Domestic violence and child sexual abuse

Retrospective analysis of the medical records of children admitted to the Pereira Rossell Hospital Center in the period 1/1998-12/2001

Authors

  • Gabriela Bellinzona Universidad de la República, Facultad de Medicina, Clínica Pediátrica "C", Prof. Adj.
  • Marcelo Decuadro Universidad de la República, Facultad de Medicina, Clínica Pediátrica "C", Ex Residente
  • Gloria Charczewski Universidad de la República, Facultad de Medicina, Clínica Pediátrica "C", Ex Residente
  • Ivonne Rubio Universidad de la República, Facultad de Medicina, Clínica Pediátrica "C", Profesora de Pediatría

Keywords:

ABUSE OF CHILDREN, CHILD SEXUAL ABUSE

Abstract

A descriptive and retrospective study to determined characteristics of children victims of violence and sexual abuse reported to the Centro Hospitalario Pereira Rossell (CHPR) during 1998-2001 is presented. Physical violence was seen in 61,2% and sexual abuse in 38,8% of the total cases. Physical violence as acts of omission or commission predominated in infants under 5 years old. Injuries most observed were those of soft body parts followed by cranio-encephalic trauma. A frequent predominance of sole parent families was seen, especially sole mothers mainly maltreated their children.
Highest percentage of sexual abuse occurred in their own household, girls were the primary victims and aggressors were biological and foster fathers.
An important percentage of children must be separated from their household, leading to emotional and psychological repercussions.
Pediatric surgeons in multidisciplinary teams should be considered under preventive perspectives since they first received children and may detect risk and protective factors.

References

1) Puga T. Maltrato infantil. In: Meneghello J. Pediatría. 5ª ed. Buenos Aires: Médica Panamericana, 1997: 2369-78.
2) Naciones Unidas. Declaración de los Derechos del Niño: documento de la Asamblea General de las Naciones Unidas en resolución 1386 (XIV) del 20 de noviembre de 1959.
3) Naciones Unidas. Convención sobre los Derechos del Niño: documento de la Asamblea General de las Naciones Unidas en resolución 44/25 del 20 de noviembre de 1989.
4) Gorlero R. Biografía de Luis Morquio. Bol Inst Interam Niño 1967; 41(1): 107-9.
5) Escardó-Anaya V. Bibliografía del Prof. Morquio. Bol Inst Pediatr Puericul. Prof. Luis Morquio 1938: 23.
6) Caffey J. Multiples fractures in long bones of infants suffering from chronic subdural hematoma. Am J Roentgenol 1946; 56: 163-73.
7) Caffey J. On the theory and practice of shaking infants. Its potential residual effects of permanent brain damage and mental retardation. Am J Dis Child 1972; 124(2): 161-4.
8) Kempe CH, Silverman FN, Steele BF, Droegemueller W, Silver HK. The battered-child syndrome. JAMA 1962; 181: 17-24.
9) Casado J, Díaz JA, Martínez C, eds. Niños Maltratados. Madrid: Díaz Santos, 1997.
10) Gómez-de-Terreros I. Maltrato y abandono. In: Cruz M, ed. Tratado de Pediatría. 8ª ed. Madrid: Ergon; 2001: 1957-70.
11) Kempe RS, Kempe CH. Niños maltratados. 3ª ed. Madrid: Morata, 1985.
12) Gentile I. Los niños castigados. Puericultura y Pediatría Social. Montevideo: Edilimed, 1988: 489-517.
13) Borges JF, Mercant M, Lombardi E. Aspectos medicolegales del niño maltratado. In: Facultad de Medicina. Departamento de Medicina legal. Medicina Legal. Montevideo: Oficina del Libro AEM, 1990: 118-24.
14) Johnson CH. Malos tratos y abandono. In: Behrman RE, Kliegman RM, Jenson HB. Nelson tratado de pediatría. 16ª ed. Madrid: Mc Graw-Hill-Interamericana, 2000: 119-27.
15) Johnson CF. Inflicted injury versus accidental injury. Pediatr Clin North Am 1990; 37(4): 791-814.
16) Bello O, Sehabiague G, Saredo J. El abuso y abandono de niños: guía educativa y preventiva. Montevideo: Maltzman, 1989.
17) Loredo-Abdalá A, Trejo-Hernández J, Bustos-Valenzuela V, Carvajal-Rodríguez L, Reynés-Manssur J, Rodríguez-Herrera R, et al. El fenómeno de maltrato a los niños: aspectos sociales y clínicos del síndrome. Bol Med Hosp Infant Mex 1998; 55(7): 410-6.
18) Farrington DP, Jolliffe D, Loeber R, Stouthamer-Loeber M, Kalb LM. The concentration of offenders in families, and family criminality in the prediction of boys’ delinquency. J Adolesc 2001; 24(5): 579-96.
19) MacLeod J, Nelson G. Programs for the promotion of family wellness and the prevention of child maltreatment: a meta-analytic review. Child Abuse Negl 2000; 24(9): 1127-49.
20) Oficina Internacional Católica de la Infancia Delegación Regional para América Latina. Propuestas de Intervención BICE. Foro Abierto sobre Violencia Sexual Infantil, 3. Montevideo (Uruguay), 25-26 de octubre de 2000.
21) Llanos M, Caprarulo C. Maltrato Infantil: grupo de crianza con padres de niños maltratados. Arch Argent Pediatr 1995; 93(5): 343-6.
22) Calam R, Horne L, Glasgow D, Cox A. Psychological disturbance and child sexual abuse: a follow-up study. Child Abuse Negl 1998; 22(9): 901-13.
23) Katzman R, Filgueira F. Panorama de la Infancia y la Familia en Uruguay. Montevideo: IPES, 2001: 36-9.
24) Farrington DP. The effectiveness of school-based violence prevention programs. Arch Pediatr Adolesc Med 2002; 156(8): 748-9.
25) Farrington DP, Loeber R. Epidemiology of juvenile violence. Child Adolesc Psychiatr Clin North Am 2000; 9(4): 733-48.
26) Rivara FP, Farrington DP. Prevention of violence. Role of the pediatrician. Arch Pediatr Adolesc Med 1995; 149(4): 421-9.
27) Farrington DP. Early predictors of adolescent aggression and adult violence. Violence Vict 1989; 4(2): 79-100.
28) Gentile Ramos I. Los niños solos. Montevideo: Edilimed, 1989.

Published

2005-03-31

How to Cite

1.
Bellinzona G, Decuadro M, Charczewski G, Rubio I. Domestic violence and child sexual abuse: Retrospective analysis of the medical records of children admitted to the Pereira Rossell Hospital Center in the period 1/1998-12/2001. Rev. Méd. Urug. [Internet]. 2005 Mar. 31 [cited 2024 Sep. 16];21(1):59-67. Available from: https://revista.rmu.org.uy/index.php/rmu/article/view/828

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