RESUMEN
OBJECTIVES: To understand the impact of sexual violence suffered by women with mental disorders based on self-reports of these experiences. METHODS: The reports emerged from open interviews with women receiving care at public mental health services in the states of Minas Gerais and Rio de Janeiro, Brazil. These interviews were part of a larger research project that had the overall objective of investigating how this population group lives and thinks sexuality, in order to contribute to actions to promote sexual health. Data collection took place in 2008. RESULTS: Seventeen women with age between 18 and 68 years were interviewed. Fourteen reported having had stable relationships, but only three were still in these relationships. Most of the stable relationships had not been formalized into marriage. Two participants were widows and 13 had children. All the participants reported difficulties in living with their partners and children and having few friends and little family support. The instability of relationships was attributed to situations of aggression, infidelity, and use of drugs and alcohol. Seven women reported having been victims of physical violence within the family, mostly from partners. Two participants reported never having had sexual relations. CONCLUSIONS: Health care professionals must be trained to encourage the report of sexual violence by women and adequately handle the situation. Intersectoral actions to deal with this issue are also essential.
Asunto(s)
Trastornos Mentales/psicología , Delitos Sexuales , Violencia , Adolescente , Adulto , Anciano , Consumo de Bebidas Alcohólicas/epidemiología , Brasil , Femenino , Humanos , Entrevistas como Asunto , Estado Civil , Persona de Mediana Edad , Abuso Físico/psicología , Abuso Físico/estadística & datos numéricos , Delitos Sexuales/psicología , Delitos Sexuales/estadística & datos numéricos , Conducta Sexual , Apoyo Social , Trastornos Relacionados con Sustancias/epidemiología , Violencia/psicología , Violencia/estadística & datos numéricos , Adulto JovenRESUMEN
This was a qualitative study, based on the Social Representations Theory, with professionals that work in primary care, about the risk of HIV infection to which they are exposed in their quotidian work routine. Twelve physicians and nurses who work in two Health Centers in the city of Belo Horizonte, MG, Brazil, were interviewed. The final analysis, carried out using the saturation of information criterion, was based on the method proposed by Structural Analysis of Narrative. The results show that the health professionals interviewed knew the infection risk in their work routine, representing it as very low in primary care, because they relate it to technological complexity which they consider does not exist in the level of assistance in which they work. They believed that the use of personal protection equipment may minimize the risks and that, nowadays, no primary care professional refuses to attend a patient due to fear of infection, even if not using all the recommended precautions.