Full text
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| Author(s): |
Gabriela Brito de Castro
Total Authors: 1
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| Document type: | Master's Dissertation |
| Press: | São Paulo. |
| Institution: | Universidade de São Paulo (USP). Faculdade de Saúde Pública (FSP/CIR) |
| Defense date: | 2011-09-16 |
| Examining board members: |
Ivan França Junior;
Wolney Lisbôa Conde;
Lilia Blima Schraiber
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| Advisor: | Ivan França Junior |
| Abstract | |
BACKGROUND: Child sexual abuse (CSA) has been associated with other forms of violence, as well as various health outcomes. Data on the CSA, even underestimated, are high, and point to close relationship with gender issues. Scarce are the studies dealing with the prevalence of ASI and even rarer are those on factors associated with this violence. OBJECTIVES: To estimate the prevalence of CSA among Brazilian women from rural and urban areas and to analyze factors associated. METHODS: We analyzed data from the Brazilian cross-sectional study, a multicenter in 11 countries, coordinated by the World Health Organization The Brazilian probability sample was representative and composed of 2,645 women aged 15 to 49 years living in São Paulo (SP) and in the Zona da Mata of Pernambuco (ZMP) between 2000 and 2001. Analysis was performed conditional logistic regression for socioeconomic variables, familyrelated issues of gender and experience of the ASI. We estimated odds ratios (OR) and confidence intervals (95 per cent ). We proposed two statistical models: one with variables temporally previous or next to the CSA for the total sample and one without restriction of temporality to SP and the ZMP. RESULTS: The prevalence of SP was 7.67 per cent and 4.68 per cent in the ZMP. The violence occurred most often between 12 and 15 years. The main perpetrator was male relative 30 to 39 years. The abuse occurred on multiple occasions in approximately one third of cases. Proportion of women had forced sexual initiation, even before age 15. In the first model, associated variables were: mother had been assaulted by fellow parents not living together or not knowing the violence. In the second model for SP were: sexual abuse after 15 years, first sexual relations before this age, use of medications for pain, sadness, or sleep in the last four weeks, only to suffer physical violence by an intimate partner and husband/partner have suffered physical violence by family members in childhood. On the other hand, for ZMP were: sexual abuse after 15 years, first sexual relations before this age, daily alcohol use, suffer physical, psychological and sexual abuse combined or exclusively sexual violence perpetrated by an intimate partner and mother suffering partner violence intimate, the woman does not remember this violence or parents not living together. CONCLUSIONS: The first model tested here, which sought to further explore the causes of the CSA, indicates that the CSA is determined by the violence against the child\'s mother. We conclude that gender violence affects women and their adult daughters. In the second model, aimed to identify risk markers for CSA retrospective, I conclude that there are many variables that can serve to identify women who have experienced the CSA, who can provide psychosocial care. Reducing the prevalence of CSA, high in urban and rural areas in Brazil, requires a halt to the violence suffered by women, particularly intimate partner in Brazilian urban areas (AU) | |
| FAPESP's process: | 09/06719-1 - Prevalence of child sexual abuse among women in Brazilian regions |
| Grantee: | Gabriela Brito de Castro |
| Support Opportunities: | Scholarships in Brazil - Master |