2023-01-182023-01-182011SILVA, Bethânia Oliveira da; SILVA, Elcilane Gomes. Abuso sexual na infância e adolescência: perfil social e médico assistencial no centro de referência de Belém. Orientadora: Maria Francisca Alves Alves. 2011. 62 f. Trabalho de Curso (Bacharelado em Medicina)-Faculdade de Medicina, Instituto de Ciências da Saúde, Universidade Federal do Pará, Belém, 2011. Disponível em: https://bdm.ufpa.br:8443/jspui/handle/prefix/5094. Acesso em:.https://bdm.ufpa.br/handle/prefix/5094Sexual violence against children and teenagers is a complex phenomenon and difficult to face, part of a socio­historical context of endemic violence with deep cultural roots. As the problems triggered by sexual abuse can go beyond the physical damage and reverberate throughout the life and health of the person assaulted, we have set a serious mental health problem that affects the whole society. This work aims to describe the characteristics of cases of sexual assault, seen at PROPAZ of Belém, Pará, in 2010, involving children and teenagers aged up to 14 years, a total of 1076 victims in situations of sexual violence, in order to identidy epidemiological data of the perpetrator, crime data, describe the findings of physical examination, assess the main hazards arising from this abuse, and identify the time between the alleged assault and demand for health services. This is a prospective, descriptive, cross­sectional study that utilized social and medical welfare charts of the PROPAZ. A statistical analysis was performed to adequate assess the significance of the values found. We used the statistical software Bioestat 5.0 for statistical tests and Excel (Microsoft Windows Officee 2003) for the construction of graphs and tables. The statistical tests applied were: Mann­Whitney and G Test. When assessing the background of minors treated at PROPAZ, one can observe that the city of Bethlehem is the onde with the higher prevalence of cases (52.6%). The girls led the service statistics in the category of sexual abuse (78.8%) and highest incidence rate age group was from 12 to 14 years with 31.4%. The results showed that domestic violence is very significant, since among the main perpetrators are the father, other relatives and stepfather. It was observed that most victims did not receive the required prophylaxis 807 (75.0%), and only 34 (3.2%) cases it was properly done. 45 (5.3%) of the acts of sexual violence had positive pregnancy tests. The results emphasize the need to implement public policies from the compr ehensive public engagement of society and government, aimed at both the expansion of the services provided to victims of abuse, and at the recognition of the seriousness of the situation, which must be combated and, above all, prevented.Acesso AbertoAbuso sexualViolência sexualAbuso infantilCrianças e adolescentesSexual abuseSexual violenceChild abuseChildren and teenagersCNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA::SAUDE PUBLICATrabalho de Curso - Graduação - Monografia