Patterns of alleged sexual violence assessed in health services in five municipalities of Southwestern Colombia. 2014-2016
DOI:
https://doi.org/10.17533/udea.rfnsp.e355585Keywords:
sexual violence, sexual crime, women´s health, children´s health, health services researchAbstract
Objective: Establish the patterns of alleged sexual violence in people who consulted the health services of five municipalities in the Colombian Southwest between 2014-2016.
Method: This is a descriptive study with multivariate exploratory analysis that was used as a source of information on the care records of the emergency department of five hospitals of medium and low complexity in southwestern Colombia. Individual and relational variables of the event were considered. The XLSTAT statistical package is used.
Results: Were identified four patterns of alleged sexual violence: intrafamilial, extrafamilial and combinations between these, differentiated by the sociodemographic characteristics of the victim, the relationship with the aggressor, and the contextual characteristics of the town where the event occurred.
Conclusions: The findings make it clear that the vulnerable groups are children and young women from low socioeconomic strata. This crime is committed within the family nucleus, and several of the patterns are consistent with the social characteristics of the municipalities where the event occurs.
Downloads
References
1. Van Berlo W, Ploem R. Sexual violence. Knowledge file. Utrecht, The Netherlands: Utrecht, The Netherlands [internet]; 2018 [citado 2023 ene. 18]. Disponible en: https://rutgers.international/wp-content/uploads/2021/09/knowledge_file_Sexual_violence.pdf
2. Krug EG, Dahlberg LL, Mercy JA, et al., editores. Informe mundial sobre la violencia y la salud. Washington, DC: Organización Mundial de la Salud [internet]; 2003 [citado 2023 sep. 15]. Disponible en: https://iris.paho.org/bitstream/handle/10665.2/725/9275315884.pdf
3. Hillis S, Mercy J, et al. Global Prevalence of past-year violence against children: A systematic review and minimum estimates. Pediatrics. 2016;137(3):e20154079. DOI: https://doi.org/10.1542/peds.2015-4079
4. Borumandnia N, Khadembashi N, et al. The prevalence rate of sexual violence worldwide: A trend analysis. BMC Public Health. 2020;20(1). DOI: https://doi.org/10.1186/s12889-020-09926-5
5. Instituto Nacional de Medicina Legal y Ciencias Forenses, Grupo Centro de Referencia Nacional sobre Violencia. Forensis. Datos para la vida 2019. Herramienta para la interpretación y prevención de lesiones de causa externa en Colombia. Bogota: Instituto Nacional de Medicina Legal y Ciencias Forenses [internet]; 2019 [citado 2023 ago. 13]. Disponible en: https://www.medicinalegal.gov.co/documents/20143/788933/Forensis_2019.pdf
6. Fischer DG, McDonald WL. Characteristics of intrafamilial and extrafamilial child sexual abuse. Child Abuse Negl. 1998;22(9):915-29. DOI: https://doi.org/10.1016/s0145-2134(98)00063-5
7. Loinaz I, Bigas N, de Sousa AM. Comparing intra and extra-familial child sexual abuse in a forensic context. Psicothema. 2019;31(3):271-6. DOI: https://doi.org/10.7334/psicothema2018.351
8. The Global Health Observatory. Non-partner sexual violence prevalence. World Health Organization; 2023.
9. Dworkin ER, Krahé B, Zinzow H. The global prevalence of sexual assault: A systematic review of international research since 2010. Psychol Violence. 2021;11(5):497-508. DOI: https://doi.org/10.1037%2Fvio0000374
10. Abrahams N, Devries K, Watts C, et al. Worldwide prevalence of non-partner sexual violence: A systematic review. Lancet. 2014;383(9929):1648-54. DOI: https://doi.org/10.1016/S0140-6736(13)62243-6
11. Avegno J, Mills TJ, Mills LD. Sexual assault victims in the emergency department: Analysis by demographic and event characteristics. J Emerg Med. 2009;37(3):328-34. DOI: https://doi.org/10.1016/j.jemermed.2007.10.025
12. Riviello RJ, Rozzi HV. Evaluation and management of the sexually assaulted or sexually abused patient. American College of Emergency Physicians [internet]; 2016 [citado 2023 ene. 15]. Disponible en: https://www.acep.org/forensicmedicine/newsroom/fm-newsroom-articles/sept-20232/eval-and-management-of-SA.
