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Characterization of adolescent pregnancy and legal abortion in situations involving incest or sexual violence by an unknown aggressor

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Show simple item record Bessa, Maria Misrelma Moura Drezett, Jefferson Adami, Fernando de Araújo, Sandra Dircinha Teixeira Bezerra, Italla Maria Pinheiro de Abreu, Luiz Carlos 2019-09-12T11:13:18Z 2019-09-12T11:13:18Z 2019
dc.description peer-reviewed en_US
dc.description.abstract Background and Objectives: In pregnancies resulting from incest, the adolescent maintains close family and emotional relations with the aggressor, different from what occurs when pregnancy results from sexual violence by strangers. Evidence indicates that this type of relationship with the aggressor may interfere in the dynamics of such violence and the adolescent’s access to health services. Materials and Methods: The objective of this research was to describe and correlate aspects associated with pregnancy when resulting from rape of adolescents in situations of incest; rape when perpetrated by an unknown aggressor and an abortion as allowed by law was sought. Method: Across-sectional, epidemiological study of adolescents treated at the Pérola Byington Hospital, São Paulo, Brazil, bringing an allegation of pregnancy, resulting from sexual violence and a request for abortion as allowed by law. A total of 311 adolescents, being 134 in the “pregnancy from incest group”, and 174 in the group “pregnancies resulting from rape by a stranger” were considered under the study variables; relationships were investigated using the chi-squared test and Poisson regression with robust variance. Results: The study included 137 cases (44.1%) of pregnancy resulting from incest, and 174 cases (55.9%) of pregnancy from rape by a stranger. In cases of incest, a declaration of religion (92.0%) was significantly more frequent, and the adolescents were approached in spaces considered safe or private (92.7%); the aggressor taking advantage of the adolescent’s legal condition of vulnerability as a function of age (83.3%). Cases of incest presented a lower median adolescent age and greater gestational development, with gestations being 13 weeks prevailing. Conclusion: Cases of pregnancy by incest presented indicators suggesting both proximity and relationship with the aggressor, and pregnancy at a very early age, which postponed the adolescent’s procurement of health service, and interfered negatively with abortion assistance as allowed by law. en_US
dc.language.iso eng en_US
dc.publisher MDPI en_US
dc.relation.ispartofseries Medicina;55, 474
dc.subject incest en_US
dc.subject sexual violence en_US
dc.subject pregnancy in adolescence en_US
dc.subject induced abortion en_US
dc.title Characterization of adolescent pregnancy and legal abortion in situations involving incest or sexual violence by an unknown aggressor en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.3390/medicina55080474
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US

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