Violência sexual sofrida por crianças e adolescentes e coocorrências: estudo do perfil e coeficientes de incidência em uma década (2001-2010)

Abstract

Objectives: To study the profile of sexual violence suffered by children and adolescents and their co-occurrences and the incidence curves over a decade (2001 to 2010) from the notifications made in instances References to the complaint, the Network for the Prevention, Care and Defense of Feira de Santana / BA / Brazil. Methods: Epidemiological study of case series, based on secondary data, produced from the reports of sexual violence (co-occurrence) suffered by children and adolescents (0-18 years) made the Guardianship Councils I and II and the Fair CREAS Santana / BA. In Linkage analysis was used between banks, to avoid duplication of data that has been organized and processed electronically in Statistical Package for the Sciences (SPSS), version 9.0 for Windows. We calculated measures of absolute and relative frequencies, estimated incidences of sexual violence and co-occurrences by calculating the coefficients Incidence in the period, year by year and finally was drafted incidence curves, year after year. Results: A total of 1418 cases, with 21.7% associated with other forms of violence (co-occurrence); rape and incest were the most frequent (30%), with a female majority (80%), adolescence (12-15 years ) (64%), highlighting 66% of victimized children under 11 years (66%). The attackers were known (37, 9%) and family (37%), 13.1% in the range of 13 to 20 years, 23.6% of the complaints were for "Dial 100." The coefficients of incidences of sexual violence and co-occurrences increased in both sexes, stronger in females at the beginning of the decade (2002 to 135.6 cases) and late (2008 to 209.7 cases). For ages, the coefficients showed the same trend in 2002 (49.8 cases, and 110.1 in childhood, adolescence), in 2008 (79.8 cases, and 161.7 in childhood, adolescence); in 2009 (81.6 cases, and 152.2 in childhood, adolescence). The coefficients of co-occurrences increased from the middle of the decade: psychological, in 2005 (9.1 cases) and 2008 (10.5 cases); neglect in 2008 (9.0 cases) and 2009 (9.5 cases), and physical violence in 2008 (6.5 cases) and 2009 (7.0 cases). Conclusions: The increase of incidence sex with or without co-occurrence perpetrated on children and adolescents in the decade, the city studied, highlights the importance of community action, social control complaints via the "Dial 100" as well as the important role of the Guardianship Councils and other instances of "Network" service, given the identification and reporting of cases of sexual violence and their co-occurrences, as well as referrals. These results suggest positive changes, as the process of awareness and popular participation of instances at the same time that instigates the need to redouble efforts towards institutional strengthening, quality of care, given the cases, as well as the quality of data logging system.