{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:07:34Z","timestamp":1740146854427,"version":"3.37.3"},"reference-count":34,"publisher":"Public Library of Science (PLoS)","issue":"2","license":[{"start":{"date-parts":[[2023,2,15]],"date-time":"2023-02-15T00:00:00Z","timestamp":1676419200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100006182","name":"Funda\u00e7\u00e3o Estadual de Amparo \u00e0 Pesquisa do Estado do Esp\u00edrito Santo","doi-asserted-by":"publisher","award":["83170545"],"award-info":[{"award-number":["83170545"]}],"id":[{"id":"10.13039\/501100006182","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"\nIntroduction<\/jats:title>\nSexually transmitted infections (STI) and pregnancy can be consequences of sexual violence. In Brazil, around 50% of women victims of sexual violence do not undergo STI prophylaxis or emergency contraception.<\/jats:p>\n<\/jats:sec>\n\nObjectives<\/jats:title>\nTo analyze socio-demographic and epidemiological profile, frequency of procedures performed, frequency of blood-borne infections (BBI), pregnancy, and legal abortion in women assisted by a sexual violence assistance center.<\/jats:p>\n<\/jats:sec>\n\nPatients and methods<\/jats:title>\nThis 10-year retrospective cohort study (2010\u20132019) describes the socio-demographic and epidemiological profile and frequencies of clinical procedures, BBI, pregnancies, and legal abortions in 915 women assisted in a sexual violence assistance center in Brazil. We extracted data from the medical records and used descriptive statistics and chi-square and logistic regression.<\/jats:p>\n<\/jats:sec>\n\nResults<\/jats:title>\nA total of 93.3% (842\/915) were residents in the Metropolitan Area of the capital, 80,83% (733\/915) were brown-skinned or white, 42.4% (388\/915) were adolescents (12\u201317 years old), 80.4% (736\/915) were single, most had no children, average of 1.8 (\u00b11.0 DP) children. About one-third (313\/915) had not had previous sexual intercourse, 1.6% (10\/653) were pregnant. Rape predominated with 92.0% (841\/915), of which 51.5% (471\/915) involved a known or related aggressor, mostly an acquaintance, followed by a stepfather or father. Recurrent cases were 24.0% (227\/915).<\/jats:p>\n<\/jats:sec>\n\nClinical procedures<\/jats:title>\n42.6% (390\/915) were attended within 72 hours and received STI prophylaxis 43.4% (392\/904); emergency contraception 38.6% (349\/904); blood collection 71.6% (647\/904). Prevalence: syphilis 0.3% (2\/653); hepatitis B 0.2% (1\/653); pregnancy 1.6% (10\/653). Incidences: syphilis 1.1% (7\/633); hepatitis B 0.8% (5\/633); hepatitis C 0.6% (4\/633); pregnancy 27.2% (172\/633). There were no HIV cases. Trichomoniasis at 1.9% (2\/108), HPV-induced cytological lesions at 4.7% (5\/108), and bacterial vaginosis at 20.0% (21\/108) were found on cervicovaginal samples. There were 129 legal abortions.<\/jats:p>\n<\/jats:sec>\n\nConclusions<\/jats:title>\nThe socio-demographic aspects and the characteristics of the aggressions in the studied population are like those described in the Brazilian national database, including the remarkable number of adolescents. STI prophylaxis and emergency contraception were performed in less than half of the women. The incidence of pregnancy was higher among those women reporting firearms threats and lower among those receiving STI prophylaxis. The frequency of legal abortion was higher than in national data. Public policies ensuring access to sexual and reproductive health rights and strategies to improve the quality of care for women victims of sexual violence and education improvement may decrease vulnerability to STI and unintended pregnancies.