d'Oliveira Ana Flávia Pires Lucas, Schraiber Lilia Blima, França-Junior Ivan, Ludermir Ana Bernarda, Portella Ana Paula, Diniz Carmen Simone, Couto Márcia Thereza, Valença Otávio
Departamento de Medicina Preventiva, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Rev Saude Publica. 2009 Apr;43(2):299-311. doi: 10.1590/s0034-89102009005000013. Epub 2009 Mar 6.
To estimate the prevalence of physical and/or sexual violence by intimate partners and factors associated with this, in different sociocultural contexts.
This cross-sectional study formed part of the 'WHO Multi-country Study on Women's Health and Domestic Violence against Women'. It consisted of representative samples of women from the municipality of São Paulo (Southeastern Brazil) and from the Zona da Mata of Pernambuco (Northeastern Brazil), this latter is a region with more traditional gender norms. Interviews were conducted in the homes of 940 women in São Paulo and 1,188 in the Zona da Mata, in the years 2000-1. The women were aged 15 to 49 years and had all had at least one affective-sexual partnership with a man during their lifetimes. Three sets of factors were constructed, corresponding to hierarchically organized categories: sociodemographic, family and female autonomy/submission characteristics. Hierarchical logistic regression was used to analyze factors associated with intimate partner violence at each location.
A prevalence of 28.9% was found in Sao Paulo (95% CI 26.0;31.8) and 36.9% (95% CI 34.1;39.6) in Zona da Mata. Up to eight years of schooling, conjugal physical violence between the women's parents, sexual abuse during childhood, five or more pregnancies and drinking problems were associated with intimate partner violence at both locations. Financial autonomy for the woman, informal partnership, age and consent to the first sexual intercourse were associated with higher rates only in Zona da Mata. The socioeconomic characteristics that presented associations in the first category were mediated by other factors in the final model.
The findings show the relativization of socioeconomic factors in relation to other factors, particularly those representing gender attributes. Sociocultural differences were found between the two locations, and these were reflected in the associated factors.
评估不同社会文化背景下亲密伴侣实施身体暴力和/或性暴力的患病率及其相关因素。
这项横断面研究是“世界卫生组织关于妇女健康和针对妇女的家庭暴力的多国研究”的一部分。研究对象包括来自巴西东南部圣保罗市以及巴西东北部伯南布哥州马塔区的具有代表性的女性样本,后者是一个性别规范更为传统的地区。2000 - 2001年期间,对圣保罗市的940名女性和马塔区的1188名女性进行了入户访谈。这些女性年龄在15至49岁之间,一生中均与男性至少有过一段情感 - 性关系。构建了三组因素,分别对应层次组织的类别:社会人口学因素、家庭因素以及女性自主/顺从特征。采用分层逻辑回归分析每个地区与亲密伴侣暴力相关的因素。
圣保罗市的患病率为28.9%(95%可信区间26.0;31.8),马塔区为36.9%(95%可信区间34.1;39.6)。在两个地区,受教育年限达八年及以下、女性父母之间的夫妻身体暴力、童年期性虐待、五次及以上怀孕以及饮酒问题均与亲密伴侣暴力相关。女性的经济自主、非正式伴侣关系、年龄以及首次性行为的自愿性仅在马塔区与较高的患病率相关。在最终模型中,第一类中呈现关联的社会经济特征由其他因素介导。
研究结果表明社会经济因素相对于其他因素,特别是那些代表性别属性的因素的相对性。两个地区存在社会文化差异,这些差异反映在相关因素中。