RESUMO

Objetivo: descrever a situação epidemiológica de pessoas que foram vítimas de maus-tratos, negligência ou abandono em um estado do nordeste brasileiro. Método: Trata-se de estudo exploratório e descritivo, com abordagem quantitativa e dados retrospectivos, desenvolvido com dados obtidos do Sistema de Informação de Agravos de Notificação. Resultados: A população compreendeu pessoas atendidas e notificadas nos serviços próprios e conveniados ao Sistema Único de Saúde, por causas de maus-tratos, negligência ou abandono, entre 2015 e 2018. Observou-se que a maior parte era do sexo feminino (59,6%), na faixa etária de até 9 anos (56,4%) e residentes da zona urbana (79,1%). Quanto as pessoas que cometeram maus-tratos, negligência ou abandono, a maioria era do sexo feminino, não havia ingerido bebida alcóolica e a violência foi motivada por conflito geracional (20%). Conclusão: Evidenciou-se a necessidade de políticas públicas que proteja as crianças e as pessoas que estão em situação de vulnerabilidade.(AU)

Objective: describes an epidemiological situation of people who have been victims of abuse, neglect or abandonment in a state in northeastern Brazil. Method: This is an exploratory and descriptive study, with a quantitative approach and retrospective data, developed with data obtained from the Notifiable Diseases Information System. Results: The population comprised people attended and notified in the services themselves and under the Unified Health System, due to maltreatment, neglect or abandonment, between 2015 and 2018. It was observed that the majority were female (59, 6%), aged up to 9 years (56.4%) and residents of the urban area (79.1%). As for people who committed abuse, neglect or abandonment, the majority were female, had not drunk alcohol and violence was motivated by generational conflict (20%). Conclusion: The need for public policies to protect children and people who are in a situation of vulnerability was highlighted.(AU)

Objetivo: describe una situación epidemiológica de personas que han sido víctimas de abuso, negligencia o abandono en un estado del noreste de Brasil. Método: Se trata de un estudio exploratorio y descriptivo, con enfoque cuantitativo y datos retrospectivos, desarrollado con datos obtenidos del Sistema de Información de Enfermedades Notificables. Resultados: La población estuvo conformada por personas atendidas y notificadas en los propios servicios y en el Sistema Único de Salud, por maltrato, negligencia o abandono, entre 2015 y 2018. Se observó que la mayoría eran mujeres (59, 6%), de hasta 9 años (56,4%) y residentes del casco urbano (79,1%). En cuanto a las personas que cometieron maltrato, abandono o abandono, la mayoría eran mujeres, no habían bebido alcohol y la violencia estuvo motivada por conflicto generacional (20%). Conclusión: Se destacó la necesidad de políticas públicas para proteger a la niñez y a las personas en situación de vulnerabilidad.(AU)

Assuntos

RESUMO

OBJECTIVES: to describe the expressions recognized by domestic violence educators experienced by school adolescents. METHODS: it is a qualitative study based on Paulo Freire's liberating pedagogy. Semi-structured interviews were conducted with 20 teachers from a public elementary school in the city of Salvador, state of Bahia, Brazil. The data were systematized through the Discourse of the Collective Subject. RESULTS: collective discourse reveals that educators identify schoolchildren who experience physical, psychological and negligent abuse, being denied even love and affection. CONCLUSIONS: although not alluding to sexual abuse, educators recognize that students are inserted in the context of domestic violence, knowledge necessary for the development of actions that enable the exit of the student from the oppressed and overcoming the lived experience.

Assuntos

RESUMO

ABSTRACT Objectives: to describe the expressions recognized by domestic violence educators experienced by school adolescents. Methods: it is a qualitative study based on Paulo Freire's liberating pedagogy. Semi-structured interviews were conducted with 20 teachers from a public elementary school in the city of Salvador, state of Bahia, Brazil. The data were systematized through the Discourse of the Collective Subject. Results: collective discourse reveals that educators identify schoolchildren who experience physical, psychological and negligent abuse, being denied even love and affection. Conclusions: although not alluding to sexual abuse, educators recognize that students are inserted in the context of domestic violence, knowledge necessary for the development of actions that enable the exit of the student from the oppressed and overcoming the lived experience.

