Impact of COVID-19 on Child Sexual Violence: Cross-Sectional Study of Forensic Cases in a State Capital of Northeastern Brazil

Amanda Pereira Ferraz; João Victor Gonçalves da Silva; Laura Maria de Almeida; Carolina Lucena Veloso Gusmão; Isla Camilla Carvalho Laureano; Bianca Marques Santiago

Authors

Amanda Pereira Ferraz
João Victor Gonçalves da Silva
Laura Maria de Almeida
Carolina Lucena Veloso Gusmão
Isla Camilla Carvalho Laureano
Bianca Marques Santiago

Keywords:

Domestic Violence, Child Abuse, Sex Offenses, Coronavirus Infections

Abstract

Objective: To investigate the potential impact of the pandemic on the number of sexological forensic examinations among children and adolescents in a state capital of Northeastern Brazil, as well as to outline the profile of victims and perpetrators. Material and Methods: Cross-sectional study with retrospective analysis of medical-legal/forensic dental examinations conducted from March 2019 to March 2023, focusing on cases of sexual intercourse/sexual assault suffered by children and adolescents examined in the municipality of João Pessoa, Brazil. Results: Of the 1254 reports included, 370 occurred during the pre-pandemic period, 272 during the critical pandemic, 280 during the stabilization, and 332 during the post-pandemic. One thousand and eighty-eight cases involved females, and 692 affected children, with the pre-pandemic period showing the highest number of occurrences. 86.36% of perpetrators were male and acted alone, and 51.20% had a relationship with the victim. Three hundred and fifty-one cases occurred at the victim's residence. No statistically significant association was found among cases across the pandemic periods. Conclusion: Despite the apparent decrease in cases of child sexual violence, it does not necessarily imply a real reduction due to widespread underreporting during COVID-19. The predominant profile of victims is composed of girls aged 11-14 years, with the victim's and perpetrator's residence being the most common locations of sexual violence occurrence, with the perpetrator being a male individual with familial relationship.

References

Krug EG, Mercy JA, Dahlberg LL, Zwi AB. The world report on violence and health. Lancet 2002; 360(9339):1083-1088. https://doi.org/10.1016/S0140-6736(02)11133-0

Sanches LC, Araujo G, Ramos M, Rozin L, Rauli PMF. Child sexual violence in Brazil: A public health issue. Rev Iberoam Bioét 2019; (9):1-13. https://doi.org/10.14422/rib.i09.y2019.003 [In Portuguese].

Sociedade Brasileira de Pediatria (SBP), Centro Latino-Americano de Estudos de Violência e Saúde Jorge Carelli (CLAVES), Escola Nacional de Saúde Pública (ENSP), FIOCRUZ, Secretaria de Estado dos Direitos Humanos, Ministério da Justiça. Guia de atuação frente a maus-tratos na infância e na adolescência: Orientações para pediatras e demais profissionais que trabalham com crianças e adolescentes. 2nd ed. Rio de Janeiro: FIOCRUZ; 2001. [In Portuguese].

Herrera LM, Strapasson RAP, Melani RFH. Cartilha sobre violência doméstica contra crianças e adolescentes para o Cirurgião-Dentista. OFLab – Faculdade de Odontologia da Universidade de São Paulo, 2015. 23 p. [In Portuguese].

Salazar TS, Sá MM, Veloso KMM. Level of knowledge of professionals and dentistry students regarding child abuse: an integrative review. RBOL 2021; 8(2):84-92. https://doi.org/10.21117/rbol-v8n22021-364

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Linha de cuidado para a atenção integral à saúde de crianças, adolescentes e suas famílias em situação de violências: Orientação para gestores e profissionais de saúde / Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. – Brasília: Ministério da Saúde, 2010. 104 p. [In Portuguese].

