1 2011 Vol: 27(4). DOI: 10.1590/S0102-311X2011000400009

Características das mulheres violentadas sexualmente e da adesão ao seguimento ambulatorial: tendências observadas ao longo dos anos em um serviço de referência em Campinas, São Paulo, Brasil

Sexual violence is a crime against individual integrity and sexual freedom. It affects women of all socioeconomic levels, and the perpetrator does not choose the victim's color or age. It is a source of high financial cost and a serious public health problem in Brazil. The current study aimed to assess compliance with outpatient follow-up by women victims of sexual violence treated at the Center for Women's Comprehensive Healthcare at the State University in Campinas, São Paulo State, from January 2000 to December 2006. We observed a significant increase in the return for scheduled appointments. In 2000, 41% of the women completed the six-month follow-up, and by 2006 the proportion had increased to 70%. Some 70% of the women appeared for treatment within 24 hours after being raped. Sexual assault by perpetrators known to the victims tripled during this same period. There were changes in the forms of intimidation and a significant decreased in prescription of emergency contraception.

Mentions
Figures
Figure 1 Figure 2 Figure 3 Figure 4
Altmetric
References
  1. World Health Organization. Guidelines for medico-legal care for victims of sexual violence. Geneva: World Health Organization , (2003) .
  2. World Health Organization. World report on violence and health. Geneva: World Health Organization , (2002) .
  3. Agency for Healthcare Research and Quality. Medical examination and treatment for victims of sexual assault: evidence-based clinical practice and provider training. Rockville: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services , (2003) .
  4. Watkeys JM, Price LD, Upton UP. The timing of sexual examination following an allegation of sexual abuse: is this an emergency? Arch Dis Child 93 , 851-6 (2008) .
  5. Jones JS, Alexander C, Wynn BN, Rossman L, Dunnuck C. Why women don't report sexual assault to the police: the influence of psychosocial variables and traumatic injury. J Emerg Med 36 , 417-44 (2009) .
  6. Silva IV. Violência contra as mulheres: a experiência de usuárias de um serviço de urgência e emergência de Salvador, Bahia, Brasil. Cad Saúde Pública 19 Suppl 2:S , 263-72 (2003) .
  7. American College of Obstetricians and Gynecologists. Sexual assault. ACOG educational bulletin. Int J Gynaecol Obstet 60 , 297-304 (1998) .
  8. The United Nations Population Fund. Sexual violence against women and girls in War and its aftermath: realities, responses, and enquired resources. Brussels: The United Nations Population Fund , (2006) .
  9. Ingemann-Hansen O, Sabroe S, Brink O, Mpsych MK, Charles AV. Characteristics of victims and assaults of sexual violence - improving inquiries and prevention. J Forensic Leg Med 16 , 182-8 (2009) .
  10. Bang E. Who consults for rape? Scand J Prim Health Care 11 , 8-14 (1993) .
  11. Ackerman DR, Sugar NF, Fine DN, Eckert LO. Sexual assault victims: factors associated with follow-up care. Am J Obstet Gynecol 194 , 1653-9 (2006) .
  12. Holmes MM, Resnick HS, Frampton D. Follow-up of sexual assault victims. Am J Obstet Gynecol 179 , 336-42 (1998) .
  13. Masho SW, Odor RK, Adera T. Sexual assault in Virginia: a population-based study. Womens Health Issues 15 , 157-66 (2005) .
  14. Herbert CP, Grams GR, Berkowitz J. Sexual assault tracking study: who gets lost to follow-up? Can Med Assoc J 147 , 1177-84 (1992) .
  15. Área Técnica Saúde da Mulher, Departamento de Gestão de Políticas Estratégicas, Secretaria de Políticas de Saúde, Ministério da Saúde. Normas sobre a prevenção e tratamento dos agravos resultantes da violência sexuais contra mulheres e adolescentes. Brasília: Ministério da Saúde , (1999) .