13. Caballero Blanco VA, Gómez Sandoval P, Narváez Sánchez CM. Cumplimiento del protocolo para la atención integral en salud a víctimas de violencia sexual en un servicio de pediatría en Bogotá, Colombia. Medicina [internet]. 2019 [citado 2023 sep. 23]; 41(4):322-18. Disponible en: https://revistamedicina.net/index.php/Medicina/article/view/1478
14. Santarem MD, Marmontel M, Pereira NL, et al. Epidemiological profile of the victims of sexual violence treated at a referral center in southern Brazil. Rev. Bras. Ginecol. Obstet. 2020;42(09):547-54. DOI: https://doi.org/10.1055/s-0040-1715577
15. Beauregard E, Leclerc B, Lussier P. Decision making in the crime commission process: Comparing rapists, child molesters, and victim-crossover sex offenders. Crim. Justice Behav. 2012;39(10):1275-95. DOI: https://doi.org/10.1177/0093854812453120.
16. Noreña C, Rodríguez SA. Violencia sexual en un municipio de Colombia: características de las víctimas y de sus victimarios, 2011-2020. Biomédica. 2022;42(3):492-507. DOI: https://doi.org/10.7705/biomedica.6460
17. Balaguera Rojas M del P. Aproximación al perfil criminal del violador en serie en Colombia. Episteme. 2013;(5):5-18. DOI: https://doi.org/10.15332/27113833.1973
18. Glynn D. Correspondence analysis: Exploring data and identifying patterns. In Glynn D, Robinson J, editors. Corpus methods for semantics. Quantitative studies in polysemy and synonymy (pp. 443-86). París: John Benjamins; 2014. DOI: http://dx.doi.org/10.13140/RG.2.1.3144.3363
19. Colombia, Ministerio de Salud y Protección Social. Resolución 0459, por la cual se adopta el Protocolo y Modelo de Atención Integral en Salud para Víctimas de Violencia Sexual (2012 mar. 6).
20. Popa AE, Arslan H, Icbay MA, Butvilas T. Contextual approaches in sociology. Popa AE, editor. Bristol: Peter Lang Group; 2016.
21. Colombia, Ministerio de Salud. Resolución 8430, por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud [internet]. 1993 oct. 4 [citado 2021 ago. 31]. Disponible en: https://www.minsalud.gov.co/sites/rid/lists/bibliotecadigital/ride/de/dij/resolucion-8430-de-1993.pdf
22. Haider A, Kamran S, et al. A study of female sexual offences in the year 2013 at DHQ Hospital Dera Ismail Khan. Ann Pak Inst Med Sci. [internet] 2014 [citado 2022 nov. 14]; 10(4):187-92. Disponible en: https://apims.net/apims_old/Volumes/Vol10-4/A%20study%20of%20female%20sexual%20offences%20in%20the%20year%202013%20at%20DHQ%20hospital%20Dera%20Ismail%20Khan.pdf
23. Devries K, Knight L, Petzold M, et al. Who perpetrates violence against children? A systematic analysis of age-specific and sex-specific data. BMJ Paediatr Open. 2018;2(1):e000180. DOI: https://doi.org/10.1136/bmjpo-2017-000180
24. Bouvier P, Halpérin D, Rey H, et al. Typology and correlates of sexual abuse in children and youth: multivariate analyses in a prevalence study in Geneva. Child Abuse Negl. 1999;23(8):779-90. DOI: https://doi.org/10.1016/s0145-2134(99)00050-2
25. Mota JCD, Vasconcelos AGG, Assis SGD. Correspondence analysis: A method for classifying similar patterns of violence against women. Cad. Saúde Pública. 2008;24(6):1397-406. DOI: https://doi.org/10.1590/S0102-311X2008000600020
26. Kataguiri LG, Scatena LM, et al. Characterization of sexual violence in a state from the southeast region of Brazil. Texto Contexto. Enferm. 2019;28. DOI: https://doi.org/10.1590/1980-265X-TCE-2018-0183
27. Muñoz V, Cardona S. Violencia sexual en personas residentes en el Valle del Cauca. Beau Bassin: Editorial Académica Española; 2017.