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0280419","type":"journal-article","created":{"date-parts":[[2023,2,15]],"date-time":"2023-02-15T18:39:36Z","timestamp":1676486376000},"page":"e0280419","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Blood-borne infections and pregnancies among women attending a sexual violence assistance center in Brazil: A 10-year retrospective study"],"prefix":"10.1371","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1648-6626","authenticated-orcid":true,"given":"Chiara","family":"Musso Ribeiro de Oliveira Souza","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6106-6503","authenticated-orcid":true,"given":"Gustavo Ribeiro","family":"Lima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ang\u00e9lica Espinosa","family":"Miranda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2023,2,15]]},"reference":[{"article-title":"Global plan of action to strengthen the role of the health system within a national multisectoral response to address interpersonal violence, in particular against women and girls, and against children.","year":"2016","author":"World Health Organization","key":"pone.0280419.ref001"},{"key":"pone.0280419.ref002","article-title":"Preven\u00e7\u00e3o e tratamento dos agravos resultantes da viol\u00eancia sexual contra mulheres e adolescentes: Norma T\u00e9cnica.","author":"Minist\u00e9rio da Sa\u00fade [BR]","year":"2012","journal-title":"3. ed. Bras\u00edlia: Minist\u00e9rio da Sa\u00fade"},{"journal-title":"Understanding and addressing violence against women","year":"2012","author":"World Health Organization","key":"pone.0280419.ref003"},{"key":"pone.0280419.ref004","article-title":"Viol\u00eancia sexual contra mulheres: aspecto m\u00e9dicos, psicol\u00f3gicos, sociais e legais do atendimento.","author":"RP. Andrade","year":"2017","journal-title":"2. ed. Curitiba: Universidade Federal do Paran\u00e1;"},{"year":"2019","author":"S. Abdulali","key":"pone.0280419.ref005"},{"volume-title":"Relat\u00f3rio Mundial sobre Viol\u00eancia e Sa\u00fade","year":"2002","author":"EG Krug","key":"pone.0280419.ref006"},{"key":"pone.0280419.ref007","article-title":"STOP SV: A Technical Package to Prevent Sexual Violence.","author":"Center of diseases control and prevention","year":"2016","journal-title":"National Center for Injury Prevention and Control Division of Violence Prevention, Atlanta: CDC"},{"journal-title":"S\u00e3o Paulo: F\u00f3rum Brasileiro de Seguran\u00e7a P\u00fablica","year":"2020","author":"Anu\u00e1rio Brasileiro de Seguran\u00e7a P\u00fablica 2020","key":"pone.0280419.ref008"},{"volume-title":"Protocolo cl\u00ednico e diretrizes terap\u00eauticas para profilaxia p\u00f3s-exposi\u00e7\u00e3o (PEP) de risco \u00e0 infec\u00e7\u00e3o pelo HIV, IST e hepatites virais.","year":"2017","author":"Minist\u00e9rio da Sa\u00fade [BR]","key":"pone.0280419.ref009"},{"key":"pone.0280419.ref010","article-title":"Procotolo Cl\u00ednico e Diretrizes Terap\u00eauticas para Aten\u00e7\u00e3o Integral \u00e0s Pessoas com Infec\u00e7\u00f5es Sexualmente Transmiss\u00edveis.","author":"Minist\u00e9rio da Sa\u00fade [BR]","year":"2019","journal-title":"Bras\u00edlia: Minist\u00e9rio da Sa\u00fade;"},{"issue":"Esp.1","key":"pone.0280419.ref011","article-title":"Protocolo Brasileiro para Infec\u00e7\u00f5es Sexualmente Transmiss\u00edveis 2020: viol\u00eancia sexual.","volume":"30","author":"MLB Menezes","year":"2021","journal-title":"Epidemiol. Serv. Saude, Bras\u00edlia"},{"key":"pone.0280419.ref012","article-title":"Estupro no Brasil: uma radiografia segundo os dados da Sa\u00fade (vers\u00e3o preliminar).","author":"D Cerqueira","year":"2014","journal-title":"Nota t\u00e9cnica. Bras\u00edlia: Instituto de Pesquisa Econ\u00f4mica Aplicada;"},{"issue":"10","key":"pone.0280419.ref013","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1097\/OLQ.0000000000000651","article-title":"Understanding the Effects of Forced Sex on Sexually Transmitted Disease Acquisition and Sexually Transmitted Disease Care: Findings From the National Survey of Family Growth (2011\u20132013).","volume":"44","author":"KA Brookmeyer","year":"2017","journal-title":"Sex Transm Dis."