TY  - JOUR
PY  - 2011//
TI  - Sexual abuse to 'Kër Xaleyi' [Dakar, Senegal]: Socio-demographic aspects and context of interventions
JO  - Neuropsychiatrie de l'enfance et de l'adolescence
A1  - Sy, O.
A1  - Fall, L.
A1  - Guèye, M.
SP  - 305
EP  - 313
VL  - 59
IS  - 5
N2  - Child psychiatry treatments in sexual abuses are recently considered in Senegal. The child psychiatrist is frequently through contradictions and impasses because reactions of jurists in one part and family in another part. The place of justice in childcare becomes an acute question and determines the health's professional attitudes and behaviors. In this article, authors have tried, for one part, to determine the sociodemographic aspects of child sexual abused. In another part, they have serried several positions of generalists, pediatricians, gynecologists and men of law in position of suspicion or allegation of sexual abuse involving minor age (0-18). The study data is received from child psychiatry's unity 'Kër Xaleyi' in Dakar, between February 2000 and December 2008, as well as interviews with children of pediatricians, gynecologists and men of law (policemen, prosecutors, judges…). Fifty-nine cases of child victims of sexual abuse are listed on 4327 (1.36%). The majority of victims are girls (84.70%), are between 6 to 10 years (45.50%), are abused by men (teenagers or young adults [86.40%], neighbours or friends of the family [62.70%]). Only 44.10% of cases have been reported to the judicial authorities. Among the abused children, 55.90% are referred to 'Kër Xaleyi' by doctors and 15.30% of cases have desired a medical certificate. Rape (59.30%) is the mode most commonly used in sexual abuse and the behavior disorders are the most observed events in victims (58.20%). Tracking is generally very brief (approximately one or two interviews): 69.50% of cases. Some causal factors are frequently encountered: entrusted children, deficient or psychiatric parents, conflict families, promiscuity and socio-economic precariousness. Severe organic lesions and deaths of abused children have not been listed. The majority of workers feels distressed and thinks not being able to act in the best way except improvement of the professional context.<p />  <p>Language: fr</p>
LA  - fr
SN  - 0222-9617
UR  - http://dx.doi.org/10.1016/j.neurenf.2010.10.002
ID  - ref1
ER  -