Revista chilena de pediatría
versión impresa ISSN 0370-4106
ONOSTRE GUERRA, Raúl D. Sexual abuse in children (Bolivia). Rev. chil. pediatr. [online]. 2000, vol.71, n.4, pp. 368-375. ISSN 0370-4106. http://dx.doi.org/10.4067/S0370-41062000000400016.
The present prospective and descriptive study was conducted with the purpose of identifying risk factors associated with sexual abuse. The patients studied claim to be victims of sexual abuse to the pertinent authorities from March 1995 to March 1996. The questionnaire included: general information, family history and aggression data and the impact of the abuse in the patient and family. We did a complete physical exam with emphasis in body lesions and those of the anal and genital areas. STD and pregnancy were also searched. Of 140 claims of sexual abuse, only 86 met the inclusion criteria. The age range was 10.3 years (3-18), 95% of the victims were pre-adolescent girls. Sexual abuse occurred at home in 54.6%, the main aggressor was an uncle in the family and friends and strangers outside the house. Aunts and mothers were in most cases those responsible for bringing the problem to attention. The physical exam was abnormal in 49% of cases, we found genital lesions in 44.2%, anal lesions in 4.7%, pregnancy in 11.7% and STD in 9.3%. Associated skin lesions were found in 23.3%. We need clear policies and strategies to prevent and treat the problem of sexual abuse
Palabras llave : Kempe syndrome; sexual abuse; violation; genital-anal lesions.