Pantoja JC, Gomes KC, Canale MLM, Leite MGHSJ. Aggravation of cases of Sexual Violence against Children and Adolescents during the COVID-19 Pandemic in Brazil: A systematic review of literature. Res Soc Develop 2022; 11(14):e511111436316. https://doi.org/10.33448/rsd-v11i14.36316

Trajano RKN, Lyra CVV, Sá TYG, Gomes ACA. Comparison of cases of sexual violence against children and adolescents in the period 2018-2020. Res Soc Develop 2021; 10(1):e11710111384. https://doi.org/10.33448/rsd-v10i1.11384

Melo BD, Lima CC, Moraes CL, Andrade CB, Pereira DR, Souza ER, et al. Saúde mental e atenção psicossocial na pandemia COVID-19: Violência doméstica e familiar na COVID-19. Rio de Janeiro: Fiocruz, 2020. Cartilha. 22 p. [In Portuguese].

Cluver L, Lachman JM, Sherr L, Wessels I, Krug E, Rakotomalala S, et al. Parenting in a time of COVID-19. Lancet 2020; 395(10231):e64. https://doi.org/10.1016/S0140-6736(20)30736-4

Organização das Nações Unidas para a Educação, a Ciência e a Cultura. Covid-19 educational disruption and response. United Nations Educational, Scientific and Cultural Organization, 2020. Available from: https://en.unesco.org/themes/education-emergencies/coronavirus-school-closures [Accessed on October 28, 2023].

Oliveira ALS, Luna CF, Quinino LRM, Magalhães MAFM, Santana VCM. Spatial analysis of intentional homicides in João Pessoa, Paraíba, Brazil, 2011-2016. Epidemiol Serv Saude 2019; 28(1):e2018184. https://doi.org/10.5123/S1679-49742019000100003

Lakatos EM, Marconi MA. Metodologia Científica. São Paulo: Atlas, 2022. [In Portuguese].

Instituto Brasileiro de Geografia e Estatística. Panorama João Pessoa-PB. Available from: https://cidades.ibge.gov.br/brasil/pb/joao-pessoa/panorama [Accessed on October 28, 2023]. [In Portuguese].

Instituto Brasileiro de Geografia e Estatística. Índice de desenvolvimento Humano. Available from: https://cidades.ibge.gov.br/brasil/pb/joao-pessoa/pesquisa/37/30255?ano=2010 [Accessed on October 28, 2023]. [In Portuguese].

Salata AR, Marcelo G. Boletim desigualdade nas metrópoles. Porto Alegre, 2023. Available from: https://www.observatoriodasmetropoles.net.br/wp-content/uploads/2023/10/BOLETIM_DESIGUALDADE-NAS-METROPOLES_14.pdf [Accessed on October 28, 2023]. [In Portuguese].

Hadad ACC, Souza VFHG. Sexual violence against children and adolescents: epidemiological characterization of cases before and during the Covid-19 pandemic in the state of Pará. Res Soc Develop 2023; 12(6):e3512641938. https://doi.org/10.33448/rsd-v12i6.41938

Ferraz MdeMP, Xavier MM, Cabral VIR. Sexual abuse against children and adolescents: analysis of notifications based on the gender debate. Desidades 2021; 29(9):134-150.

Martins J, Lagreca A, Bueno S. Feminicídios caem, mas outras formas de violência contra meninas e mulheres crescem em 2021. Fórum Brasileiro de Segurança Pública. Anuário Brasileiro de Segurança Pública; 2022. [In Portuguese].

Rosa C, Souza J. Sexual violence/abuse against boys:masculinities and silences in debate. Pesquisa em Foco 2020; 25(2):144-167. https://doi.org/10.18817/pef.v25i2.2480

Barcellos TMT, Góes FGB, Silva ACSSda, Souza AN, Camilo LA, Goulart MdeCeL. Violence against children: Description of cases in a municipality in the coastal lowlands of Rio de Janeiro. Esc Anna Nery 2021; 25(4):e20200485. https://doi.org/10.1590/2177-9465-EAN-2020-0485

Brasil. Ministério da Mulher, da Família e dos Direitos Humanos (MMFDH). Ministério divulga dados de violência sexual contra crianças e adolescentes. 2020. Available from: https://www.gov.br/mdh/pt-br/assuntos/noticias/2020-2/maio/ministerio-divulga-dados-de-violencia-sexual-contra-criancas-e-adolescentes [Accessed on October 28, 2023]. [In Portuguese].

