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BAMP bulletin ; (124): 17, Sept.-Oct. 1990.
Artigo em Inglês | MedCarib | ID: med-4885
West Indian med. j ; 35(3): 175-9, Sept. 1986.
Artigo em Inglês | MedCarib | ID: med-11579


Four cases of incest, all involving female children and close male relatives are reported. Age range of the victims was wide and social conditions were varied. It is hoped that this report will alert medical and other interested practitioners to the problem of incest, and the important role played by health workers in managing such cases (AU)

Adolescente , Adulto , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Abuso Sexual na Infância/psicologia , Incesto , Relações Pais-Filho , População Urbana , Jamaica
West Indian med. j ; 35(1): 38-43, Mar. 1986.
Artigo em Inglês | MedCarib | ID: med-11619


A descriptive study of 29 cases of alleged sexual abuse involving 33 children (in 4 cases one adult abused two children) observed at the Community Health Centre, Department of Social and Preventive Medicine, U.W.I. Mona, Jamaica, and the Family Court, Jamaica, is reported. A similar incidence was found when compared with studies conducted elsewhere and females were abused more than males. Children of all ages were affected and fell mainly into one of two groups, 3 to 6 years old and 11 to 13 years old. Clinical manifestations included hymenal rupture, vaginal bruising, pregnancy, vaginal discharge and sexually transmitted diseases. A belief in the child's version of the incident, a careful detailed social inquiry, a medical and gynaecological examination and laboratory studies are needed to substantiate the allegation of sexual abuse. (AU)

Adolescente , Adulto , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Maus-Tratos Infantis , Delitos Sexuais , Incesto , Estupro , Jamaica
West Indian med. j ; 34(suppl): 49, 1985.
Artigo em Inglês | MedCarib | ID: med-6668


Records of 424 girls under 12 years of age, who presented consecutively to University Hospital of the West Indies with a history of vaginal discharge, were kept on an on-going basis in a separate register for one year from November, 1983. The vaginal swabs showed non-specific flora in 49 percent, N. gonorrhoea in 14 percent, S. pneumoniae in 8 percent, H. influenzae Type B in 5 percent, C. albicans in 3 percent, other organisms in 13 percent, and unknown or culture negative results in 5 percent. Of the 58 children with gonorrhoea, 52 percent were under 6 years of age. Information available on 60 percent of these revealed possible sexual contact in 36 percent. Forty per cent of these were reportedly incestuous (father, brother, uncle, cousin), 30 percent involved step-father or mother's consort, and 30 percent family friends or neighbours. These figures may be underestimates. This report documents the occurrence in this age group of S. pneumoniae (not previously reported), N. gonorrhoeae, C. albicans among near-pubertal girls, T. Vaginalis in the 2 to 10 year-olds, the hidden problem of intrafamilial child abuse, and condylomata acuminata as an unusual manifestation of child abuse. Attention is drawn to vulvovaginitis in the hope that a high index of suspicion and family investigations for child abuse, gonorrhoea and incest will be encouraged; that health education for parents and schools will include information specific to perineal hygiene and sexually transmitted diseases; and that the child population, affected as it is by the increasing incidence of adult gonorrhoea, will be included in programmes for the control of this disease. The authors acknowledge with thanks the valuable assistance of the staff of their respective Departments (AU)

Humanos , Feminino , Lactente , Pré-Escolar , Criança , Vulvovaginite/epidemiologia , Gonorreia/epidemiologia , Abuso Sexual na Infância/diagnóstico , Jamaica , Doenças Sexualmente Transmissíveis , Incesto/estatística & dados numéricos