Sexual violence against men in Brazil: underreporting, prevalence, and associated factors
DOI:
https://doi.org/10.11606/s1518-8787.2023057004523Keywords:
Men, Crime Victims, Sex Offenses, Domestic Violence, Underregistration, ReviewAbstract
OBJECTIVES: Identifying and mapping the literature regarding sexual violence against Brazilian boys and men, as well as describing its underreporting, prevalence, and associated factors. METHODS: We conducted a scoping review by searching PubMed, Biblioteca Digital Brasileira de Teses e Dissertações, Biblioteca Virtual em Saúde, Scopus, and Web of Science databases. The inclusion criteria were: (a) surveys including data on sexual violence; (b) inclusion of boys or men as victims of sexual violence; (c) presenting statistical data on prevalence, underreporting, and factors associated with sexual violence among Brazilian boys and men. RESULTS: We found a total of 1,481 papers. Ultimately, 53 were included and had their data extracted. Most studies are quantitative in nature (n = 48). The total number of participants across studies was 1,416,480 and the prevalence of sexual violence ranged from 0.1% to 71%. It is important to note that underreporting statistical data was cited in several studies. The group with the highest prevalences was men who have sex with men and those with sexual dysfunctions. Increased tendency to drug use, social isolation, unprotected anal sex, suicidal ideation, sexual dysfunction, and post-traumatic stress disorder were statistically significant predictors for having experienced sexual violence. CONCLUSIONS: Despite the prevalence of sexual violence being high against Brazilian boys and men, this area of is surprisingly understudied and there are few studies with this exclusive scope. Social cultural issues, such as sexism, contribute to the underreporting of sexual violence. Additionally, we identified issues related to mental, sexual and reproductive health to be associated with sexual violence. Based on our findings, we recommend the implementation and development of a structural infrastructure aimed at supporting boys and men who are victims of sexual violence, and preventing negative outcomes for this affected group.
References
Hohendorff JV, Habigzang LF, Koller SH. Violência sexual contra meninos: teoria e Intervenção. Curitiba, PR: Juruá; 2014. 138 p.
Hohendorff JV, Habigzang LF, Koller SH. Violência sexual contra meninos: dados epidemiológicos, características e consequências. Psicol USP. 2012;23(2):395-416. https://doi.org/10.1590/S0103-65642012005000007
Barth J, Bermetz L, Heim E, Trelle S, Tonia T. The current prevalence of child sexual abuse worldwide: a systematic review and meta-analysis. Int J Public Health. 2013;58(3):469-83. https://doi.org/10.1007/s00038-012-0426-1
Gaspar RS, Pereira MUL. Evolução da notificação de violência sexual no Brasil de 2009 a 2013. Cad Saude Publica. 2018;34(11):e00172617. https://doi.org/10.1590/0102-311X00172617
Ministério da Saúde (BR), Secretaria de Vigilância em Saúde. Análise epidemiológica da violência sexual contra crianças e adolescentes, 2011 a 2017. Bol Epidemiol. 2018;49(27):1-17.
Fórum Brasileiro de Segurança Pública. Anuário Brasileiro de Segurança Pública 2020. São Paulo: FBSP; 2020.
Ministério da Mulher, da Família e dos Direitos Humanos (BR), Ouvidoria Nacional dos Direitos Humanos. Relatório 2019. Brasília, DF; 2020.
Winzer L. Frequency of self-reported sexual aggression and victimization in Brazil: a literature review. Cad Saude Publica. 2016;32(7):e00126315. https://doi.org/10.1590/0102-311X00126315
Fórum Brasileiro de Segurança Pública. Anuário Brasileiro de Segurança Pública 2019. São Paulo: FBSP; 2019.
Coêlho BM, Santana GL, Viana MC, Andrade LH, Wang YP. Gender-related dimensions of childhood adversities in the general population. Rev Bras Psiquiatr. 2018;40(4):394-402. https://doi.org/10.1590/1516-4446-2017-2366
Peters MDJ, Godfrey C, McInerney P, Munn Z, Trico A, Khalil H. Chapter 11: Scoping reviews. In: Aromataris E, Munn Z, editors. JBI manual for evidence synthesis. Adelaide (AU): The Joanna Briggs Institute; 2020.
