Moraes Claudia Leite de, Oliveira Aline Gaudard E Silva de, Reichenheim Michael Eduardo, Gama Silvana Granado Nogueira da, Leal Maria do Carmo
Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brasil.
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Cad Saude Publica. 2017 Aug 21;33(8):e00141116. doi: 10.1590/0102-311X00141116.
The aim of the study was to estimate the prevalence of physical intimate partner violence in the first six months after childbirth among women attending primary care clinics (UBS) for the infant's follow-up in Rio de Janeiro, Brazil. This is the first study on the theme using a representative sample of primary care clinics in the city of Rio de Janeiro. The study used a cross-sectional design from June to September 2007 and included 927 mothers/infants seen at 27 UBS, selected by complex sampling, geographically representative of the city. The information was collected in face-to-face interviews by a previously trained team, using a structured questionnaire. History of physical intimate partner violence from the child's birth to the date of the interview was obtained with the Brazilian version of the Revised Conflict Tactics Scales (CTS2). Thirty percent (95%CI: 26.2-33.8) of mothers reported having experienced some form of physical intimate partner violence in the postpartum and 14% (95%CI: 11.0-17.0) reported severe physical violence. The physical abuse occurred especially among black teenage mothres, in unfavorable socioeconomic situation, that did not live with the partner and that had received inadequate or no prenatal care and reported difficulties in breastfeeding and use of healthcare services. The widespread occurrence of physical intimate partner violence emphasizes the urgent need to deal with the problem. Primary healthcare services must be linked to other support networks and health professionals need to be prepared to deal with the problem.
本研究旨在估算巴西里约热内卢市参加初级保健诊所（UBS）婴儿随访的女性在产后头六个月遭受亲密伴侣身体暴力的患病率。这是首次使用里约热内卢市初级保健诊所代表性样本进行的关于该主题的研究。该研究采用2007年6月至9月的横断面设计，纳入了在27家UBS就诊的927对母婴，通过复杂抽样选取，在地理上具有该市的代表性。信息由经过预先培训的团队通过面对面访谈收集，使用结构化问卷。通过巴西版修订冲突策略量表（CTS2）获取从孩子出生到访谈日期的亲密伴侣身体暴力史。30%（95%CI：26.2 - 33.8）的母亲报告在产后经历过某种形式的亲密伴侣身体暴力，14%（95%CI：11.0 - 17.0）报告遭受过严重身体暴力。身体虐待尤其发生在处于不利社会经济状况的黑人青少年母亲中，她们未与伴侣同住，未接受充分或未接受产前护理，且报告在母乳喂养和使用医疗服务方面存在困难。亲密伴侣身体暴力的广泛发生凸显了应对该问题的迫切需求。初级医疗保健服务必须与其他支持网络相联系，卫生专业人员需要做好应对该问题的准备。
