Abstract :
Sexual violence against children and adolescents is a global public health issue with far-reaching impacts on the victims’ physical, psychological, and social health. One important but often overlooked physical health consequence is the risk of sexually transmitted infections (STIs). Children and adolescents who are victims of sexual violence are in a very vulnerable condition for contracting STIs due to power imbalances, limited ability to give consent, and delays in obtaining adequate medical examinations and services. This article aims to comprehensively review the literature on the prevalence, types of STIs, related factors, and the implementation of screening and healthcare services for children and adolescents who are victims of sexual violence. The method used is a literature review of relevant international research articles, including retrospective studies, cross-sectional studies, cohort studies, and clinical audits, obtained from reputable scientific databases. The review results indicate that the prevalence of STIs among children and adolescents who are victims of sexual violence varies across studies, with the most frequently reported types of STIs including Chlamydia trachomatis, Neisseria gonorrhoeae, syphilis, Mycoplasma genitalium, human papillomavirus, and HIV. The factors most consistently associated with STIs include adolescent age, female sex, sexual violence with penetration, repeated violence, commercial sexual exploitation, and delayed medical examination after the incident. Additionally, this review identifies significant gaps in the implementation of STI screening, medical follow-up, and the continuity of healthcare services for victims. The conclusion of this study emphasizes the importance of strengthening integrated, risk-based, and trauma-sensitive healthcare services in the management of children and adolescents who are victims of sexual violence, in order to improve early detection and prevent complications from sexually transmitted infections.
Keywords :
Children and adolescents, Literature Review, Sexual Violence., Sexually transmitted infections, STI screening.References :
- Aaron, K., et al. (2023). Vaginal swab vs urine for detection ofChlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis: A meta-analysis. Annals of Family Medicine, 21, 172–179.
- Abdullahi, A., Nzou, S. M., Kikuvi, G., & Mwau, M. (2022).Neisseria gonorrhoeae infection in female sex workers in an STI clinic in Nairobi, Kenya. PLOS ONE, 17(2), 1–10.
- Adams, J. A. (2011). Medical evaluation of suspected child sexual abuse: 2011 update.Journal of Child Sexual Abuse, 20(5), 588–605.
- Bambang, A. W., Idrus, I., Amin, S., & Iswanty, M. (2021). Gonorrhea vaginitis in a pediatric patient: A case report.Pan African Medical Journal, 38, 1–5.
- Barberá, M. J., & Serra-Pladevall, J. (2019). Gonococcal infection: An unresolved problem.Enfermedades Infecciosas y Microbiología Clínica, 37(7), 458–466.
- Bjekić, M., Vlajinac, H., Sipetić, S., & Marinković, J. (1997). Risk factors for gonorrhoea: A case-control study.Genitourinary Medicine, 73(6), 518–521.
- Centers for Disease Control and Prevention. (2022). Gonococcal infections among neonates.CDC 24/7.
- De Jong, A. R. (1986). Sexually transmitted diseases in sexually abused children.Sexually Transmitted Diseases, 13(3), 123–126.
- De Peder, L. D., et al. (2020). Prevalence of sexually transmitted infections and risk factors among young people in a public health center in Brazil: A cross-sectional study.Journal of Pediatric and Adolescent Gynecology, 33(6), 643–650.
- Dioussé, P., et al. (2020). Sexually transmitted infections among girls aged 1 to 15 years presumed victims of sexual abuse in Thies, Senegal.Our Dermatology Online, 11(2), 151–156.
- Drezett, J., et al. (2020). Sexually transmitted infections among adolescent and adult women victims of sexual violence in the metropolitan region of São Paulo, Brazil.Human Reproduction Archives, 36(1), e000320.
- Driscoll, S. J., et al. (2022). Sexually transmitted infections in suspected child sexual abuse.Archives of Disease in Childhood, 108, 53–55.
- Edwards, J. L., & Butler, E. K. (2011). The pathobiology ofNeisseria gonorrhoeae lower female genital tract infection. Frontiers in Microbiology, 2, 1–11.
- Chiocca, E. M. (2019).Advanced pediatric assessment set. Springer Publishing Company.
- Evans, G. W., & Kim, P. (2013). Childhood poverty, chronic stress, self-regulation, and coping.Child Development Perspectives, 7(1), 43–48.
- Goodyear-Smith, F., & Schabetsberger, R. (2021). Gonococcus infection probably acquired from bathing in a natural thermal pool: A case report.Journal of Medical Case Reports, 15(1), 1–5.
- Groothuis, J. R., et al. (1983). Pharyngeal gonorrhea in young children.Pediatric Infectious Disease, 2(2), 99–101.
- Hazra, A., et al. (2022). CDC sexually transmitted infections treatment guidelines, 2021.JAMA, 327(9), 870–871.
- Hornor, G., et al. (2022). Healthcare use and case characteristics of commercial sexual exploitation of children.Journal of Forensic Nursing, 19, 160–169.
- Jang, Y., & Oh, E. (2021). The current status of sexually transmitted infections in South Korean children in the last 10 years.Osong Public Health and Research Perspectives, 12, 230–235.
- Jenny, C., & Crawford-Jakubiak, J. E. (2013). The evaluation of children in the primary care setting when sexual abuse is suspected.Pediatrics, 132(2), e558–e567.
- Kementerian Kesehatan Republik Indonesia. (2016).Pedoman nasional penanganan infeksi menular seksual. Kementerian Kesehatan RI.
- Kementerian Kesehatan Republik Indonesia. (2021).Pedoman pelayanan dan rujukan kekerasan terhadap perempuan dan anak (KTP/A). Direktorat Jenderal Kesehatan Masyarakat.
- Majeed-Ariss, R., et al. (2021). Utilisation and outcomes of sexually transmitted infection services following child sexual abuse.Children and Youth Services Review, 130, 106234.
- Nainggolan, R. (2024). Identifikasi bakteri diplococcus gram negatif pada sampel swab anal kasus sodomi anak.Majalah Ilmiah METHODA, 14(1), 45–52.
- Nilasari, H., & Waworuntu, W. (2023). The prevalence of sexually transmitted infections and their association with knowledge, attitudes, and practice in male street children in Indonesia.International Journal of STD & AIDS, 35(2), 112–121.
- Skjælaaen, K., & Vallersnes, O. (2022). Sexually transmitted infections among patients attending a sexual assault centre.BMJ Open, 12, e056789.
- Tao, G., et al. (2023). Sexually transmitted infection/HIV, pregnancy, and mental health-related services provided during visits with sexual assault diagnosis.Sexually Transmitted Diseases, 50, 425–431.
- World Health Organization. (2023). Sexually transmitted infections (STIs).World Health Organization.