Tricco AC, Lillie E, Zarin W, O’Brien K, Colquhoun H, Kastner M, et al. A scoping review on the conduct and reporting of scoping reviews. BMC Med Res Methodol. 2021;16:15. https://doi.org/10.1186/s12874-016-0116-4
Peters MDJ, Godfrey CM, McInerney P, Soares CB, Khalil H, Parker D. The Joanna Briggs Institute reviewers’ manual 2015: methodology for JBI scoping reviews. Adelaide (AU): The Joanna Briggs Institute; 2015.
Silva AN, Marques ES, Silva LS, Azeredo CM. Wealth inequalities in different types of violence among Brazilian adolescents: National Survey of School Health 2015. J Interpers Violence. 2021;36(21-22):10705-24. https://doi.org/10.1177/0886260519888184
Rocha GM, Guimarães MDC, Brito AM, Dourado I, Veras MA, Magno L, et al. High rates of unprotected receptive anal intercourse and their correlates among young and older MSM in Brazil. AIDS Behav. 2020;24(3):938-50. htttps://doi.org/10.1007/s10461-019-02459-y
Edeza A, Galarraga O, Novak D, Mayer K, Rosenberger J, Mimiaga M, et al. The role of sexual risk behaviors on PrEP awareness and interest among men who have sex with men in Latin America. Int J STD AIDS. 2019;30(6):542-9. https://doi.org/10.1177/0956462419825944
Massaro LTS, Adesse L, Laranjeira R, Caetano R, Madruga CS. Rape in Brazil and relationships with alcohol consumption: estimates based on confidential self-reports. Cad Saude Publica. 2019;35(2):e00022118. https://doi.org/10.1590/0102-311X00022118
Diehl A, Molina de Souza R, Madruga CS, Laranjeira R, Wagstaff C, Pillon SC. Rape, child sexual abuse, and mental health in a Brazilian National Sample. J Interpers Violence. 2020;37(1-2):NP944-67. https://doi.org/10.1177/0886260520915546
Sanchez ZM, Santos MGR, Sanudo A, Carlini CM, Martins SS. Sexual aggression in Brazilian nightclubs: associations with patron’s characteristics, drug use, and environmental factors. Arch Sex Behav. 2019;48(2):609-18. https://doi.org/10.1007/s10508-018-1322-4
Guimarães RA, Castro VOL, Oliveira SMVL, Stabile AC, Motta-Castro ARC, Carneiro MAS, et al. Gender differences in patterns of drug use and sexual risky behaviour among crack cocaine users in Central Brazil. BMC Psychiatry. 2017;1(1):412. https://doi.org/10.1186/s12888-017-1569-7
Barros CRS, Zucchi EM, Schraiber LB, França Junior I. Individual- and contextual-level factors associated with client-initiated HIV testing. Rev Bras Epidemiol. 2017;20(3):394-407. https://doi.org/10.1590/1980-5497201700030004
Fontes LFC, Conceição OC, Machado S. Childhood and adolescent sexual abuse, victim profile and its impacts on mental health. Cien Saude Coletiva. 2017;22(9):2919-28. https://doi.org/10.1590/1413-81232017229.11042017
Barros CRS, Schraiber LB. Intimate partner violence reported by female and male users of healthcare units. Rev Saude Publica. 2017;51:7. https://doi.org/10.1590/S1518-8787.2017051006385
Guimarães RA, Rodovalho AG, Fernandes IL, Silva GC, Felipe RL, Vera I, et al. Transactional sex among noninjecting illicit drug users: implications for HIV transmission. ScientificWorldJournal. 2016;2016:4690628. https://doi.org/10.1155/2016/4690628
