%0 Journal Article
%T Aspects ¨¦pid¨¦mio-cliniques et prise en charge des agressions sexuelles chez les sujets de sexe f¨¦minin ¨¤ Lom¨¦.
%A AB Adama-Hond¨¦gla
%A A-S Aboubakari
%A K Fiagnon
%A AR N¡¯kamga-Tchocote
%A K Akpadza
%J African Journal of Reproductive Health
%D 2013
%I Women's Health and Action Research Centre (WHARC)
%X Il s¡¯agit d¡¯une ¨¦tude r¨¦trospective qui a pour objectif de d¨¦crire les aspects ¨¦pid¨¦mio-cliniques et la prise en charge des agressions sexuelles en milieu noir africain. L¡¯¨¦tude a port¨¦ sur 373 dossiers de victimes f¨¦minines pr¨¦sum¨¦es d¡¯agression sexuelle enregistr¨¦es dans le service de Gyn¨¦cologie et d¡¯Obst¨¦trique du CHU Tokoin de Lom¨¦ de 2007 ¨¤ 2009. Les agressions sexuelles ont repr¨¦sent¨¦ 4,37 % des motifs de consultation. La victime ¨¦tait souvent une fillette d¡¯un age moyen de 12 ans. Le viol par p¨¦n¨¦tration vaginale (62,2%) ¨¦tait le mode pr¨¦pond¨¦rant. Le d¨¦lai moyen de consultation qui ¨¦tait de 13 jours a consid¨¦rablement limit¨¦ certains aspects de la prise en charge. Il y a eu 14,5% de traumatisme g¨¦nital, 2,4% de s¨¦roconversion au VIH et 2,14% de grossesses induites. Les agressions sexuelles ont touch¨¦ une population jeune et vuln¨¦rable. Les pouvoirs publics doivent davantage informer sur ce sujet et cr¨¦er des centres pluridisciplinaires de prise en charge gratuite.  This is a retrospective study whose objective is to describe the  epidemiological and clinical aspects of the management of sexual violence in Black Africa. The study included 373 cases of alleged female victims of sexual assault registered in the Department of Obstetrics and Gynecology of the University Teaching Hospital, Tokoin, Lom¨¦, from 2007 to 2009. Sexual assault accounted for 4.37% of reasons for consultation and vaginal penetration (62.2%) was the predominant mode. The victim was often a small girl of an average age of 12 years. The mean reporting delay which was about 13 days has considerably limited some aspects of the management. We found 14.5% signs of genital trauma, nine cases of HIV serological conversions (2.4%) and eight induced pregnancies. Sexual assault among female victims in Lom¨¦ affected the young and vulnerable population. Governments must further inform about this issue and create multidisciplinary free management centres. Mots cl¨¦s: Abus sexuels, Femme, Afrique subsharienne
%U http://www.ajol.info/index.php/ajrh/article/view/86432