@article{ref1,
title="Analysis of contextual variables in the evaluation of child abuse in the pediatric emergency setting in Portugal",
journal="Jornal de Pediatria",
year="2017",
author="Almeida, Ana Nunes de and Ramos, Vasco and Almeida, Helena Nunes de and Escobar, Carlos Gil and Garcia, Catarina",
volume="93",
number="4",
pages="374-381",
abstract="OBJECTIVE: This article comprises a sample of abuse modalities observed in a pediatric emergency room (PER) 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. <br><br>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. <br><br>RESULTS: The prevalence of abuse in this PER 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. <br><br>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.<br><br>Copyright © 2017 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0021-7557",
doi="10.1016/j.jped.2016.09.005",
url="http://dx.doi.org/10.1016/j.jped.2016.09.005"
}