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Characterization of Adolescent Pregnancy and Legal Abortion in Situations Involving Incest or Sexual Violence by an Unknown Aggressor

1
Laboratório de Delineamento de Estudos e Escrita Científica, Centro Universitário Saúde ABC, Santo André 09060-870, Brazil
2
Programa de Mestrado em Políticas Públicas e Desenvolvimento Local da Escola Superior de Ciências da Santa Casa de Misericórdia, Vitória 29045-402, Brazil
3
Programa de Mestrado em Ciências da Saúde da Amazônia da Universidade Federal do Acre. Bolsista Capes Brasil, Rio Branco 69.915-900, Brazil
4
Graduate Entry Medical School, University of Limerick, V94 T9PX Limerick, Ireland
*
Author to whom correspondence should be addressed.
Medicina 2019, 55(8), 474; https://doi.org/10.3390/medicina55080474
Received: 30 June 2019 / Revised: 5 August 2019 / Accepted: 9 August 2019 / Published: 13 August 2019
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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: A cross-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. View Full-Text
Keywords: incest; sexual violence; pregnancy in adolescence; induced abortion incest; sexual violence; pregnancy in adolescence; induced abortion
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Bessa, M.M.M.; Drezett, J.; Adami, F.; Araújo, S.D.T.; Bezerra, I.M.P.; Abreu, L.C. Characterization of Adolescent Pregnancy and Legal Abortion in Situations Involving Incest or Sexual Violence by an Unknown Aggressor. Medicina 2019, 55, 474.

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