income social class, between 10-20 years of age, and 20% of them were pregnant at the time of the agression. Most of the victims were black women (72%). The type of sexual violence more employee was the rape (59%). Besides the delay to start the service, the exams for AIDS prophylaxis and emergency contraception, in 69% of notifications were not recorded. Conclusion: these aspects reveal the racism and the precarious conditions of health for black women, suggesting a possible non-valuation by health professionals, similar of what occurs in other social spaces in our society. Descriptors: sexual violence, racial inequality, health care, social and human rights.Objetivo: analisar o acesso e a utilização das práticas de saúde prestada a 40 mulheres em situação de violência sexual em um serviço público de saúde de referência na Paraíba. Método: estudo documental descritivo, com abordagem quantitativa e qualitativa, realizado em um serviço público do Estado da Paraíba de referência para assistência às mulheres em situação de violência sexual. Resultados: em 39% dos casos a frequência maior das agressões predominou nas mulheres de classe social de baixa renda, entre 10 -20 anos e 20% se encontravam grávidas no momento da agressão. As maiores vítimas foram mulheres negras (72%). O tipo de violência sexual mais empregado foi o estupro (59%). Além da demora em iniciar o atendimento e realizar exames, a profilaxia AIDS e anticoncepção de emergência, em 69% das notificações não foram registradas. Conclusão: Estes aspectos revelam o racismo e as precárias condições de saúde das mulheres negras, sugerindo uma possível não valorização por parte dos profissionais, semelhante ao que ocorre em outros espaços sociais na nossa sociedade. Descritores: violência sexual; desigualdades étnico-raciais; atenção à saúde; direitos humanos e sociais.Objetivo: analizar el acceso y la utilización de las prácticas de salud prestada a 40 mujeres en situación de violencia sexual en un servicio público de salud de referencia en Paraíba. Método: un estudio documental descriptiva con un enfoque cuantitativo y cualitativo, realizado en un servicio público del Estado de Paraíba referencia a la asistencia a las mujeres en situación de violencia sexual. Resultados: en los 39% de los casos la frecuencia mayor de las agresiones predominó en las mujeres de clase social de baja renta, entre 10 -20 años y las 20% se encontraban embarazadas en el momento de la agresión. La mayoría de las víctimas fueron las mujeres negras (72%). El tipo de violencia sexual más empleado fue el ...
“…In this sense, according to the Map of Violence (2012), the reported cases of violence against women, 71,8% of incidents succeeded domestically and his attackers were his teammates and former teammates. These results corroborate the study Ribeiro, Ferriani and Reis 23 , in stating that in the home the limits imposed by privacy isolate the victim from the eyes and ears public, giving attackers a favorable location for the offense is committed without witnesses or covered by the complicit silence, which reveals itself as an element that reinforces the underreporting of sexual violence.…”
Objective: to analyze the access and the use of health practices given to 40 women in a situation of sexual violence in a public health service of reference in the State Paraiba, Brazil. Method: It is a descriptive documentary study with a quantitative and qualitative approach, performed in a public service of the State of Paraíba reference to assistance to women in situations of sexual violence. Results: in 39% of cases the higher frequency of aggressions predominated in women of low-income social class, between 10-20 years of age, and 20% of them were pregnant at the time of the agression. Most of the victims were black women (72%). The type of sexual violence more employee was the rape (59%). Besides the delay to start the service, the exams for AIDS prophylaxis and emergency contraception, in 69% of notifications were not recorded. Conclusion: these aspects reveal the racism and the precarious conditions of health for black women, suggesting a possible non-valuation by health professionals, similar of what occurs in other social spaces in our society. Descriptors: sexual violence, racial inequality, health care, social and human rights.Objetivo: analisar o acesso e a utilização das práticas de saúde prestada a 40 mulheres em situação de violência sexual em um serviço público de saúde de referência na Paraíba. Método: estudo documental descritivo, com abordagem quantitativa e qualitativa, realizado em um serviço público do Estado da Paraíba de referência para assistência às mulheres em situação de violência sexual. Resultados: em 39% dos casos a frequência maior das agressões predominou nas mulheres de classe social de baixa renda, entre 10 -20 anos e 20% se encontravam grávidas no momento da agressão. As maiores vítimas foram mulheres negras (72%). O tipo de violência sexual mais empregado foi o estupro (59%). Além da demora em iniciar o atendimento e realizar exames, a profilaxia AIDS e anticoncepção de emergência, em 69% das notificações não foram registradas. Conclusão: Estes aspectos revelam o racismo e as precárias condições de saúde das mulheres negras, sugerindo uma possível não valorização por parte dos profissionais, semelhante ao que ocorre em outros espaços sociais na nossa sociedade. Descritores: violência sexual; desigualdades étnico-raciais; atenção à saúde; direitos humanos e sociais.Objetivo: analizar el acceso y la utilización de las prácticas de salud prestada a 40 mujeres en situación de violencia sexual en un servicio público de salud de referencia en Paraíba. Método: un estudio documental descriptiva con un enfoque cuantitativo y cualitativo, realizado en un servicio público del Estado de Paraíba referencia a la asistencia a las mujeres en situación de violencia sexual. Resultados: en los 39% de los casos la frecuencia mayor de las agresiones predominó en las mujeres de clase social de baja renta, entre 10 -20 años y las 20% se encontraban embarazadas en el momento de la agresión. La mayoría de las víctimas fueron las mujeres negras (72%). El tipo de violencia sexual más empleado fue el ...
