Comparison of the Clinical Profile of Prepubertal versus Pubertal Female Child Sexual Abuse in a Tertiary Hospital

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dc.contributor.authorBombase, C. L. I., Neri, R. J. P., & Castro, L. A.
dc.date.accessioned2022-09-09T15:47:33Z
dc.date.available2022-09-09T15:47:33Z
dc.date.issued2022
dc.description.abstractObjective. This study aimed to compare the clinical profile of prepubertal and pubertal female child sexual abuse. Methods. A cross-sectional analytical study involving 43 sexually abused children was done. Each patient was categorized as prepubertal or pubertal based on the Tanner stage. Medical history was gathered using a structured interview and physical examination done with proper documentation after obtaining consent. Blind review by child protection specialists was done on genital images. Descriptive statistics were utilized for all variables. Results. This study showed 11.97% and 22.22% prevalence for prepubertal and pubertal child sexual abuse, respectively. Most prepubertal children disclosed digital vaginal penetration by the father and non-relative household members, while most pubertal children reported penile-vaginal penetration by the boyfriend. Fondling was common to both groups. The majority were repeated abuse and usually happened at the perpetrator’s house. Behavioral changes and genital symptoms were common in prepubertal children. Findings of hymenal trauma were found in 25% of prepubertal girls and half of the pubertal adolescents. The interobserver variability of these hymenal findings was fair. The prevalence of sexually transmitted infections (STIs) was low, none for the prepubertal children, and only 6% of the adolescent had STI, which was Hepatitis B. Conclusion. The clinical profile of sexually abused prepubertal children differed from that of pubertal adolescents. There was a higher incidence of hymenal trauma and STIs in adolescents.en_US
dc.identifier.citationBombase, C. L. I., Neri, R. J. P., & Castro, L. A. (2022). Comparison of the Clinical Profile of Prepubertal versus Pubertal Female Child Sexual Abuse in a Tertiary Hospital. Acta Medica Philippina, 56(15).en_US
dc.identifier.urihttps://actamedicaphilippina.upm.edu.ph/index.php/acta/article/view/1852
dc.identifier.urihttp://hdl.handle.net/11212/5550
dc.language.isoenen_US
dc.publisherActa Medica Philippinaen_US
dc.subjectchild sexual abuseen_US
dc.subjectInternational Resourcesen_US
dc.subjectPhilippinesen_US
dc.subjecthospitalen_US
dc.subjectabuse profileen_US
dc.titleComparison of the Clinical Profile of Prepubertal versus Pubertal Female Child Sexual Abuse in a Tertiary Hospitalen_US
dc.typeArticleen_US

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