ABSTRACT
Estudo com o objetivo de refletir, à luz da bioética do risco e proteção, os resultados de revisão de literatura sobre o atendimento a mulheres vítimas de violência sexual. Procedemos busca em periódicos indexados nas bases de dados da Biblioteca Virtual de Saúde e do Scopus, considerando publicações a partir do ano de 2003. A coleta de dados foi realizada em maio de 2013 utilizando os descritores: "violência sexual" ("sexual violence"), "assistência" ("assistance"), "services de saude da mulher" ("womens health services"), "aborto" ("abortion"), "gravidez" ("pregnancy"). Foram recuperados 15 artigos. Os resultados foram agrupados em categorias temáticas: aspectos bioéticos relacionados ao acesso de mulheres a serviços de atendimento, e, aspectos bioéticos presentes no atendimento. A discussão ocorreu à luz da bioética do risco e proteção, evidenciando que o Estado deve garantir a universalidade do acesso às vítimas de violência sexual, e os profissionais de saúde devem estar preparados bioeticamente para este atendimento.
Estudio con el fin de reflejar, a la luz de la bioética del riesgo y la protección, los resultados de una revisión de la literatura sobre la atención a las mujeres víctimas de violencia sexual. Hemos llevado a cabo la búsqueda en revistas indexadas en las bases de datos de la Biblioteca Virtual en Salud y Scopus, teniendo en cuenta las publicaciones desde el año 2003. La obtención de los datos se realizó en mayo 2013 utilizandose las palabras clave: "violencia sexual" ("sexual violence"), "asistencia ( "assistence"), " servicios de salud para las mujeres" ( "womens health services"), "aborto" ( "abortion"), "embarazo" ("pregnancy"). Se recuperaron 15 artículos. Los resultados fueron agrupados en categorías temáticas: aspectos bioéticos relacionados con el acceso de las mujeres a los servicios asistenciales y aspectos bioéticos en la asistencia. La discusión se llevó a cabo a la luz de la bioética del riesgo y la protección, evidenciando que el Estado debe garantizar un acceso universal a las víctimas de la violencia y los profesionales de la salud sexual deben tener preparo bioético para este tipo de atención a la salud.
Review article whose purpose is to reflect the light of bioethics risk and protection, the results of a literature review on the care of women victims of sexual violence. Proceeded to search for journals indexed in the database of the Virtual Health Library and Scopus considering publications since 2003. Data collection was conducted in May 2013 using the keywords: "sexual violence", "assistance", "services to women's health", "abortion", "pregnancy". We retrieved 15 publications. The results were grouped into two thematic categories: bioethical issues related to women's access to care services, and bioethical aspects present in attendance. The discussion took place in the light of bioethics risk and protection. The State must ensure universalide access to the victims of sexual violence and health professionals should be prepared for this bioethically care.
Subject(s)
Humans , Female , Sex Offenses/ethics , Bioethics , Women's Health Services/ethics , Violence Against WomenABSTRACT
Globally, rape of women is a serious health, social and religious concern and is considered as a violation of women basic human right. The aim was to ascertain incidence of natural sexual offence [rape] in Punjab and to analyze the data with respect to sociodemographic characteristics, findings of medicolegal examination and results of evidence collected from victims of sexual assault. This retrospective study was conducted on 148 female victims of rape brought to Forensic Medicine Department of King Edward Medical University Lahore, Fatima Jinnah Medical College Lahore and Nishtar Medical College, Multan from January 2012 to December 2013 for medicolegal examination. Details pertaining to socio-demographic profile of the victim, incident, findings of medical examination and results of evidence collected were noted. Data was analyzed using SPSS version 20. The most affected age group was 11-20 years [60.8%]. Majority of victims were unmarried [70.9%], non- working [79.72%] and of lower socioeconomic class [71.6%] All were Muslims [100%]. The highest number of victims was examined on the second day [24.3%]. 31% cases were of gang rape. Majority knew the assailant [45.9%]. The commonest place of offence was an isolated place [66.2%] Extragenital injuries were seen in 10.8% cases. Hymen was intact in 3.3% victims. The tears of hymen were old in 77.6% and fresh in 22.3% cases. Semen was detected in 18.2% cases. 1.3% victims were pregnant and 4% were intoxicated. The study highlights the importance of addressing rape as an important health issue