“…Esses dados são similares aos da literatura, que aponta os pais, padrastos e amigos/conhecidos como os principais responsáveis pelos casos. 31 O abuso cometido por pessoas conhecidas e de confiança distorce a realidade e a visão de mundo da criança, uma vez que o ambiente onde ela poderia sentir-se segura passa a ser o palco privilegiado para o agressor.…”
RESUMOEm relação ao sexo, prevaleceu a violência moral/psicológica (59%) e a sexual (100%) no feminino, e a violência física (46,1%) e a negligência (100%) no sexo masculino. Conclusão: Houve um aumento significativo no número de notificações, o que deu visibilidade ao problema. Tal fato demonstra uma necessidade de constante qualificação dos profissionais que participam no processo de atendimento às pessoas que sofreram ou que vivem em situações de violência e a importância do preenchimento efetivo e padronizado das fichas de notificações, pois as informações obtidas pelo seu preenchimento, além de dar visibilidade ao problema, são essenciais para a elaboração de políticas de atendimento consistentes e comprometidas com a realidade da infância vitimada. Palavras-chave: maus-tratos infantis; violência; criança; defesa da criança e do adolescente.
ABSTRACTObjective: Describing the notifications of violence against children and adolescents at the 19th Health Region of Brejo Santo, Ceará, Brazil. Methods: Cross-sectional study. All reports of violence against children and adolescents contained in the Notifiable Diseases Information System (SINAN) between 2010 and 2014 were used. The following variables were considered: gender, age, race, place of occurrence, recurrence, relationship to the victim and type of violence. Data were extracted and presented in tables in the form of absolute and percentage frequency. Results: During the study period, 40 reports of violence against children and adolescents were recorded in the municipalities of the 19th Health Region of Brejo Santo, representing 53.3% of the total 75 calls. There was an increase in reports of almost 1050%, from 3 notifications in 2010 to 23 reports in 2014. The psychological and moral violence had the highest number of notifications. Regarding gender, moral/psychological (59%) and sexual (100%) violence prevailed in females; physical violence (46.1%) and negligence (100%) prevailed in males. Conclusion: There was a significant increase in the number of notifications, which gave visibility to the issue. This shows a need for constant qualification of the professionals who participate in the process of care for people who have suffered or who live in situations of violence; and the importance of effective and standardized filling of the notifications files; as information obtained by its filling, besides giving visibility to the issue, are essential for the development of consistent service policies, committed to the reality of victimized children.
“…However, the Guardianship Councils are considered inefficient problem-solving organizations for various reasons: work overload; many counselors are sworn in without due qualification, showing insufficient knowledge about the Child and Adolescent Statute and the work related to it; their actions go usually unplanned, and are based on relevant issues, often using fragmented and emergency interventions; the work infrastructure is deficient and there is no service support system, which bring them into conflict with other organizations that treat violence victims. 4,27 Due to these problems, health professionals should not give up their role of treating, reporting on and preventing family violence. Child protection should not be mistaken for notification and investigation actions, i.e., protection should not be seen as the exclusive duty of services that are legally assigned to this function.…”
Section: Intake Of Children and Their Familiesmentioning
Suggested citation: Ferreira AL. Follow-up of child abuse victims: challenges for the pediatrician. J Pediatr (Rio J). 2005;81(5 Suppl):S173-S180.
AbstractObjective: To review practical questions about the initial assistance and follow-up of child abuse victims and their families by pediatricians.Sources of data: A literature review was carried out using the MEDLINE and LILACS databases, including the years 2000 to 2005. Some articles from past years and books were included due to their importance.
Summary of the findings:Initial assistance is one of the most important actions by health professionals for the protection of abused children in different healthcare sectors (community, outpatient clinics, emergency rooms and infirmary), and it is fundamental for the reduction of immediate and long-term negative consequences of violence. The protection services cannot monitor all the families under their responsibility and most child abuse cases are not even reported to those institutions; therefore, regular follow-up by a pediatrician is advisable. It is important to provide the family with support and guidance until the child is safe. The main challenges are: to be involved without causing more violence; to consider all the family as the focus of attention, including the family members who have committed the assault, helping them to change inadequate behaviors; to develop specific abilities to carry out this work, which must be multiprofessional, interdisciplinary and intersectoral.Conclusions: Families face difficulties when their children are abused and when the situation gains notoriety, demanding interventions from many institutions. In this process, a pediatrician can guide and help them to guarantee the protection and healthy development of their children. To overcome challenges, health professionals have to be technically and emotionally prepared.J Pediatr (Rio J). 2005;81(5 Suppl):S173-S180: Child abuse, continuity of patient care.
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