  16. Basile KC, Arias I, Desai S, Thompson MP. The differential association of intimate partner. Physical, sexual psychological and stalking violence and posttraumatic stress symptoms in a nationally representative sample of women. J Trauma Stress 17 , 413-21 (2004) .
  17. Secretaria Especial de Políticas para as Mulheres. Serviço de atendimento à mulher. Link _mnulher.php (acessado em 10/Nov/ , (2009) .
  18. Centers for Disease Control and Prevention. Management of possible sexual, injecting-drug-use, or other nonoccupational exposure to HIV, including consideration related to antiretroviral therapy. MMWR Recomm Rep 47(RR17) , 1-14 (1998) .
  19. Parekh V, Brown CB. Follow up of patients who have been recently sexually assaulted. Sex Transm Infect 79 , 345-52 (2003) .
  20. Littleton HL, Berenson AB, Breitkopf CR. An evaluation of heath care provider's sexual violence screening practices. Am J Obstet Gynecol 196:564e , 1-7 (2007) .
  21. Oshikata CT, Bedone AJ, Faúndes A. Atendimento de emergência a mulheres que sofreram violência sexual: características das mulheres e resultados até seis meses pós-agressão. Cad Saúde Pública 21 , 192-9 (2005) .
  22. Porto M. Violência contra as mulheres e atendimento psicológico: o que pensam os/as gestores/as municipais do SUS. Psicol Ciênc Prof 26 , 426-39 (2006) .
  23. Population Council. Frontiers in reproductive health. Research update. New York: Population Council , (2005) .
  24. Instituto Brasileiro de Geografia e Estatística. Censo demográfico Rio de Janeiro: Instituto Brasileiro de Geografia e Estatística; 2000 , (2000) .
  25. Humphrey JA, White JW. Women's vulnerability to sexual assault from adolescence to young adulthood. J Adolesc Health 27 , 419-24 (2000) .
  26. Peipert JF, Domagalski LR. Epidemiology of adolescent sexual assault. Obstet Gynecol 84 , 867-71 (1994) .
  27. Irwing CE, Rickert VI. Coercive sexual experience during adolescence and young adulthood: a public health problem. J Adolesc Health 36 , 359-61 (2005) .
  28. Decreto-Lei nº. 11.340. Cria mecanismos para coibir a violência doméstica e familiar contra as mulheres, nos termos do 8º do art. 226 da constituição Federal, da Convenção sobre Interamericana para Prevenir, Punir e Erradicar a Violência contra a Mulher; dispõe sobre a criação dos Juizados de Violência Doméstica e Familiar contra a Mulher; altera o Código de Processo Penal, o Código Penal e a Lei de Execução Penal, e dá outras providências. Diário Oficial da União 7 ago , (2006) .
  29. Centro Feminista de Estudos e Assessoria. Lei Maria da Penha: do papel para a vida. Comentários à Lei nº.11.340/e sua inclusão no ciclo orçamentário. Brasília: Centro de Criação de Imagem Popular; 2007 , (2006) .
  30. Drezzet JF. Estudos de fatores relacionados com a violência sexual contra crianças, adolescentes e mulheres adultas [Tese de Doutorado]. São Paulo: Centro de Referência da Saúde da Mulher e de Nutrição, Alimentação e Desenvolvimento Infantil , (2000) .
  31. Sugar NF, Fine DN, Eckert LO. Physical injury after sexual assault: findings of a large case series. Am J Obstet Gynecol 190 , 71-7 (2003) .
  32. Jones MD, Rossman L, Diegel R, Van Order P, Wynn BN. Sexual assault in postmenopausal women: epidemiology and patterns of genital injury. Am J Emerg Med 27 , 922-9 (2009) .
  33. Avegno J, Mills TJ, Mills LD. Sexual assault victims in emergency department: analysis by demographic and event characteristics. J Emerg Med. 37 , 328-34 (2009) .
  34. Smikle CB, Santin AJ, Dellinger CL, Hankins GR. Physical and sexual abuse. J Reprod Med 40 , 347-50 (1995) .
Expand