0212/2016 - Fatores associados à confirmação por exame médico legal de abuso sexual infantil Factors associated with child sexual abuse confirmation at forensic examinations
• Welington Silva - Silva, Welington - Bahia School of Medicine and Public Health/Post-Graduation Program in Medicine and Health - <welssilva@yahoo.com.br>
Coautor(es):
• Filipe Moraes Ribeiro - Ribeiro, Filipe Moraes - Universidade Federal da Bahia - <filiperibeiro.med@gmail.com>
• Gabriel Kamei Guimarães - Guimarães, Gabriel Kamei - Universidade Federal da Bahia - <gk.guimaraes@hotmail.com>
• Matheus Sá Santos - Santos, Matheus Sá - Universidade Federal da Bahia - <matheus.caem@gmail.com>
• Victor Porfirio dos Santos Almeida - Almeida, Victor Porfirio dos Santos - Universidade Federal da Bahia - <vico.porfirio@gmail.com>
• Ubirajara Oliveira Barroso Junior - Barroso Junior, Ubirajara Oliveira - Bahia School of Medicine and Public Health/Post-Graduation Program in Medicine and Health - <ubarroso@uol.com.br>
Área Temática:
Saúde da Criança e do Adolescente
Resumo:
O Objetivo deste estudo é identificar potenciais fatores associados à confirmação de abuso sexual infantil no exame médico legal. Foram revisados os laudos de sexologia forense realizados em crianças menores que 12 anos que relataram abuso sexual no Instituto Médico Legal de Salvador, Brasil no período de janeiro de 2008 a dezembro de 2009. Análise multivariada foi utilizada para identificar fatores relacionados à confirmação de abuso sexual pelo exame médico forense. A proporção de casos confirmados pelo médico legista com base em evidencia material foi de 10,4%. A análise ajustada demostrou que as variáveis naturalidade, tipo do relato de abuso, parentesco com o agressor, e intervalo entre o abuso relatado e a perícia não estão independentemente relacionadas à confirmação de abuso sexual em exame de corpo de delito. A presença de relato de penetração estava associado a uma chance cinco vezes maior de confirmação, e a faixa etária de 10 a 11 anos (pré-adolescentes) apresentou uma chance duas vezes maior de ter casos confirmados do que crianças menores. Estes dados devem ser levados em conta no planejamento de diretrizes para a avaliação multidisciplinar de crianças com suspeita de serem vítimas de abusos sexual e na decisão de encaminhamento para exame de corpo de delito.
Palavras-chave:
Maus-Tratos Sexuais InfantisEstuproPedofiliaViolência Sexual
Abstract:
The aim of this study is to identify potential factors associated with child sexual abuse confirmation at forensic examinations. The forensic files of children under 12 years of age reporting sexual abuse at the Nina Rodrigues Institute of Forensic Medicine in Salvador, Bahia, Brazil between January 2008 and December 2009 were reviewed. A multivariate analysis was conducted to identify factors associated with finding evidence of sexual abuse in forensic examinations. The proportion of cases confirmed by the forensic physician based on material evidence was 10.4%. Adjusted analysis showed that the variables place of birth, type of abuse reported, family relationship between the child and the perpetrator, and the interval between the reported abuse and the forensic examination were not independently associated with finding forensic evidence of sexual abuse. A report of penetration was associated with a five-fold greater likelihood of confirmation, while the victim being 10–11 years of age (pre-adolescent) was associated with a two-fold of abuse confirmation than younger children. These findings should be taken into consideration when drawing up guidelines for the multidisciplinary evaluation of children suspected of being victims of sexual abuse and in deciding whether to refer the child for forensic examination.
Factors associated with child sexual abuse confirmation at forensic examinations
Resumo (abstract):
The aim of this study is to identify potential factors associated with child sexual abuse confirmation at forensic examinations. The forensic files of children under 12 years of age reporting sexual abuse at the Nina Rodrigues Institute of Forensic Medicine in Salvador, Bahia, Brazil between January 2008 and December 2009 were reviewed. A multivariate analysis was conducted to identify factors associated with finding evidence of sexual abuse in forensic examinations. The proportion of cases confirmed by the forensic physician based on material evidence was 10.4%. Adjusted analysis showed that the variables place of birth, type of abuse reported, family relationship between the child and the perpetrator, and the interval between the reported abuse and the forensic examination were not independently associated with finding forensic evidence of sexual abuse. A report of penetration was associated with a five-fold greater likelihood of confirmation, while the victim being 10–11 years of age (pre-adolescent) was associated with a two-fold of abuse confirmation than younger children. These findings should be taken into consideration when drawing up guidelines for the multidisciplinary evaluation of children suspected of being victims of sexual abuse and in deciding whether to refer the child for forensic examination.
Silva, Welington, Ribeiro, Filipe Moraes, Guimarães, Gabriel Kamei, Santos, Matheus Sá, Almeida, Victor Porfirio dos Santos, Barroso Junior, Ubirajara Oliveira. Fatores associados à confirmação por exame médico legal de abuso sexual infantil. Cien Saude Colet [periódico na internet] (2016/mai). [Citado em 24/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/fatores-associados-a-confirmacao-por-exame-medico-legal-de-abuso-sexual-infantil/15637?id=15637&id=15637