},{"volume-title":"A vitimiza\u00e7\u00e3o de mulheres no Brasil.","year":"2019","author":"S Bueno","key":"pone.0280419.ref014"},{"journal-title":"Anu\u00e1rio Brasileiro de Seguran\u00e7a P\u00fablica","year":"2021","author":"S Bueno","key":"pone.0280419.ref015"},{"key":"pone.0280419.ref016","article-title":"Viol\u00eancia sexual na regi\u00e3o do ABC Paulista: retrato de 142 casos.","volume":"43","author":"JPF Rosa","year":"2018","journal-title":"ABCS Health Sciences"},{"key":"pone.0280419.ref017","article-title":"Disp\u00f5e sobre o Estatuto da Crian\u00e7a e do Adolescente e d\u00e1 outras provid\u00eancias [Law No.","author":"Brasil, 1990. Lei n\u00b0 8.069 de 13 de julho de 1990","year":"1990","journal-title":"069 of"},{"key":"pone.0280419.ref018","article-title":"Altera o T\u00edtulo VI da Parte Especial do Decreto-Lei n\u00b0 2.848, de 7 de dezembro de 1940\u2014C\u00f3digo Penal, e o art. 1\u00b0 da Lei n\u00b0 8.072, de 25 de julho de 1990, que disp\u00f5e sobre os crimes hediondos, nos termos do inciso XLIII do art. 5\u00b0 da Constitui\u00e7\u00e3o Federal e revoga a Lei n\u00b0 2.252, de 1\u00b0 de julho de 1954, que trata de corrup\u00e7\u00e3o de menores.","author":"Brasil, 2009. Lei n\u00b0 12.015, de 7 de agosto de 2009","year":"2009","journal-title":"Di\u00e1rio Oficial da Uni\u00e3o, Bras\u00edlia, 10 ago"},{"volume-title":"Organiza\u00e7\u00e3o Fundo das Na\u00e7\u00f5es Unidas para a Inf\u00e2ncia. Coordena\u00e7\u00e3o Helena Oliveira, 2. ed.","year":"2006","author":"K Figueiredo","key":"pone.0280419.ref019"},{"key":"pone.0280419.ref020","article-title":"Estupro no Brasil: v\u00edtimas, autores, fatores situacionais e evolu\u00e7\u00e3o das notifica\u00e7\u00f5es no sistema de sa\u00fade entre 2011 e 2014. Bras\u00edlia: Instituto de Pesquisa Econ\u00f4mica Aplicada, 2017 [Rape in Brazil: victims, perpetrators, situational factors and evolution of notifications in the health system between 2011 and 2014","author":"D Cerqueira","year":"2017","journal-title":"Bras\u00edlia: Institute of Applied Economic Research"},{"key":"pone.0280419.ref021","article-title":"As atualiza\u00e7\u00f5es e a persist\u00eancia da cultura do estupro no Brasil. Instituto de Pesquisa Econ\u00f4mica Aplicada\u2014Bras\u00edlia: Rio de Janeiro: Ipea, 2017 [Updates and persistence of rape culture in Brazil. Institute of Applied Economic Research\u2014Bras\u00edlia","author":"CL Engel","year":"2017","journal-title":"Rio de Janeiro: Ipea"},{"key":"pone.0280419.ref022","first-page":"2013","article-title":"Estabelece diretrizes para o atendimento \u00e0s v\u00edtimas de viol\u00eancia sexual pelos profissionais de seguran\u00e7a p\u00fablica e da rede de atendimento do Sistema \u00danico de Sa\u00fade","volume":"13","author":"Brasil, 2013. Decreto n0 7.958, de 13 de mar\u00e7o de 2013","year":"2013","journal-title":"Di\u00e1rio Oficial da Uni\u00e3o"},{"issue":"21","key":"pone.0280419.ref023","first-page":"189","article-title":"Influ\u00eancia do exame m\u00e9dico-legal na responsabiliza\u00e7\u00e3o do autor da viol\u00eancia sexual contra adolescentes.","author":"J Drezett","year":"2011","journal-title":"Rev Bras Crescimento Desenvolvimento Hum."},{"issue":"5","key":"pone.0280419.ref024","first-page":"1687","article-title":"Sexual violence against women and care in the health sector in Santa Catarina\u2014Brazil.","volume":"23","author":"CR Delziovo","year":"2018","journal-title":"Cien Saude Colet."