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dc.contributor.authorHealth Service Executive (HSE)
dc.contributor.authorBessa, Maria Misrelma Moura
dc.contributor.authorDrezett, Jefferson
dc.contributor.authorAdami, Fernando
dc.contributor.authorAraújo, Sandra Dircinha Teixeira de
dc.contributor.authorBezerra, Italla Maria Pinheiro
dc.contributor.authorAbreu, Luiz Carlos de
dc.date.accessioned2020-02-27T11:35:46Z
dc.date.available2020-02-27T11:35:46Z
dc.date.issued2019-08-13
dc.identifier.pmid31412605
dc.identifier.doi10.3390/medicina55080474
dc.identifier.urihttp://hdl.handle.net/10147/627235
dc.descriptionBackground and Objectives: In pregnancies resulting from incest, the adolescent maintains close family and emotional relations with the aggressor, different from what occurs when pregnancy results from sexual violence by strangers. Evidence indicates that this type of relationship with the aggressor may interfere in the dynamics of such violence and the adolescent's access to health services. Materials and Methods: The objective of this research was to describe and correlate aspects associated with pregnancy when resulting from rape of adolescents in situations of incest; rape when perpetrated by an unknown aggressor and an abortion as allowed by law was sought. Method: A cross-sectional, epidemiological study of adolescents treated at the Pérola Byington Hospital, São Paulo, Brazil, bringing an allegation of pregnancy, resulting from sexual violence and a request for abortion as allowed by law. A total of 311 adolescents, being 134 in the "pregnancy from incest group", and 174 in the group "pregnancies resulting from rape by a stranger" were considered under the study variables; relationships were investigated using the chi-squared test and Poisson regression with robust variance. Results: The study included 137 cases (44.1%) of pregnancy resulting from incest, and 174 cases (55.9%) of pregnancy from rape by a stranger. In cases of incest, a declaration of religion (92.0%) was significantly more frequent, and the adolescents were approached in spaces considered safe or private (92.7%); the aggressor taking advantage of the adolescent's legal condition of vulnerability as a function of age (83.3%). Cases of incest presented a lower median adolescent age and greater gestational development, with gestations being ≥ 13 weeks prevailing. Conclusion: Cases of pregnancy by incest presented indicators suggesting both proximity and relationship with the aggressor, and pregnancy at a very early age, which postponed the adolescent's procurement of health service, and interfered negatively with abortion assistance as allowed by law.en_US
dc.description.abstractBackground and Objectives: In pregnancies resulting from incest, the adolescent maintains close family and emotional relations with the aggressor, different from what occurs when pregnancy results from sexual violence by strangers. Evidence indicates that this type of relationship with the aggressor may interfere in the dynamics of such violence and the adolescent's access to health services. Materials and Methods: The objective of this research was to describe and correlate aspects associated with pregnancy when resulting from rape of adolescents in situations of incest; rape when perpetrated by an unknown aggressor and an abortion as allowed by law was sought. Method: A cross-sectional, epidemiological study of adolescents treated at the Pérola Byington Hospital, São Paulo, Brazil, bringing an allegation of pregnancy, resulting from sexual violence and a request for abortion as allowed by law. A total of 311 adolescents, being 134 in the "pregnancy from incest group", and 174 in the group "pregnancies resulting from rape by a stranger" were considered under the study variables; relationships were investigated using the chi-squared test and Poisson regression with robust variance. Results: The study included 137 cases (44.1%) of pregnancy resulting from incest, and 174 cases (55.9%) of pregnancy from rape by a stranger. In cases of incest, a declaration of religion (92.0%) was significantly more frequent, and the adolescents were approached in spaces considered safe or private (92.7%); the aggressor taking advantage of the adolescent's legal condition of vulnerability as a function of age (83.3%). Cases of incest presented a lower median adolescent age and greater gestational development, with gestations being ≥ 13 weeks prevailing. Conclusion: Cases of pregnancy by incest presented indicators suggesting both proximity and relationship with the aggressor, and pregnancy at a very early age, which postponed the adolescent's procurement of health service, and interfered negatively with abortion assistance as allowed by law.
dc.language.isoenen_US
dc.publisherHealth Service Executive (HSE)en_US
dc.subjectCHILDen_US
dc.subjectCHILD HEALTHen_US
dc.subjectincesten_US
dc.subjectinduced abortionen_US
dc.subjectpregnancy in adolescenceen_US
dc.subjectSEXUAL VIOLENCEen_US
dc.subjectPREGNANCYen_US
dc.subjectABORTIONen_US
dc.titleCharacterization of Adolescent Pregnancy and Legal Abortion in Situations Involving Incest or Sexual Violence by an Unknown Aggressor.en_US
dc.typeArticleen_US
dc.identifier.eissn1648-9144
dc.identifier.journalMedicina (Kaunas, Lithuania)en_US
dc.source.journaltitleMedicina (Kaunas, Lithuania)
dc.source.volume55
dc.source.issue8
refterms.dateFOA2020-02-27T11:35:47Z
dc.source.countrySwitzerland


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