Moura Anna Tereza Miranda Soares de, Moraes Claudia Leite, Reichenheim Michael Eduardo
Departamento de Pediatria, Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brasil.
Cad Saude Publica. 2008 Dec;24(12):2926-36. doi: 10.1590/s0102-311x2008001200022.
Emergency rooms require special consideration since their often-distressful routines may hamper the detection and handling of family violence cases. This study estimated the magnitude of violence against children reported by users of two emergency hospitals in Rio de Janeiro, Brazil. It also evaluated the degree of underreporting by contrasting the present findings to cases reported routinely. 524 parents/guardians of children under 12 treated at the hospitals from January to March 2005 were interviewed. Twelve-month prevalence of family violence was measured with the Conflict Tactics Scales: Parent-Child (CTSPC). All cases reported by staff and officially recorded in the preceding year were identified. Prevalence of psychological aggression, negligence, and physical violence were 94.8% (95%CI: 92.9-96.2), 60.3% (95%CI: 55.9-64.7), and 47.2% (95%CI: 42.7-51.8), respectively. However, the corresponding prevalence rates according to routinely reported information were 0.007% (95%CI: 0.003-0.013), 0.24% (95%CI: 0.22-0.27), and 0.03% (95%CI: 0.02-0.04). This striking difference suggests that case identification and strategies to report violence against children in emergency rooms need to be reevaluated.
急诊室需要特别关注，因为其日常工作往往压力重重，可能会妨碍对家庭暴力案件的发现和处理。本研究估计了巴西里约热内卢两家急诊医院的就诊者报告的针对儿童暴力行为的严重程度。通过将当前研究结果与常规报告的病例进行对比，还评估了漏报程度。对2005年1月至3月在这两家医院接受治疗的524名12岁以下儿童的父母/监护人进行了访谈。采用亲子冲突策略量表（CTSPC）测量家庭暴力的12个月患病率。确定了工作人员报告并在前一年正式记录的所有病例。心理攻击、疏忽和身体暴力的患病率分别为94.8%（95%置信区间：92.9 - 96.2）、60.3%（95%置信区间：55.9 - 64.7）和47.2%（95%置信区间：42.7 - 51.8）。然而，根据常规报告信息，相应的患病率分别为0.007%（95%置信区间：0.003 - 0.013）、0.24%（95%置信区间：0.22 - 0.27）和0.03%（95%置信区间：0.02 - 0.04）。这一显著差异表明，需要重新评估急诊室中针对儿童暴力行为的病例识别和报告策略。
