Rates Susana Maria Moreira, de Melo Elza Machado, Mascarenhas Márcio Dênis Medeiros, Malta Deborah Carvalho
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.
Cien Saude Colet. 2015 Mar;20(3):655-65. doi: 10.1590/1413-81232015203.15242014.
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.
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。