RESUMEN Objetivos: describir las expresiones, reconocidas por los educadores, de la violencia doméstica experimentada por los adolescentes escolares. Métodos: este es un estudio cualitativo, basado en la pedagogía liberadora de Paulo Freire. Se realizaron entrevistas semiestructuradas con 20 maestros de una escuela primaria pública en el cuidad de Salvador, estado de Bahía, Brasil. Los datos se sistematizaron a través del Discurso del sujeto colectivo. Resultados: el discurso colectivo revela que los educadores identifican a los estudiantes que experimentan abuso físico, psicológico y negligente, negándose incluso el amor y el afecto. Conclusiones: aunque no aluden al abuso sexual, los educadores reconocen que los estudiantes están insertos en el contexto de la violencia doméstica, conocimiento necesario para el desarrollo de acciones que permitan la salida del estudiante de la condición oprimida y la superación de lo vivido.

RESUMO Objetivos: descrever as expressões reconhecidas por educadoras da violência doméstica vivenciada por adolescentes escolares. Métodos: trata-se de um estudo qualitativo, fundamentado na pedagogia libertadora de Paulo Freire. Realizaram-se entrevistas semiestruturadas com 20 professoras de uma escola pública de ensino fundamental em Salvador, Bahia, Brasil. Os dados foram sistematizados por meio do Discurso do Sujeito Coletivo. Resultados: o discurso coletivo revela que as educadoras identificam escolares que experienciam abusos físicos, psicológicos e por negligência, lhes sendo negado inclusive amor e afeto. Conclusões: embora haja não alusão a abusos sexuais, as educadoras reconhecem que os escolares se encontram inseridos no contexto da violência doméstica, saber necessário para o desenvolvimento de ações que viabilizem a saída do educando da condição de oprimido e superação do vivido.

Assuntos

RESUMO

To analyze the factors associated with the types of violence against adolescents reported in Pernambuco, Brazil, from 2009 to 2012. Prevalence study conducted through an electronic database from the Violence Surveillance Official System in a population of 5259 adolescents (aged 10-19 years). Poisson regression was used, with significance level at 5%. There was a significant increase of 204% in the number of violence reports, and the number of reporting units increased by 92.6%. When separately evaluated, physical violence was the most prevalent type, accounting for 44.7% of the reports. Taking as independent variables the age range of 15-19 years, female, having no disability, and public roads as place of occurrence, the positively and independently associated factors were: male gender (OR 1.5, 95% CI 1.4-1.6) with physical violence; having deficiency (OR 1.7, 95% CI 1.5-2.0) with psychological violence; age range of 10-14 years (PR 2.4, 95% CI 2.2-2.6) with sexual assault; and male (OR 3.9, 95% CI 2.0-7.5), having disabilities (PR 4.6, 95% CI 2.7-9.7), and occurrence in residence (PR 2.8, 95% CI 1.3-6.1) with neglect. Age between 10 to 14 years was associated with the occurrence of sexual assault; male with the occurrence of physical violence and neglect; having disabilities with psychological violence and neglect; and occurrence in the residence was associated with neglect.

Assuntos

Assuntos

RESUMO

This study aimed to identify factors associated with treatment of victims of domestic and family violence in emergency rooms in Brazil. This is a case-control study based on the Surveillance System for Violence and Accidents (VIVA), 2011. Women ≥ 18 years who were victims of family and domestic violence were selected as cases and compared to accident victims (controls). Adjusted odds ratios were estimated by unconditional logistic regression. 623 cases and 10,120 controls were included. Risk factors according to the adjusted analysis were younger age (18-29 years), low schooling, lack of paid work, alcohol consumption, having sought treatment in a different health service, and violence on weekends or at night or in the early morning hours. The study concludes that domestic and family violence shows alcohol consumption as a strongly associated factor. Days and hours with the highest ocurrence reveal the need to adjust emergency services to treat victims.

Assuntos

RESUMO

O objetivo deste estudo foi identificar fatores associados ao atendimento por violência doméstica e familiar entre vítimas atendidas em serviços de urgência e emergência no Brasil. Realizou-se estudo de casos e controles baseado no Sistema de Vigilância de Violências e Acidentes (VIVA), 2011. Foram selecionadas mulheres com 18 anos ou mais de idade, vítimas de violência doméstica e familiar (casos) em comparação com aquelas vítimas de acidentes (controles). As razões de chances ajustadas foram estimadas por regressão logística não condicional. Foram incluídos 623 casos e 10.120 controles. Na análise ajustada, foram fatores de risco: idade mais jovem (18-29 anos), baixa escolaridade, não exercer atividade remunerada, consumo de bebida alcoólica, procura de atendimento em outro serviço, ocorrência em final de semana e durante a noite ou madrugada. A violência doméstica e familiar teve o consumo de bebida alcoólica como fator fortemente associado. Os dias e horas de maior ocorrência evidenciam a necessidade de adequação dos serviços de atendimento às vítimas.

