title: [Study of mechanisms and factors related to sexual abuse in female children and adolescents]
abstract: OBJECTIVE: To study the frequency of sexual abuse in children and adolescents and its related factors. METHODS: Retrospective analysis of 617 cases of sexual abuse, assisted between July 1994 and August 1999 at the Womeńs Health Reference Center, divided into two groups: 71 children (age <10 years), and 546 adolescents (age > or =10 and <20 years). The analyzed variables were: sexual crime; embarrassment; presumption of violence; characteristics and number of abusers; the victimacute;s situation at the moment of the crime; and occurrence of physical traumas. Epi Info 6 software was utilized to gather data, and the results were analyzed by the chi-square test. RESULTS: Significant statistic results were found. 90.8% of the adolescents were victims of rape, and 46.5% of the children suffered sexual assault. The presupposed violence (PV) was more frequent in the group of children (63.4%) and a serious threat in the group of adolescents (63.2%). Innocentia consilli was exclusive PV among 100% of children and 59.5% of adolescents. 84.5% of children were molested by identifiable abusers, most frequently family members. Perpetrators were unknown in 72.3% of the cases of adolescent abuse. 42.3% of sexual abuse of children occurred in their homes, and 28.2% at the abusers. Adolescents were approached during daily activities (34.8%) and on their way to work or school (28.4%). Most patients did not have genital or extragenital trauma. CONCLUSIONS: Children suffered sexual assault, perpetrated by a known abuser through presupposed violence in private places. Adolescents were raped by unknown individuals, under serious threat, in nondomestic places.
authors.affiliation: Centro de Referência da Saúde da Mulher, São Paulo, SP, Brazil.
authors.forename: J
authors.initials: J
authors.lastname: Drezett
authors.forename: M
authors.initials: M
authors.lastname: Caballero
authors.forename: Y
authors.initials: Y
authors.lastname: Juliano
authors.forename: E T
authors.initials: ET
authors.lastname: Prieto
authors.forename: J A
authors.initials: JA
authors.lastname: Marques
authors.forename: C E
authors.initials: CE
authors.lastname: Fernandes