Instituto Federal Goiano - Campus Ceres, Brazil.
Instituto Federal Goiano - Campus Ceres, Brazil; Programa de Pós-graduação Ciências da Saúde, Faculdade de Medicina, Universidade Federal de Goiás, Brazil; Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
Child Abuse Negl. 2021 Dec;122:105347. doi: 10.1016/j.chiabu.2021.105347. Epub 2021 Oct 8.
Analysis of sexual abuse has usually been neglected in research at developing countries despite its everlasting consequences. This study examined the prevalence of sexual abuse among Brazilian adolescents according to data from the National School Health Survey (PeNSE) and analyzed it based on Brazilian regions, sociodemographic aspects, health information, and health-risk behaviors among Brazilian adolescents who reported having experienced sexual abuse previously.
The PeNSE data were utilized, and the sample included 102,072 students from all over Brazil, aged between 11 and 19 years.
Data were collected by questionnaires and were analyzed by multivariate analysis using the Poisson regression model.
The results denoted a relation between sexual abuse, social determinants of health variables (i.e., black, indigenous, and mixed skin color/ethnicity; Brazilian region public school, age between 15 and 18 years, and low education level of the mother), and health-risk behaviors (i.e., early sexual intercourse, having multiple sexual partners, unprotected sexual intercourse, use of tobacco, alcohol, and illicit drugs).
Therefore, reports of sexual abuse are associated with risky behaviors. Given these findings, targeted interventions on sexual abuse are essential for the health of adolescents and the prevention of risky behaviors, and can also facilitate programs to prevent sexual abuse.
尽管性虐待会造成持久的后果，但在发展中国家的研究中，通常忽视对性虐待的分析。本研究根据全国学校卫生调查（PeNSE）的数据，调查了巴西青少年遭受性虐待的普遍性，并根据巴西各地区、社会人口学方面、健康信息以及之前报告遭受过性虐待的巴西青少年的健康风险行为对其进行了分析。
本研究利用了 PeNSE 数据，样本包括来自巴西各地的 102,072 名年龄在 11 至 19 岁的学生。
通过问卷调查收集数据，并使用泊松回归模型进行多变量分析。
结果表明，性虐待与健康的社会决定因素变量（即黑人、土著和混血儿/少数民族；巴西地区的公立学校、15 至 18 岁年龄和母亲低教育水平）以及健康风险行为（即过早发生性行为、拥有多个性伴侣、无保护性行为、使用烟草、酒精和非法药物）之间存在关联。
因此，性虐待的报告与危险行为有关。鉴于这些发现，针对性虐待的干预措施对于青少年的健康和危险行为的预防至关重要，并且还可以促进预防性虐待的计划。
