@article{ref1,
title="Adolescent female victims of sexual violence: analysis of loss of follow-up after emergency care and outpatient follow-up",
journal="Revista brasileira de ginecologia e obstetrícia",
year="2023",
author="Torres, Alejandra Suyapa Becerra and Alabarse, Otávio Prado and Alves, Ândria Cléia and Teixeira, Ana Luiza and Azevedo, Renata Cruz Soares de and Fernandes, Arlete",
volume="45",
number="11",
pages="e661-e675",
abstract="OBJECTIVE:  To assess the loss to follow-up after emergency care and during 6-months of outpatient follow-up, and the associated variables, among adolescent sexual violence survivors. <br><br>METHODS:  This is a retrospective study with review of the medical records of 521 females, aged 10 to 18 years, who received emergency care in a referral service in São Paulo, Brazil. The variables were sociodemographic; personal history; characteristics of abuse, disclosure, and reactions triggered after abuse (physical and mental disorders as well as social changes), psychotropic prescription needs, and moment of abandonment: after emergency care and before completing 6 months of outpatient follow-up. To compare groups of patients lost to follow-up at each time point, we used the Chi-square and Fisher exact tests followed by multiple logistic regression with stepwise criterion for selection of associated variables. We calculated the odds ratio with confidence interval (OR, CI 95%). The level of significance adopted was 5%. <br><br>RESULTS:  A total of 249/521 (47.7%) adolescents discontinued follow-up, 184 (35.3%) after emergency care and 65 (12.4%) before completing outpatient follow-up. The variables of living with a partner (OR = 5.94 [CI 95%; 2.49-14.20]); not having a religion (OR = 2.38 [CI 95%;1.29-4.38)]), having a Catholic religion [OR =  2.11 (CI 95%; 1.17-3.78)]; and not disclosing the abuse [OR = 2.07 (CI 95%; 1.25-3.44)] were associated with loss to follow-up after emergency care. Not needing mental disorder care (OR = 2.72 [CI 95%; 1.36-5.46]) or social support (OR = 2.33 [CI 95%; 1.09-4.99]) were directly associated with loss to outpatient follow-up. <br><br>CONCLUSION:  Measures to improve adherence to follow-up should be aimed at adolescents who live with a partner and those who do not tell anyone about the violence.<p /> <p>Language: en</p>",
language="en",
issn="0100-7203",
doi="10.1055/s-0043-1772594",
url="http://dx.doi.org/10.1055/s-0043-1772594"
}