This study aimed to identify factors associated with treatment of victims of domestic and family violence in emergency rooms in Brazil. This is a case-control study based on the Surveillance System for Violence and Accidents (VIVA), 2011. Women ≥ 18 years who were victims of family and domestic violence were selected as cases and compared to accident victims (controls). Adjusted odds ratios were estimated by unconditional logistic regression. 623 cases and 10,120 controls were included. Risk factors according to the adjusted analysis were younger age (18-29 years), low schooling, lack of paid work, alcohol consumption, having sought treatment in a different health service, and violence on weekends or at night or in the early morning hours. The study concludes that domestic and family violence shows alcohol consumption as a strongly associated factor. Days and hours with the highest ocurrence reveal the need to adjust emergency services to treat victims.

El objetivo fue identificar factores asociados a la atención por violencia doméstica y familiar entre víctimas atendidas en servicios de urgencia y emergencia en Brasil. Se realizó un estudio de casos y controles, basado en el Sistema de Vigilancia de Violencia y Accidentes (VIVA), 2011. Se seleccionaron mujeres con 18 años o más de edad, víctimas de violencia doméstica y familiar (casos), en comparación con aquellas víctimas de accidentes (controles). Las razones de momios ajustadas se estimaron por regresión logística no condicional. Se incluyeron 623 casos y 10.120 controles. En el análisis ajustado, fueron factores de riesgo: una edad más joven (18-29 años), baja escolaridad, no ejercer actividad remunerada, consumo de bebidas alcohólicas, búsqueda de atención en otro servicio, incidente acaecido durante el fin de semana y durante la noche o madrugada. La violencia doméstica y familiar tuvo el consumo de bebidas alcohólicas como factor fuertemente asociado. Los días y horas de mayor incidencia evidencian la necesidad de adecuación de los servicios de atención a las víctimas.

Assuntos

Assuntos

Assuntos

RESUMO

Despite increasing awareness that domestic violence is a major public health problem, existing studies focus on physical and sexual violence and give little attention to psychological violence. This study uses data from the 2008 Bolivia Demographic and Health Surveys (BDHS) to examine the prevalence and correlates of physical, sexual, and psychological intimate partner violence in Bolivia. The results show that psychological intimate partner violence is extremely common (affecting nearly one in two women) and often occurs in addition to physical violence. While physical, psychological and sexual intimate partner violence have several common predictors, there are factors that only affect some types of violence. Common risk factors include urban residence, respondent's employment status and having witnessed interparental violence in childhood. Although marital status is not a risk factor for physical violence, unmarried cohabitation is a strong risk factor for psychological intimate partner violence. Our findings highlight the need for research to assess the potential consequences of psychological intimate partner violence, particularly for women's mental health.

Assuntos

Assuntos

RESUMO

Se realizó una investigación descriptiva transversal en el Hospital Universitario Clínico-Quirúrgico Cmte. Faustino Pérez Hernández, de Matanzas, en un período comprendido entre enero y mayo de 2008, acerca del comportamiento de la violencia intrafamiliar en pacientes que asistieron a la consulta de psicología. Tuvo como objetivos principales caracterizar el comportamiento de la violencia intrafamiliar en estos pacientes, e identificar las manifestaciones más comunes de la misma. La muestra se seleccionó por el método aleatorio simple, quedando constituida por 75 pacientes que cumplieron con los criterios de inclusión. Para la recogida de la información se utilizó una encuesta semiestructurada y previamente validada, que medía las variables edad, género, grado de escolaridad, si había sido maltratado, repercusión emocional que provocó la acción violenta y algunos factores propiciadores de maltratos familiares. Los resultados más relevantes arrojaron que la totalidad del grupo estudiado había sido maltratado en una o reiteradas ocasiones, las consecuencias psicológicas en los individuos fueron inolvidables, y por último, los conflictos familiares estuvieron favorecidos por la ingestión de bebidas alcohólicas, conflictos de parejas y hacinamiento familiar. Se concluyó con la evidencia de que la violencia familiar traspasa todas las dimensiones, dejando huellas difíciles de borrar, y por tal razón los pacientes acuden a consulta de psicología en busca de ayuda especializada.

