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针对青少年的暴力行为:巴西2011 - 2017年卫生部门通报分析

Violence against adolescents: analysis of health sector notifications, Brazil, 2011-2017.

作者信息

Pereira Vinícius Oliveira de Moura, Pinto Isabella Vitral, Mascarenhas Márcio Dênis Medeiros, Shimizu Helena Eri, Ramalho Walter Massa, Fagg Christopher William

机构信息

Programa de Pós-Graduação em Ciências e Tecnologias em Saúde, Universidade de Brasília, Brasília, DF, Brazil.

Instituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, MG, Brazil.

出版信息

Rev Bras Epidemiol. 2020;23 Suppl 1:e200004.SUPL.1. doi: 10.1590/1980-549720200004.supl.1. Epub 2020 Jul 3.

Abstract

INTRODUCTION

Violence experienced in adolescence results in serious damage and suffering to society. This study aims to characterize the profile of violence victims and likely perpetrators of violence against adolescents, as well as to describe the percentage of notifying municipalities according to the federation unit.

METHODS

Cross-sectional study conducted with data on notification of violence against adolescents from the Information System for Notifiable Diseases, from 2011 to 2017. The chi-square test was used to assess the statistical significance of the differences between the proportions in the comparison between genders. Proportion ratios for the most frequent types of violence were estimated according to selected variables.

RESULTS

The notifications came from 75.4% of all the Brazilian municipalities. Physical violence predominated among males, aged 15-19 years. Psychological violence was predominant among females, between 10 and 14 years old, when perpetrated repeatedly at home by family aggressors. Sexual violence prevailed among females, aged 10 to 14 years old, in the indigenous, black and yellow races/colors, when perpetrated repeatedly at home. Negligence was more common among males, between 10 and 14 years old, when perpetrated repeatedly by family aggressors.

CONCLUSIONS

Sexual violence occurred predominantly against females and generated significant negative impacts on mental, physical, sexual and reproductive health. Community violence, perpetrated with sharp objects and firearms, were prominent among males and are important risk factors for male over-mortality. Because the problems are complex, addressing them requires intersectoral actions.

摘要

引言

青少年时期经历的暴力行为会给社会带来严重破坏和痛苦。本研究旨在描述暴力受害者的特征以及可能对青少年实施暴力的行为者的特征,并按联邦单位描述报告暴力事件的城市所占百分比。

方法

采用横断面研究,数据来源于2011年至2017年法定传染病信息系统中有关青少年暴力事件的报告。卡方检验用于评估性别比较中比例差异的统计学意义。根据选定变量估计最常见暴力类型的比例比。

结果

报告来自巴西所有城市中的75.4%。身体暴力在15至19岁男性中占主导。心理暴力在10至14岁女性中占主导,这类暴力在家中由家庭施暴者反复实施。性暴力在10至14岁女性、原住民、黑人和黄种人中占主导,这类暴力在家中反复发生。疏忽在10至14岁男性中更为常见,这类情况由家庭施暴者反复实施。

结论

性暴力主要针对女性,对心理、身体、性和生殖健康产生重大负面影响。使用锐器和枪支实施的社区暴力在男性中较为突出,是男性超额死亡率的重要风险因素。由于这些问题很复杂,解决这些问题需要跨部门行动。

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