Publication
Analysis of contextual variables in the evaluation of child abuse in the pediatric emergency setting.
| dc.contributor.author | Almeida, A | |
| dc.contributor.author | Ramos, V | |
| dc.contributor.author | Almeida, H | |
| dc.contributor.author | Escobar, C | |
| dc.contributor.author | Garcia, C | |
| dc.date.accessioned | 2018-06-18T15:09:42Z | |
| dc.date.available | 2018-06-18T15:09:42Z | |
| dc.date.issued | 2017 | |
| dc.description.abstract | OBJECTIVE: This article comprises a sample of abuse modalities observed in a pediatric emergency room of a public hospital in the Lisbon metropolitan area and a multifactorial characterization of physical and sexual violence. The objectives are: (1) to discuss the importance of social and family variables in the configuration of both types of violence; (2) to show how physical and sexual violence have subtypes and internal diversity. METHODS: A statistical analysis was carried out in a database (1063 records of child abuse between 2004 and 2013). A form was applied to cases with suspected abuse, containing data on the child, family, abuse episode, abuser, medical history, and clinical observation. A factorial analysis of multiple correspondence was performed to identify patterns of association between social variables and physical and sexual violence, as well as their internal diversity. RESULTS: The prevalence of abuse in this pediatric emergency room was 0.6%. Physical violence predominated (69.4%), followed by sexual violence (39.3%). Exploratory profiles of these types of violence were constructed. Regarding physical violence, the gender of the abuser was the first differentiating dimension; the victim's gender and age range were the second one. In the case of sexual violence, the age of the abuser and co-residence with him/her comprised the first dimension; the victim's age and gender comprised the second dimension. CONCLUSION: Patterns of association between victims, family contexts, and abusers were identified. It is necessary to alert clinicians about the importance of social variables in the multiple facets of child abuse. | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | J Pediatr (Rio J). 2017 Jul - Aug;93(4):374-381 | pt_PT |
| dc.identifier.doi | 10.1016/j.jped.2016.09.005 | pt_PT |
| dc.identifier.issn | 1678-4782 | |
| dc.identifier.uri | http://hdl.handle.net/10400.10/2014 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | Sociedade Brasileira de Pediatria | pt_PT |
| dc.relation.publisherversion | file://u_share/users/arminda.m.sustelo/Downloads/1-s2.0-S0021755717303364-main.pdf | pt_PT |
| dc.subject | Hospital emergency service | pt_PT |
| dc.subject | Child abuse | pt_PT |
| dc.subject | Epidemiology | pt_PT |
| dc.subject | Portugal | pt_PT |
| dc.title | Analysis of contextual variables in the evaluation of child abuse in the pediatric emergency setting. | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.conferencePlace | Rio de Janeiro | pt_PT |
| oaire.citation.endPage | 381 | pt_PT |
| oaire.citation.startPage | 374 | pt_PT |
| oaire.citation.title | Jornal de Pediatria | pt_PT |
| oaire.citation.volume | 93 | pt_PT |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |