Franco Saúl, Mercedes Clara, Rozo Patricia, Gracia Gloria Milena, Gallo Gloria Patricia, Vera Claudia Yaneth, García Héctor Iván
Grupo de Investigación Violencia y Salud, Doctorado en Salud Pública, Universidad Nacional de Colombia. Calle 59A No 63– 20, Medellín, Colombia.
Cien Saude Colet. 2012 Dec;17(12):3209-18. doi: 10.1590/s1413-81232012001200006.
The Colombian city of Medellin has faced a severe problem of violence and homicide. The goal of this retrospective, descriptive-analytical study was to assess the magnitude, distribution, most salient characteristics and possible explanations for the problem between 1980 and 2007. Data were obtained from official databases, hospital records and the available literature, and a focus group was set up. There was a dramatic rise in homicides in the city in the time interval studied, with a total of 84,863 documented murders. Ninety-three percent of the victims were male. The 20 to 29 year-old age group was the most affected. Males in this age group, during the worst year of the period (1991), registered an astounding murder rate of 1,709 per 100,000. Even males in the 15 to 19 year age group and the older brackets saw high murder rates. The most common victims were from the lower and lower-middle socioeconomic strata, as has been observed elsewhere in the region. Serious problems were identified in information and in the provision of services. The impact of homicide on the delivery of healthcare services is discussed and a series of tasks for the healthcare sector in the control of this type of violence is proposed.
哥伦比亚城市麦德林曾面临严重的暴力和凶杀问题。这项回顾性描述分析研究的目的是评估1980年至2007年间该问题的严重程度、分布情况、最显著特征及可能的成因。数据来自官方数据库、医院记录和现有文献，并设立了一个焦点小组。在所研究的时间段内，该市凶杀案急剧上升，共有84,863起有记录的谋杀案。93%的受害者为男性。20至29岁年龄组受影响最大。在该时期最糟糕的一年（1991年），这个年龄组的男性谋杀率高达每10万人1,709起。甚至15至19岁年龄组以及更大年龄段的男性谋杀率也很高。最常见的受害者来自社会经济底层和中下层，该地区其他地方也有此现象。在信息和服务提供方面发现了严重问题。讨论了凶杀案对医疗服务提供的影响，并提出了医疗部门在控制这类暴力方面的一系列任务。