28. Alcaldía de Villa Rica. Informe rendición de cuentas a la ciudadanía. Vigencia 2018. Villa Rica, Cauca: Alcaldía de Villa Rica, Cauca; 2018.
29. Bautista Revelo AJ, Capacho Niño B, Martínez Osorio M. Posconflicto y violencia sexual. La garantía de la interrupción voluntaria del embarazo en los municipios priorizados para la paz. Bogotá: Centro de Estudios de Derecho, Justicia y Sociedad, Dejusticia [internet]; 2018 [citado 2022 nov. 14]. Disponible en: https://www.dejusticia.org/publication/posconflicto-y-violencia-sexual/
30. Alcaldía de Palmira. Anuario estadístico de Palmira. Violencia intrafamiliar, maltrato infantil y violencia sexual. 2020. Palmira, Valle: Alcaldía de Palmira, Camara de Comercio de Palmira [internet]; 2020 [citado 2023 ene. 18]. Disponible en: https://ccpalmira.org.co/anuarios/palmira/anuario_2020/pdf/8violenciaintrafamiliar.pdf
31. Alcaldía de Santander de Quilichao. Informe de gestión Santander de Quilichao 2018. Santander de Quilichao, Cauca: Alcaldía de Santander de Quilichao, Cauca [internet]; 2018 [citado 2021 ago. 31]. Disponible en: https://santanderdequilichao-cauca.gov.co/Transparencia/ControlyRendiciondeCuentas2/INFORME%20DE%20GESTION%202018%20ALCALDIA%20MUNICIPAL.pdf
32. World Health Organization. WHO Ethical and safety recommendations for researching, documenting and monitoring sexual violence in emergencies. 2007.
Downloads
Published
How to Cite
License
Copyright (c) 2025 Universidad de Antioquia
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The contents of the articles are the responsibility of the authors
The editorial committee has editorial independence from the National School of Public Health "Héctor Abad Gómez" of the University of Antioquia.
The editorial committee is not responsible for aspects related to copying, plagiarism or fraud that may appear in the articles published in it.
When you are going to reproduce and disclose photographs or personal data in printed or digital format, informed consent is required. Therefore, this requirement is required of the author at the time of receipt of the manuscript.
Authors are responsible for obtaining the necessary permissions to reproduce any material protected by reproduction rights.
The authors preserve the moral rights and assign the economic rights that will correspond to the University of Antioquia, to publish it, distribute electronic copies, include them in indexing services, directories or national and international databases in Open Access, under the Creative Commons Attribution license -Not Commercial-Share Equal 4.0 International Commercial (CC BY-NC-SA) which allows others to distribute, remix, retouch, and create from the work in a non-commercial way, as long as the respective credit and license are granted. new creations under the same conditions.
The authors will sign the declaration of transfer of economic rights to the University of Antioquia, after the acceptance of the manuscript.
The editorial committee reserves the right to reject the articles whose authors do not offer satisfactory explanations about the contribution of each author, to meet the criteria of authorship in the submission letter. All authors must meet the four criteria of authorship according to ICMJE: "a) .- That there is a substantial contribution to the conception or design of the article or to the acquisition, analysis or interpretation of the data. b) That they have participated in the design of the research work or in the critical review of its intellectual content. c) .- That has been intervened in the approval of the final version that will be published.d). That they have the capacity to respond to all aspects of the article in order to ensure that issues related to the accuracy or integrity of any part of the work are adequately investigated and resolved. "
-- 
--
