Programa de Pós- Graduação em Saúde Pública, Universidade Federal de Minas Gerais (UFMG). Av. Prof. Alfredo Balena 190, Centro. 30130-100 Belo Horizonte MG Brasil.
Instituto René Rachou, Fiocruz Minas. Belo Horizonte MG Brasil.
Cien Saude Colet. 2021 Mar;26(3):975-985. doi: 10.1590/1413-81232021263.00132021. Epub 2021 Jan 7.
Intimate partner violence (IPV) is a social and public health concern. This article aims to identify factors associated with death in women with IPV notification. This is a case-control study based on the record-linkage of the Mortality Information System (SIM), from 2011 to September/2017, and the Notifiable Diseases Information System (SINAN), 2011 to 2016. The "case" group consisted of women aged 15 to 59 years old with notification of violence on SINAN, whose author was current or former intimate partner and died by any cause registered on SIM. The "control" group consisted of women 15-59 years old, living in the same municipality of the cases and victim of IPV registered on SINAN, but without a death record on SIM. Multiple logistic regression was used to estimate the odds ratio of death. 151,826 Brazilian women were victim of IPV and were notified by SINAN, and 2,538 died. The main cause of death was homicide. The following characteristics conferred a greater chance of death: having race/skin-color black or yellow; having disabilities; living in rural area; physical violence, torture and multiple types combined; violence perpetrated by a firearm, a sharp object and multiple means combined.
亲密伴侣暴力(IPV)是一个社会和公共卫生关注的问题。本文旨在确定与 IPV 通知的女性死亡相关的因素。这是一项基于死亡率信息系统(SIM)记录链接的病例对照研究,时间范围为 2011 年至 2017 年 9 月,以及法定传染病报告系统(SINAN),时间范围为 2011 年至 2016 年。“病例”组由年龄在 15 至 59 岁之间的女性组成,她们在 SINAN 上报告了暴力行为,其作者是现任或前任亲密伴侣,并且在 SIM 上登记了任何原因导致的死亡。“对照组”由年龄在 15 至 59 岁之间的女性组成,她们与病例居住在同一城市,并且在 SINAN 上登记了 IPV 受害者,但在 SIM 上没有死亡记录。使用多变量逻辑回归估计死亡的优势比。151826 名巴西女性遭受 IPV 并通过 SINAN 报告,其中 2538 人死亡。主要死亡原因是凶杀。以下特征增加了死亡的可能性:具有黑种人或黄种人种族/肤色;有残疾;居住在农村地区;遭受过身体暴力、酷刑和多种类型的暴力;暴力行为是由枪支、锐器和多种手段造成的。