Sexual violence against children and teenagers is a complex phenomenon and difficult to
face, part of a sociohistorical context of endemic violence with deep cultural roots. As the
problems triggered by sexual abuse can go beyond the physical damage and reverberate
throughout the life and health of the person assaulted, we have set a serious mental health
problem that affects the whole society. This work aims to describe the characteristics of
cases of sexual assault, seen at PROPAZ of Belém, Pará, in 2010, involving children and
teenagers aged up to 14 years, a total of 1076 victims in situations of sexual violence, in
order to identidy epidemiological data of the perpetrator, crime data, describe the findings
of physical examination, assess the main hazards arising from this abuse, and identify the
time between the alleged assault and demand for health services. This is a prospective,
descriptive, crosssectional study that utilized social and medical welfare charts of the
PROPAZ. A statistical analysis was performed to adequate assess the significance of the
values found. We used the statistical software Bioestat 5.0 for statistical tests and Excel
(Microsoft Windows Officee 2003) for the construction of graphs and tables. The
statistical tests applied were: MannWhitney and G Test. When assessing the background
of minors treated at PROPAZ, one can observe that the city of Bethlehem is the onde with
the higher prevalence of cases (52.6%). The girls led the service statistics in the category
of sexual abuse (78.8%) and highest incidence rate age group was from 12 to 14 years with
31.4%. The results showed that domestic violence is very significant, since among the
main perpetrators are the father, other relatives and stepfather. It was observed that most
victims did not receive the required prophylaxis 807 (75.0%), and only 34 (3.2%) cases it
was properly done. 45 (5.3%) of the acts of sexual violence had positive pregnancy tests.
The results emphasize the need to implement public policies from the compr ehensive
public engagement of society and government, aimed at both the expansion of the services
provided to victims of abuse, and at the recognition of the seriousness of the situation,
which must be combated and, above all, prevented.
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