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针对儿童的暴力行为:对巴西2011年暴力行为强制报告的分析

Violence against children: an analysis of mandatory reporting of violence, Brazil 2011.

作者信息

Rates Susana Maria Moreira, de Melo Elza Machado, Mascarenhas Márcio Dênis Medeiros, Malta Deborah Carvalho

机构信息

Secretaria Municipal de Saúde de Belo Horizonte, Belo Horizonte, MG, Brasil,

Departamento de Medicina Preventiva e Social, Faculdade de Medicina, Universidade Federal de Minas Gerais.

出版信息

Cien Saude Colet. 2015 Mar;20(3):655-65. doi: 10.1590/1413-81232015203.15242014.

Abstract

This article aims to describe and analyze reporting of violence against children from 0 to 9 years of age, issued by the public health services, in Brazil. Data from the Violence and Accident Surveillance System (Viva-SINAN) were used. The frequency of selected variables was calculated by age group (0-1; 2-5 and 6-9 years of age) as well as their Prevalence Ratios (PR). 17.900 cases were reported: 33% in the 0-1 year group; 35,8% in the 2-5 year group; and 31,2% in the 6-9 year group. Physical violence predominated among boys (PR: 1.22; CI 95%: 1,16-1,28 ); 6-9 years old (PR: 1,19; CI 95%: 1,12-1.27 ). Sexual violence predominated among girls, mulatto/afro-descendant (PR: 1.12; CI 95 %: 1.06 to 1.19 ); 6-9 years (PR: 4.63; CI 95%: 4.22- 5.08) with more chances of occurring at home (PR: 1.38 , CI: 95%: 1.29-1.48); psychological violence prevailed among girls, mulatto/afro-descendant (PR: 1.10; CI 95 %: 1.03-1.18 ), 6-9 years old (PR: 2.95; CI 95%: 2.69- 3.23), at home (PR: 1.40; CI 95%: 1.29-1.53); negligence predominated among boys (PR: 1.33 ; 95% CI: 1.27-1.39); 0-1 years and their parents were the most prevalent perpetrators.The results indicate the need to strengthen intersectoral actions aiming at extending the social protection and care network.

摘要

本文旨在描述和分析巴西公共卫生服务机构发布的关于0至9岁儿童遭受暴力侵害的报告。使用了暴力与事故监测系统(Viva-SINAN)的数据。按年龄组(0至1岁、2至5岁和6至9岁)计算选定变量的频率及其患病率比值(PR)。共报告了17900起案件:0至1岁年龄组占33%;2至5岁年龄组占35.8%;6至9岁年龄组占31.2%。身体暴力在男孩中占主导(PR:1.22;95%置信区间:1.16至1.28);6至9岁儿童中(PR:1.19;95%置信区间:1.12至1.27)。性暴力在女孩、混血/非裔后裔中占主导(PR:1.12;95%置信区间:1.06至1.19);6至9岁儿童中(PR:4.63;95%置信区间:4.22至5.08),且在家中发生的可能性更大(PR:1.38,95%置信区间:1.29至1.48);心理暴力在女孩、混血/非裔后裔中占主导(PR:1.10;95%置信区间:1.03至1.18),6至9岁儿童中(PR:2.95;95%置信区间:2.69至3.23),在家中(PR:1.40;95%置信区间:1.29至1.53);疏忽在男孩中占主导(PR:1.33;95%置信区间:1.27至1.39);0至1岁儿童及其父母是最常见的施暴者。结果表明有必要加强部门间行动,以扩大社会保护和关爱网络。

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