},{"issue":"2","key":"pone.0280419.ref025","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/j.ejogrb.2010.03.014","article-title":"Audit on the management of complainants of sexual assault at an emergency department.","volume":"151","author":"C Gilles","year":"2010","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"5","key":"pone.0280419.ref026","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1590\/S0102-311X2013000500008","article-title":"Viol\u00eancia sexual: estudo descritivo sobre as v\u00edtimas e o atendimento em um servi\u00e7o universit\u00e1rio de refer\u00eancia no Estado de S\u00e3o Paulo, Brasil.","volume":"29","author":"CO Facuri","year":"2013","journal-title":"Cad Saude Publica"},{"issue":"72","key":"pone.0280419.ref027","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1097\/OGX.0000000000000390","article-title":"Evaluation and Management of Female Victims of Sexual Assault.","author":"RA Vrees","year":"2017","journal-title":"Obstetrical and gynecological survey."},{"key":"pone.0280419.ref028","doi-asserted-by":"crossref","first-page":"2841","DOI":"10.1097\/QAD.0b013e32833fed78","article-title":"Assessing the impact of mass rape on the incidence of HIV in conflict-affected countries","volume":"24","author":"V Supervie","year":"2010","journal-title":"Aids"},{"issue":"16","key":"pone.0280419.ref029","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1186\/s12889-016-3103-0","article-title":"Gender relations, sexual behaviour, and risk of contracting sexually transmitted infections among women in union in Uganda.","author":"O Nankinga","year":"2016","journal-title":"BMC Public Health"},{"issue":"3","key":"pone.0280419.ref030","doi-asserted-by":"crossref","first-page":"345","DOI":"10.5123\/S1679-49742011000300009","article-title":"Avalia\u00e7\u00e3o da cobertura vacinal contra hepatite B nos menores de 20 anos em munic\u00edpios do Estado do Rio Grande do Sul, Brasil.","volume":"20","author":"BM Moreno","year":"2011","journal-title":"Epidemiol. Serv. Sa\u00fade"},{"issue":"18","key":"pone.0280419.ref031","doi-asserted-by":"crossref","first-page":"1436","DOI":"10.1001\/jama.1994.03510420068036","article-title":"HIV testing, counseling, and prophylaxis after sexual assault","volume":"271","author":"LO Gostin","year":"1994","journal-title":"JAMA"},{"issue":"51","key":"pone.0280419.ref032","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1258\/msl.2010.010204","article-title":"Prevalence of HIV in the Mthatha area of South Africa, as estimated from the testing of rape victims.","author":"B Meel","year":"2011","journal-title":"Med Sci Law."},{"issue":"2","key":"pone.0280419.ref033","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1590\/S0100-72032006000200009","article-title":"Viol\u00eancia sexual: procedimentos indicados e seus resultados no atendimento de urg\u00eancia de mulheres v\u00edtimas de estupro.","volume":"28","author":"A Fa\u00fandes","year":"2006","journal-title":"Rev Bras Ginecol Obstet"},{"issue":"3","key":"pone.0280419.ref034","first-page":"98","article-title":"Aspectos psicol\u00f3gicos de mulheres que sofrem viol\u00eancia sexual.","volume":"27","author":"FBC Souza","year":"2012","journal-title":"Reprod. Clim"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0280419","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,15]],"date-time":"2023-02-15T18:39:58Z","timestamp":1676486398000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0280419"}},"subtitle":[],"editor":[{"given":"Bidhubhusan","family":"Mahapatra","sequence":"first","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2023,2,15]]},"references-count":34,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2023,2,15]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0280419","relation":{},"ISSN":["1932-6203"],"issn-type":[{"type":"electronic","value":"1932-6203"}],"subject":[],"published":{"date-parts":[[2023,2,15]]}}}