Luz MP, Coutinho ESF, Berger W, Mendlowicz MV, Vilete LMP, Mello MF, et al. Conditional risk for posttraumatic stress disorder in an epidemiological study of a Brazilian urban population. J Psychiatr Res. 2016;72:51-7. https://doi.org/10.1016/j.jpsychires.2015.10.011
Sabidó M, Kerr LRFS, Mota RS, Benzaken AS, Pinho AA, Guimarães MDC, et al. Sexual violence against men who have sex with men in Brazil: a respondent-driven sampling survey. AIDS Behav. 2015;19(9):1630-41. https://doi.org/10.1007/s10461-015-1016-z
Pap AD. A relação entre a experiência de abuso sexual na infância e queixas de dor pélvica crônica e disfunção sexual masculina [dissertação]. São Paulo: Faculdade de Medicina da Universidade de São Paulo; 2019
Platt VB, Back IC, Hauschild DB, Guedert JM. Violência sexual contra crianças: autores, vítimas e consequências. Cien Saude Colet. 2018;23(4):1019-31. https://doi.org/10.1590/1413-81232018234.11362016
Schäfer JL, Teixeira VA, Fontoura LP, Castro LC, Horta RL. Exposure to physical and sexual violence and suicidal ideation among schoolchildren. J Bras Psiquiatr. 2017;66(2):96-103. https://doi.org/10.1590/0047-2085000000156
Vertamatti MAF, Strufaldi R, Evans DP, Drezett J, Barbosa CP, Abreu LC. Factors associated with reporting delays and severity of childhood sexual abuse in São Paulo, Brazil. Psychol Health Med. 2019;24(6):739-48. https://doi.org/10.1080/13548506.2018.1556397
Rates SMM, Melo EM, Mascarenhas MDM, Malta DC. Violence against children: an analysis of mandatory reporting of violence, Brazil 2011. Cien Saude Colet. 2015;20(3):655-65. https://doi.org/10.1590/1413-81232015203.15242014
Roglio VS, Borges EN, Rabelo-da-Ponte FD, Ornell F, Scherer JN, Schuch JB, et al. Prediction of attempted suicide in men and women with crack-cocaine use disorder in Brazil. PLoS One.2020;15(5):e0232242. https://doi.org/10.1371/journal.pone.0232242
Madalena TS, Sartes LMA. Crack cocaine users in treatment in Therapeutic Communities: profile and prevalence. Arq Bras Psicol. 2018;70(1):21-36.
Oldenburg CE, Perez-Brumer AG, Biello KB, Landers SJ, Rosenberger JG, Novak DS, et al. Transactional sex among men who have sex with men in Latin America: economic, sociodemographic, and psychosocial factors. Am J Public Health. 2015;105(5):e95-102. https://doi.org/10.2105/AJPH.2014.302402
Sudbrack R, Manfro PH, Kuhn IM, Carvalho HW, Lara DR. What doesn’t kill you makes you stronger and weaker: how childhood trauma relates to temperament traits. J Psychiatr Res. 2015;62:123-9. https://doi.org/10.1016/j.jpsychires.2015.01.001
Ziliotto FPO, Antunes MC, Aznar-Blefari C, Rocha GVM. Characterization of sexual abuses committed by women. Trends Psychol. 2020;28(2):165-79. https://doi.org/10.9788/s43076-019-00007-0
Conceição MIG, Costa LF, Penso MA, Williams LCA. Abuso sexual infantil masculino: sintomas, notificação e denúncia no restabelecimento da proteção. Psicol Clin. 2020;32(1):101-21.