Fumagali EO, Santos CCA. Abuso sexual de crianças e adolescentes no brasil em tempos de COVID-19: A educação como forma de prevenção. Cad Grad Ciênc Hum Soc Unit 2021; 6(3):171-184. [In Portuguese].

Brasil. Ministério da Mulher, da Família e dos Direitos Humanos (MMFDH). Disque 100 tem mais de 6 mil denúncias de violência sexual contra crianças e adolescentes em 2021. Available from: https://www.gov.br/mdh/ptbr/assuntos/noticias/2021/maio/disque-100-tem-mais-de-6-mil-denuncias-deviolencia-sexual-contra-criancas-e-adolescentes-em-2021 [Accessed on October 28, 2023]. [In Portuguese].

Platt VB, Back IC, Hauschild DB, Guedert JM. Sexual violence against children: Authors, victims and consequences. Cien Saude Colet 2018; 23(4):1019-1031. https://doi.org/10.1590/1413-81232018234.11362016

World Health Organization. Violence against women. Geneva: World Health Organization; 2021.

Temer L. Violência sexual infantil: Os dados estão aqui, para quem quiser ver. Fórum Brasileiro de Segurança Pública. Anuário Brasileiro de Segurança Pública. Oficina 22: São Paulo; 2022. [In Portuguese].

Martins J, Lagreca A, Bueno S. Feminicídios caem, mas outras formas de violência contra meninas e mulheres crescem em 2021. Fórum Brasileiro de Segurança Pública. Anuário Brasileiro de Segurança Pública; 2022. [In Portuguese].

United Nations International Children's Emergency Fund. No dejemos que los niños sean las víctimas ocultas de la pandemia de COVID- 19. 2020. Available from: https://www.unicef.org/argentina/comunicados-prensa/no-dejemos-ninosvictimas-ocultas-pandemia-covid19 [Accessed on October 28, 2023]. [In Spanish].

Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde e Meio Ambiente. Notificações de violência sexual contra crianças e adolescentes no Brasil, 2015 a 2021. Boletim Epidemiológico 2024, 54(8):1-15. [In Portuguese].

World Health Organization. Joint Leaders' statement - Violence against children: A hidden crisis of the COVID-19 pandemic. 2020. Available from: https://www.who.int/news/item/08-04-2020-joint-leader-s-statement---violence-against-children-a-hidden-crisis-of-the-covid-19-pandemic [Accessed on October 28, 2023].

Batista MKB, Gomes WdaS, Villacorta JAM. Sexual abuse against children: building coping strategies in Primary Health Care in a municipality in the metropolitan region of Recife. Saúde Debate 2022; 46(5):208-220. https://doi.org/10.1590/0103-11042022E517

Danette A, Mendes GM, de Medeiros IC, Marzurkiewicz IG, Godoy MEC, Soares NM. Saúde mental e o abuso sexual infantil: Um estudo bibliográfico sobre o transtorno de estresse pós-traumático. CLCS 2024; 17(1):1116-1135. https://doi.org/10.55905/revconv.17n.1-061 [In Portuguese].

Conceição MM, Gomes NP, Whitaker MCO, Silva LS, Ferreira IQBP, Camargo CL. Signs and symptoms of children's sexual violence: Reports of health professionals. Rev Enferm 2021; 29(1):e57289. https://doi.org/10.12957/reuerj.2021.57289

Vaz LCM. Orofacial manifestations in violent children sexually: the role of the dentist surgeon in the diagnosis. Braz J Develop 2022; 8(8):57095-57111. https://doi.org/10.34117/bjdv8n8-149

Rover ALP, Oliveira GC de, Nagata ME, Ferreira R, Molina AFC, Parreiras SO. Violence against children: clinical indicators in dentistry. Braz J Develop 2022; 6(7):43738-43750. https://doi.org/10.34117/bjdv6n7-114