巴西亚马逊州玛瑙斯市针对儿童和青少年的暴力行为：2009-2016 年案件描述性研究及通报表完整性评估
Violence against children and adolescents in Manaus, Amazonas State, Brazil: a descriptive study of cases and evaluation of notification sheet completeness, 2009-2016.
机构信息
Escola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus, AM, Brazil.
Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
出版信息
Epidemiol Serv Saude. 2020;29(1):e2018438. doi: 10.5123/s1679-49742020000100012. Epub 2020 Apr 6.
OBJECTIVE
to describe cases of violence against children and adolescents and completeness of notification forms registered on the Notifiable Health Conditions Information System (Sinan), Manaus, Amazonas, Brazil, 2009-2016.
METHODS
this was a descriptive study based on 38 fields of the notification form held on the information system; analysis of completeness was based on the criteria proposed by the Ministry of Health.
RESULTS
69.3% of the 10,333 reported cases occurred among female children, and parents and step-parents were the perpetrators in 43.0% of cases; among adolescents, about ¼ (24.9%) of cases were committed by friends/acquaintances; sexual violence was the most reported type of violence in both groups; field completeness ranged from 15.1% (occupation) to 100.0% (several fields).
CONCLUSION
in contrast to the national scenario, sexual violence was the most reported form of violence in Manaus, indicating that other types of violence are underestimated; data quality points to the need for Sinan improvement in Manaus.
目的
描述巴西亚马逊州玛瑙斯市可报告健康状况信息系统（Sinan）登记的儿童和青少年暴力事件案例以及通报表的完整性。
方法
本研究为描述性研究，基于信息系统中的通报表 38 个字段；完整性分析基于卫生部提出的标准。
结果
在报告的 10333 例案例中，69.3%为女性儿童，43.0%的案例施暴者为父母或继父母；在青少年中，约 1/4（24.9%）的案例是由朋友/熟人实施的；在两个群体中，性暴力均为最常见的暴力类型；字段完整性范围从 15.1%（职业）到 100.0%（多个字段）。
结论
与全国情况相比，性暴力是玛瑙斯最常见的暴力形式，表明其他类型的暴力被低估了；数据质量表明需要改进玛瑙斯的 Sinan 系统。
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