Canfield M, Radcliffe P, D’Oliveira AFPL, Gilchrist G. Factors associated with the severity of IPV perpetrated by substance using men towards current partner. Adv Dual Diagn. 2019;13(1):32-45. https://doi.org/10.1108/ADD-04-2019-0003
Penso MA, Conceição MIG, Costa LF, Said AP, Willians LCA. Boy sexual victimization: characteristics of family configuration and of the offender. Psicol Teor Pesq. 2019;35:e35428. https://doi.org/10.1590/0102.3772e35428
Santos TMB, Pitangui ACR, Bendo CB, Paiva SM, Cardoso MD, Melo JPR, et al. Factors associated with the type of violence perpetrated against adolescents in the state of Pernambuco, Brazil. Child Abuse Negl. 2017;67:216-27. https://doi.org/10.1016/j.chiabu.2017.02.006
Melo ACM, Garcia LP. Care for young victims of assault in public emergency services in 2011: sex differences. Cien Saude Colet. 2017;22(4):1333-42. https://doi.org/10.1590/1413-81232017224.10992015
D'Abreu LCF, Krahé B. Vulnerability to sexual victimization in female and male college students in Brazil: cross-sectional and prospective evidence. Arch Sex Behav. 20165(5):1101-15. https://doi.org/10.1007/s10508-014-0451-7
Sanvicente-Vieira B, Rovaris DL, Ornell F, Sordi A, Rothmann LM, Niederauer JPO, et al. Sex-based differences in multidimensional clinical assessments of early-abstinence crack cocaine users. PLoS One. 2019;14(6):e0218334. https://doi.org/10.1371/journal.pone.0218334
Silva JV, Roncalli AG. Prevalence of sexual violence in Brazil: associated individual and contextual factors. Int J Public Health. 2018;63(8):933-44. https://doi.org/10.1007/s00038-018-1136-0
Guimarães MDC, Kendall C, Magno L, Rocha GM, Knauth DR, Leal AF, et al. Comparing HIV risk-related behaviors between 2 RDS national samples of MSM in Brazil, 2009 and 2016. Med (Baltimore). 2018;97(1 Suppl):S62-8. https://doi.org/10.1097/MD.0000000000009079
Costa FBS, Miranda CES, Rodrigues MTP, Mascarenhas MDM. Violência sexual entre adolescentes escolares brasileiros. Rev Adolesc Saude. 2018;21(2):72-80.
Albuquerque PP, Williams LCA. "Minha pior experiência escolar": caracterização retrospectiva da vitimização de estudantesMy. Estud Psicol (Natal). 2018;23(2):133-44. https://doi.org/10.22491/1678-4669.20180014
Silva WS, Barroso-Junior UO. Child sexual abuse confirmed by forensic examination in Salvador, Bahia, Brazil. Am J Forensic Med Pathol. 2017;38(1):54-8. https://doi.org/10.1097/PAF.0000000000000283
Carvalho LS, Assis SG, Pires TO. Violência sexual em distintas eesferas relacionais de adolescents. Rev Adolesc Saude. 2017;14(1):14-21.
Gilchrist G, Radcliffe P, Noto AR, Oliveira AFPL. The prevalence and factors associated with ever perpetrating intimate partner violence by men receiving substance use treatment in Brazil and England: a cross-cultural comparison 36(1):34-51. https://doi.org/10.1111/dar.12436
Said AP. Abuso sexual de vítimas do sexo masculino: notificações e prontuários no Distrito Federal [dissertação]. Brasília, DF: Universidade de Brasília; 2017.
Nisida IVV, Boulos MIC, Silva LMB, Mayaud P, Avelino-Silva VI, Segurado AC. Predictors of adherence to HIV post-exposure prophylaxis and retention in care after an episode of sexual violence in Brazil. AIDS Patient Care STDS. 2019;33(9):399-405. https://doi.org/10.1089/apc.2019.0080
Soares ALG, Howe LD, Matijasevich A, Wehrmeister FC, Menezes AMB, Gonçalves H. Adverse childhood experiences: prevalence and related factors in adolescents of a Brazilian birth cohort. Child Abuse Negl. 2016;51:21-30. https://doi.org/10.1016/j.chiabu.2015.11.017
Gallo EAG, De Mola CL, Wehrmeister F, Gonçalves H, Kieling C, Murray J. Childhood maltreatment preceding depressive disorder at age 18 years: a prospective Brazilian birth cohort study. J Affect Disord. 2017;217:218-24. https://doi.org/10.1016/j.jad.2017.03.065
Costa MCO, Musse JO, Reiter J, Cruz NLA, Amorim HPL. Violência sexual perpetrada em crianças e adolescentes: estudo dos registros de conselhos tutelares em uma década. Rev Adolesc Saude. 2017;14(2):8-16.
Mann CG, Monteiro S. Sexualidade e prevenção das IST/aids no cuidado em saúde mental: o olhar e a prática de profissionais no Município do Rio de Janeiro, Brasil. Cad Saude Publica. 2018;34(7):e00081217. https://doi.org/10.1590/0102-311X00081217
Hohendorff JV, Habigzang LF, Koller SH. “A boy, being a victim, nobody really buys that, you know?”: dynamics of sexual violence against boys. Child Abuse Negl. 2017;70:53-64. https://doi.org/10.1016/j.chiabu.2017.05.008
Carvalho FA. Homem não chora: o abuso sexual contra meninos. Jundiaí, SP: Paco Editorial; 2020. 180 p.
