Os indicadores da violência sexual infanto-juvenil assistida no sistema de saúde do Brasil: aplicações de modelos estatísticos em saúde

Abstract

In the context of child and adolescent sexual violence, the development of data analysis, as well as its quality, makes it possible to outline situations of risk and vulnerability, allowing for better planning and definition of action strategies. This type of occurrence is established as an important risk factor for various health problems during the victims' childhood and adult life, both physical and mental, and generates a substantial cost for the health system. Prevention, in this context, is intrinsically linked to knowing the profile of the victims and depends on very well structured and articulated actions. The objective of this study was to describe the main sociodemographic and space-time parameters associated with child and adolescent sexual violence assisted in the health system in Brazil. As well as ensuring a better understanding of this phenomenon for managers and health professionals, through the construction of an online portal that allows access to a set of indicators and tools with prediction capabilities regarding future occurrences. Through the analysis and information presented, it is expected to contribute to the fight against sexual violence against children and adolescents in Brazil, serving as a resource to expand and improve national public policies. Also noteworthy is the possibility of establishing bases and questions that may justify the development of new research and tools, while the characterizations of violence processes involving disabilities and disorders, in their specificities, need to be better explored. In addition, there is a need for a better assessment of “observer” individuals, who are not directly involved in the process, but also do not contribute to the cessation of the context of violence. In this sense, the need for a better characterization of the motivating elements for the perpetrators is also highlighted, as well as the elements that motivate, or not, the health professional to adequately fill in the notification form. It is worth pointing out that the developed portal is fed with information provided by health professionals at the time of notification, thus being a form of feedback and appreciation of this process. Still with regard to notification, and more specifically the structure of the forms, it is pointed out that it is of big importance, in the field of defining the victim's marital status, the separation of the conditions of stable union and marriage, as well as the creation of a field for a better definition of the relationship status. Finally, it is pointed out that the dissemination of quality information on this topic can be responsible for generating a positive impact on the various population strata, while it can contribute to raising awareness in society about the contexts in which sexual violence against children and adolescents occurs, and this, in turn, led to an increase in the number of complaints and notifications in the country.