We carried out a descriptive transversal study at the Clinico-surgical Teaching Hospital Comandante Faustino Perez Hernández, Matanzas, in a period from January to May 2008, on the behavior of intrafamilial violence in patients assisting to Psychological consultation. It has, as main objective, characterizing intrafamilial violence behavior in these patients, and identifying its most common manifestations. The sample was selected using the simple random method, and was formed by 75 patients fulfilling the inclusion criteria. To collect the information we used a previously validated semistructured questionnaire, measuring such variables as age, genre, scholarship, if the patients was abused, emotional repercussion of the violent action and some factors propitiating familial abuse. The most relevant outcomes showed that the totality of the group had been abused one or more times, the psychological consequences were unforgettable for individuals, and last, that familial conflicts were favoured by alcoholic beverage drinking, mates' conflicts and familial overcrowding. We concluded that familial violence crosses over all dimensions, leaving marks that are difficult to remove. For that reason patients assist the Psychology consultation looking for specialized help.

Assuntos

RESUMO

The aim of this study was to investigate the prevalence of physical abuse and exposure to parental violence during childhood, in relation to socio-demographic characteristics. Multi-stage sampling was used to select 3,007 individuals 14 years or older in 2005-2006, from all regions of the country. The study detected cases of physical abuse (beating, striking with objects, burning or scalding, threatening and/or using knives or firearms) and exposure to parental violence (witnessing parental threats and/or actual physical aggression) during childhood. Analyses were performed with the Pearson chi-square test. Prevalence of history of physical abuse in childhood was 44.1% (33.8% moderate, 10.3% severe). Prevalence of exposure to parental violence was 26.1% (7.5% witnessed moderate parental violence and 18.6% severe). Combined analyses of these two types of violence showed significant associations between them. The findings may help implement intervention strategies to call the attention of health professionals to the high prevalence of this type of violence.

Assuntos

RESUMO

O estudo objetivou avaliar a prevalência de abuso físico e exposição à violência parental na infância, segundo características sócio-demográficas. Um procedimento de amostragem de múltiplos estágios foi usado para selecionar 3.007 indivíduos de 14 anos de idade ou mais, entre 2005/2006, incluindo sujeitos de todas as regiões do país, assim, os resultados são nacionalmente representativos. Foram acessadas experiências de abuso físico (bater, bater com alguma coisa, queimar/escaldar, ameaçar/usar faca ou arma) e exposição à violência parental (testemunhou ameaça e/ou agressão física parental) na infância. Realizaram-se as análises através do teste qui-quadrado de Pearson. A prevalência de história de abuso físico na infância foi de 44,1 por cento, sendo que 33,8 por cento relataram história de abuso físico moderado e 10,3 por cento abuso físico severo. A prevalência de exposição à violência parental foi de 26,1 por cento, sendo que 7,5 por cento testemunharam violência parental moderada e 18,6 por cento testemunharam violência parental severa na infância. Análises combinadas entre estes dois tipos de violência demonstraram significativas associações entre elas. Estes resultados podem ajudar na implementação de estratégias de intervenção alertando profissionais de saúde para alta prevalência deste tipo de violência na população.

The aim of this study was to investigate the prevalence of physical abuse and exposure to parental violence during childhood, in relation to socio-demographic characteristics. Multi-stage sampling was used to select 3,007 individuals 14 years or older in 2005-2006, from all regions of the country. The study detected cases of physical abuse (beating, striking with objects, burning or scalding, threatening and/or using knives or firearms) and exposure to parental violence (witnessing parental threats and/or actual physical aggression) during childhood. Analyses were performed with the Pearson chi-square test. Prevalence of history of physical abuse in childhood was 44.1 percent (33.8 percent moderate, 10.3 percent severe). Prevalence of exposure to parental violence was 26.1 percent (7.5 percent witnessed moderate parental violence and 18.6 percent severe). Combined analyses of these two types of violence showed significant associations between them. The findings may help implement intervention strategies to call the attention of health professionals to the high prevalence of this type of violence.

Assuntos

RESUMO

Violence against women has received relatively little debate in society. It includes physical, psychological, and sexual abuse that jeopardizes the victim's health. Multivariate correspondence analysis and cluster analysis were applied to crimes reported to the Integrated Women's Aid Center in Rio de Janeiro, Brazil, to investigate associations between injury and define criteria for classifying the aggressions. Three groups of abuse were identified, differing according to the nature (physical, psychological, or sexual) and severity of the crimes. Less serious crimes consisted of threats and moderate physical injuries. The intermediate severity group included serious physical assault and threats. More serious crimes included death threats, rape, and sexual assault. The method thus allowed classification of the crimes in three groups according to severity.

Assuntos

RESUMO

Violence against woman has received relatively little debate in society. It includes physical, psychological, and sexual abuse that jeopardizes the victim's health. Multivariate correspondence analysis and cluster analysis were applied to crimes reported to the Integrated Women's Aid Center in Rio de Janeiro, Brazil, to investigate associations between injury and define criteria for classifying the aggressions. Three groups of abuse were identified, differing according to the nature (physical, psychological, or sexual) and severity of the crimes. Less serious crimes consisted of threats and moderate physical injuries. The intermediate severity group included serious physical assault and threats. More serious crimes included death threats, rape, and sexual assault. The method thus allowed classification of the crimes in three groups according to severity.

