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Yıl:2018; Cilt: 25; Sayı: 2>> Özet
TAM METİN
Çocuk ve Gençlik Ruh Sağlığı Dergisi; 2018;25(2):141-158
İstanbul İli Örnekleminde Cinsel İstismar Mağduru Çocuk Ve Ergenlerin Sosyodemografik ve Klinik Özellikler Açısından İncelenmesi
G Özdemir, G Cesur, GÜ Yarar, MA Sezerol, G Malkoç
İstanbul Halk Sağlığı Müdürlüğü, İstanbul
Amaç: Çalışmanın amacı, İstanbul ilinde istismar şüphesiyle bildirilen, istismara uğradığı mahkemelerce değerlen-dirilip kesinleşen ve hakkında 5395 sayılı çocuk koruma kanunu kapsamında sağlık tedbiri kararı alınan çocukla-rın sosyo-demografi k değişkenlerinin incelenmesi ve istismara dair özelliklerin belirlenmesidir. Yöntem: Bu amaç doğrultusunda 2010-2015 yılları arasında hakkında sağlık tedbiri kararı alınan 0-17 yaş arası 424 cinsel istismar mağduru çocuk ve ergenin kayıt altında olan demografi k ve tıbbi bilgilerini içeren dosyaları geriye dönük (retrospektif) olarak incelenmiştir. Sonuç: Vakaların 340 (%80.2)’ı kız 84 (%19.8)’ü erkektir. Yaş ortalaması 12.91 (s = 3.96) olarak belirlenmiştir. Her iki cinsiyet için de sık karşılaşılan istismar türü seksüel penetrasyon olarak tespit edilmiştir. İstis-marcının tanıdık olup olmadığı vakaların cinsiyetleri ve yaşları açısından farklılaşmaktadır. Her yaş grubu için en sık travma sonrası stres bozukluğu tanısına rastlanmaktadır. En sık karşılaşılan ikinci tanının ise yaş gruplarına göre farklılaştığı görülmektedir. Tartışma: Çocuk cinsel istismarı Türkiye’de üzerinde önemle durulması gereken ciddi bir problemdir. Bu çalışma beş yıllık zaman diliminde sadece kayıtlara geçen vakaların sunumunu içermektedir. Birçok fi ziksel ve ruhsal bozukluk için zemin oluşturan çocuk cinsel istismarına toplumsal ve politik bir problem olarak yak-laşılmasının yetişen nesiller için büyük önem arz ettiği düşünülmektedir.
Evaluating Demographic and Clinical Characteristics of a Sample of Sexually Abused Children and Adolescents from Istanbul Province
Objective: The aim of this study was to investigate demographic and other relevant abuse- related characteristics of children who were referred to social services on suspicion of sexual abuse, confi rmed as abused by judicial law and under child protection action in accordance with the Child Protection Law, Code 5395. Method: Participants of this research were 424 children aged between 0-17 years old that were the victims of sexual abuse and under court ordered child protection action, between the years 2010-2015. Relevant data were obtained from the fi les containing registered demographic and medical information of cases, and examined retrospectively. Results: Of all cases, 340 (80.2%) were girls and 84 (19.8%) were boys, with a mean age of 12.91 (s = 3.96) years old. Most prevalent type of sexual abuse was sexual penetration for both gender. Whether the victim personally knew the perpetrator or not vari-ed based on the gender and age of the child. Most common psychiatric diagnosis was post-traumatic stress disorder within whole sample, whilesecond most common psychiatric disorder varied according to age groups. Discussion: Child sexual abuse is a serious problem requiring special attention in Turkey. The present study included only registered cases from a time span of past 5 years. Child sexual abuse poses a great deal of risks for child’s physi-cal and mental health. Therefore, it is important to conceptualize and approach to this issue as a social and political problem, in order to promote the well-being of next generations.

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