Oliveira AAB. Meninos traídos: abuso sexual e constituição da masculinidade [dissertação]. Belo Horizonte, MG: Universidade Federal de Minas Gerais; 2017.
Thornton CP, Veenema TG. Children seeking refuge: a review of the escalating humanitarian crisis of child sexual abuse and HIV/AIDS in Latin America. J Assoc Nurses AIDS Care. 2015;26(4):432-42. https://doi.org/10.1016/j.jana.2015.01.002
Nascimento MAF, Uziel AP, Hernandez JG. Young men in juvenile detention centers in Rio de Janeiro, Brazil: gender, sexuality, masculinity and health implications. Cad Saude Publica. 2018;34(2):e00177916. https://doi.org/10.1590/0102-311X00177916
Kato-Wallace J, Barker G, Garg A, Feliz N, Levack A, Ports K, et al. Adapting a global gender-transformative violence prevention program for the U.S. community-based setting for work with young men. Glob Soc Welf. 2019;6(2):121-30. https://doi.org/10.1007/s40609-018-00135-y
Nunes AVA, Nunes SOV, Strano T, Pascolat G, Doria GMS, Ehlke MN. Folie à Deux and its interaction with early life stress: a case report. J Med Case Rep. 2016;10(1):339. https://doi.org/10.1186/s13256-016-1128-8
Said AP, Costa LF. Sex offenders of male victims (Federal District, Brazil). Acta Psiquiatr Psicol Am Lat. 2019;65(1):42-53.
Raffaelli M, Santana JP, Morais NA, Nieto CJ, Koller SH. Adverse childhood experiences and adjustment: a longitudinal study of street-involved youth in Brazil. Child Abuse Negl. 2018;85:91-100. https://doi.org/10.1016/j.chiabu.2018.07.032
Zhu Y, Liu J, Chen Y, Zhang R, Qu B. The relation between mental health, homosexual stigma, childhood abuse, community engagement, and unprotected anal intercourse among MSM in China. Sci Rep. 2018;8:3984. https://doi.org/10.1038/s41598-018-22403-9
França DDS, Del-Rios NHA, Carneiro MAS, Guimarães RA, Caetano KAA, Reis MNG, et al. HIV-1 infection among crack cocaine users in a region far from the epicenter of the HIV epidemic in Brazil: prevalence and molecular characteristics. PLoS One. 2018;13(7):e0199606. https://doi.org/10.1371/journal.pone.0199606
Pereda N, Guilera G, Forns M, Gómez-Benito J. The international epidemiology of child sexual abuse: a continuation of Finkelhor (1994). Child Abuse Negl. 2009;33(6):331-42. https://doi.org/10.1016/j.chiabu.2008.07.007
Cerqueira DRC, Coelho DSC. Estupro no Brasil: uma radiografia segundo os dados da Saúde. Brasilia, DF: IPEA; 2014. (Nota Técnica; nº 11 (Diest).
Sweet T, Welles SL. Associations of sexual identity or same-sex behaviors with history of childhood sexual abuse and HIV/STI risk in the United States. J Acquir Immune Defic Syndr. 2012;59(4):400-8. https://doi.org/10.1097/QAI.0b013e3182400e75
Instituto Brasileiro de Geografia e Estatística. Pesquisa Nacional de Saúde 2019: acidentes, violência, doenças transmissíveis, atividade sexual, características do trabalho e apoio social. Rio de Janeiro: IBGE; Ministério da Saúde, Coordenação de Trabalho e Rendimento; 2021.
Koller SH, De Antoni C. Violência intrafamiliar: uma visão ecológica. In: Koller SH, organizadora. Ecologia do desenvolvimento humano: pesquisa e intervenção no Brasil. São Paulo: Casa do Psicólogo; 2004. p. 293-310.
Minayo MCS. Violência e saúde. Rio de Janeiro: Fiocruz; 2006. 132 p.
Souza TM, Barbosa RB. Abuso sexual intrafamiliar em meninos. Psicol Foco. 2015;5(1):10-12.
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