Levandowski Mateus Luz, Stahnke Douglas Nunes, Munhoz Tiago N, Hohendorff Jean Von, Salvador-Silva Roberta
Curso de Psicologia, Universidade Federal de Pelotas, Pelotas, Brasil.
Programa de Pós-graduação em Psicologia, Universidade Federal do Rio Grande, Rio Grande, Brasil.
Cad Saude Publica. 2021 Jan 11;37(1):e00140020. doi: 10.1590/0102-311X00140020. eCollection 2021.
This study aimed to analyze the rates of reports of violence against children and adolescents in the state of Rio Grande do Sul, Brazil, from 2015 to 2020, and the changes in trends by period due to the novel coronavirus pandemic (COVID-19). This is an ecological time series study with secondary data obtained from the Bi Saúde Portal in the panel on Interpersonal Violence and Suicide. The study collected reports on violence in individuals 0 to 19 years of age in the months of March and April each year, stratified by sex, age bracket, race/color, and type of violence. Prais-Winsten regression was used to analyze the time trend. Of the 7,718 reports analyzed, there was a drop of 54% in the year 2020 compared to the same period in 2019. The analysis of the trend until 2019 indicated an increase in the reporting rates (2.04, 95%CI: 1.01; 3.07, p = 0.002), but with the inclusion of the year 2020 in the time series, the direction of the trends in reporting rates was reversed to negative, losing statistical significance (-0.39, 95%CI: -1.16; 2.14, p = 0.632). The study concludes that social distancing due to the pandemic reduced the reporting rates of violence against children and adolescents due to underreporting, thus requiring strategies to improve the identification of suspected cases of violence during the pandemic. This highlights the need for inter-sector planning and rapid and specific actions (health, social protection, justice, and public security) in order to guarantee the rights of children and adolescents.
本研究旨在分析2015年至2020年巴西南里奥格兰德州针对儿童和青少年暴力行为的报告率,以及由于新型冠状病毒大流行(COVID-19)导致的各时期趋势变化。这是一项生态时间序列研究,使用从人际暴力与自杀专题小组的Bi Saúde门户网站获得的二手数据。该研究收集了每年3月和4月0至19岁个体暴力行为的报告,按性别、年龄组、种族/肤色和暴力类型进行分层。采用普雷斯-温斯坦回归分析时间趋势。在分析的7718份报告中,2020年与2019年同期相比下降了54%。对2019年之前趋势的分析表明报告率有所上升(2.04,95%置信区间:1.01;3.07,p = 0.002),但在时间序列中纳入2020年后,报告率趋势方向逆转至负数,失去统计学意义(-0.39,95%置信区间:-1.16;2.14,p = 0.632)。该研究得出结论,由于大流行实施的社交距离措施因报告不足而降低了针对儿童和青少年暴力行为的报告率,因此需要采取策略以改善大流行期间暴力疑似病例的识别。这凸显了跨部门规划以及快速和具体行动(卫生、社会保护、司法和公共安全)的必要性,以保障儿童和青少年的权利。