A violência contra a mulher é uma questão ainda pouco debatida na sociedade, abrangendo um conjunto de agressões físicas, psicológicas e sexuais que contribuem para a depreciação da saúde da vítima. Aplicou-se a técnica de análise de correspondência multivariada, seguida da técnica de análise de cluster aos crimes registrados no Centro Integrado de Atendimento à Mulher, Rio de Janeiro, Brasil, com o objetivo de investigar o padrão de associação entre os agravos e estabelecer critérios para a classificação das agressões. Identificaram-se três grupos que se distinguem pela natureza do crime (físico, psicológico e sexual) e pelos níveis de gravidade. O menos grave é formado pelos crimes de lesão corporal leve e ameaça. O de gravidade intermediária reúne crimes de lesão corporal grave e ameaça. No de maior gravidade estão os crimes de ameaça de morte, estupro e abuso sexual. O método permitiu a classificação dos crimes em três grupos, que podem ser ordenados de acordo com o grau de severidade que guardam entre si.

Assuntos

RESUMO

A violência familiar é importante causa de lesões que, geralmente, atingem a face e vem sendo uma das principais preocupações sociais, dada a magnitude dos danos que provoca. Nos casos denunciados à polícia, a documentação médico-legal torna-se fundamental para a tipificação do crime e estabelecimento da pena. Este estudo teve por objetivo analisar os laudos médicos-legais procedentes das ocorrências policiais de violência familiar física, evidenciando possíveis erros quanto à sua elaboração. Foram analisados 7.750 inquéritos e termos circunstanciados na Delegacia da Mulher de um município do Estado de São Paulo, entre 2001 e 2005, e incluídos na amostra os referentes às agressões familiares físicas (n = 1.844). Foram analisadas as descrições literais realizadas pelos peritos, no que se refere às lesões odontológicas e suas classificações legais. Dos 1.844 analisados, 62,8% contavam com laudo médico-legal. Quanto à descrição, principalmente as lesões de interesse odontológico realizaram de forma equivocada. Concluiu-se que os laudos analisados não descreviam adequadamente as lesões, evidenciando possível desconhecimento dos peritos responsáveis pela sua emissão.

Assuntos

RESUMO

La violencia Intrafamiliar en sus formas mas comunes (fisica, psicológica, sexual) es un fenómeno que afecta a toda la población, las consecuencias de la misma afectan básicamente en el desarrollo socioecónomico del país, de la familia y de sus componentes. La violencia en sus múltiples manifestaciones constituye uno de los problemas mas complejos de la Salud Pública (OPS/OMS 1993). No existe una víctima típica de los maltratos ni un tipo caracteristico de agresor con la unica salvedad de que la victima es la mujer en la inmensa mayoria de los casos y el agresor es el hombre. Resultados. De acuerdo a los resultados obtenidos las Acciones de Prevención Secundaria que se realizan en el Centro de Salud descritas en los Expedientes Clínicos y manifestadas por el personal de Salud son: Brindar atención a la Victima, Orientación/Información, Educación, Denuncia del Caso a las Autoridades, Interacción con otros Sectores, Asesoramiento Legal, Seguimiento y Visitas Domiciliarias (Victimas, Familia, Agresor)...

Assuntos

RESUMO

Establecer reglas y lineamientos para el trabajo en el sector, mediante las cuales el equipo de salud, podrá contribuir a la prevención, así como a la recuperación de la salud de las personas afectadas por violencia intrafamiliar

Assuntos

RESUMO

La Violencia Intrafamiliar y/o domestica constituye un problema de Salud Publica de acuerdo a la OPS/OMS desde 1993, que afecta a nuestra población de manera creciente. Las diferentes complicaciones y consecuencias alteran los estilos de vida, creando entorno peligrosos para la integridad de la victima, lesiones físicas con secuelas, trastornos psicológicos depresivos y muchas veces llegando a provocar suicidios y homicidios. El objetivo del estudio fuedetectar mediante la Escala de Zung el grado y porcentaje de Depresión en mujeres victimas de Violencia Intrafailiar durante su denuncia en la Brigada de Procción a la Familia de la Zona Sur de la ciudad de La Paz en el segundo trimestre del 2005. Asimismo establecer relación con los factores sociodemográficos, estado del agresor y tipo de violencia sobre el grado de Depresión que curso la victima...

Assuntos