Nonsexual violence against children and adolescents: a study in a Latin American tertiary and university hospital.

Autor: Campos RT; Universidade de São Paulo, São Paulo, SP, Brazil., Martiniano LVM; Universidade de São Paulo, São Paulo, SP, Brazil., Lirio AKS; Universidade de São Paulo, São Paulo, SP, Brazil., Souza KEA; Universidade de São Paulo, São Paulo, SP, Brazil., Rose N; Universidade de São Paulo, São Paulo, SP, Brazil., Dias JMM; Universidade de São Paulo, São Paulo, SP, Brazil., Cardoso ACA; Universidade de São Paulo, São Paulo, SP, Brazil., Farhat SC; Universidade de São Paulo, São Paulo, SP, Brazil., Silva CA; Universidade de São Paulo, São Paulo, SP, Brazil.
Jazyk: English; Portuguese
Zdroj: Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo [Rev Paul Pediatr] 2022 May 06; Vol. 40, pp. e2021101. Date of Electronic Publication: 2022 May 06 (Print Publication: 2022).
DOI: 10.1590/1984-0462/2022/40/2021101IN
Abstrakt: Objective: The objective of this study was to assess interpersonal nonsexual violence against children and adolescents in a tertiary university hospital.
Methods: A cross-sectional study was performed in 240 patients under nonsexual violence situation for 15 consecutive years. Data analyses included demographic data, hospital referral site, type and author of nonsexual violence, legal referral, laboratorial and imaging examinations, and outcomes.
Results: Nonsexual violence situation was diagnosed in 240 (0.1%) of 295,993 patients for 15 years: 148 (61.7%) in children and 92 (38.3%) in adolescents. Out of 240, the most frequent types of violence were negligence in 156 (65.0%), physical 62 (25.8%), psychological/emotional aggression 52 (21.7%), Munchausen by proxy syndrome 4 (1.7%), and bullying/cyberbullying in 3 (1.3%). Out of 123, the most common pediatric chronic conditions were chronic kidney disease 24 (19.5%), human immunodeficiency virus 14 (11.4%), prematurity 9 (7.3%), cerebral palsy 8 (6.5%), and asthma 8 (6.5%). Further comparison between children versus adolescent under nonsexual violence situation revealed significant difference between the hospital referral sites. The frequency of patients under violence referred from outpatient clinics was significantly reduced in children versus adolescents (27.7 vs. 62%), whereas emergency department was higher in the former group (57.4 vs. 25.0%; p<0.001). All types of violence situations and pediatric chronic conditions were similar in both groups (p>0.05).
Conclusions: Nonsexual violence against our pediatric population was rarely diagnosed in a tertiary hospital, mainly negligence, physical, and psychological/emotional aggression. Approximately two-thirds of violence diagnosis occurred in children, referred mainly by the emergency department. In contrast, approximately one-third of violence diagnosis occurred in adolescents, referred mostly by outpatient clinics.
Databáze: MEDLINE
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