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成年人遭受暴力情况的流行率 - 巴西,2019 年。

Prevalence of exposure to violence among adults - Brazil, 2019.

机构信息

Psostgraduate Program in Health and Community, Universidade Federal do Piauí - Teresina (PI), Brazil.

Centro de Inteligência em Agravos Tropicais Emergentes e Negligenciados - Teresina (PI), Brazil.

出版信息

Rev Bras Epidemiol. 2021 Dec 10;24(suppl 2):e210019. doi: 10.1590/1980-549720210019.supl.2. eCollection 2021.

Abstract

OBJECTIVE

To estimate the prevalence of exposure to violence, characterizing its magnitude, types and occurrence in the adult population in Brazil.

METHODS

Cross-sectional study with data from the National Health Survey conducted in 2019. The prevalence of violence in the last 12 months and respective 95% confidence intervals (95%CI) were estimated according to sociodemographic variables. Crude prevalence ratios were estimated by Poisson regression.

RESULTS

The prevalence of exposure to violence among adults in Brazil was 18.3% (95%CI 17.8-18.8), with a significantly higher frequency among women (19.4%; 95%CI 18.7-20.0), in the 18-29 age group (27.0%; 95%CI 25.7-28.4), in self-declared black people (20.6%; 95%CI 19.3-21.9) and mixed race (19.3%; 95%CI 18.6-20.1) and among inhabitants of the Northeast region (18.7%; 95%CI 18.0-19.5). Among the victims of violence, 15.6% (95%CI 14.2-17.0) sought health care, of which (91.2%; 95%CI 88.1-93.6) were attended. The most reported types of violence were: psychological (17.4%; 95%CI 16.9-17.9), physical (4.1%; 95%CI 3.9-4.4) and sexual (0.8%; 95%CI 0.7-0.9). Men were more exposed to violence with the use of firearms or sharp targets, while women were the predominant victims for all other types and mechanisms of violence. The aggressor most cited was the intimate partner, the most frequent place of occurrence of violence being the residence and public streets/places.

CONCLUSION

In Brazil, violence affected one in five adults. Women, young people and people with black skin were the population segments most exposed to violence, which should be a priority in prevention actions.

摘要

目的

估计巴西成年人中暴力暴露的流行率,描述其严重程度、类型和发生情况。

方法

这是一项 2019 年进行的全国健康调查的横断面研究。根据社会人口学变量估计过去 12 个月内暴力的流行率及其相应的 95%置信区间(95%CI)。使用泊松回归估计未经校正的流行率比。

结果

巴西成年人中暴力暴露的流行率为 18.3%(95%CI 17.8-18.8),女性(19.4%;95%CI 18.7-20.0)、18-29 岁年龄组(27.0%;95%CI 25.7-28.4)、自我认定为黑人(20.6%;95%CI 19.3-21.9)和混血儿(19.3%;95%CI 18.6-20.1)以及东北部地区居民(18.7%;95%CI 18.0-19.5)中暴力发生的频率显著更高。在暴力受害者中,有 15.6%(95%CI 14.2-17.0)寻求医疗保健,其中(91.2%;95%CI 88.1-93.6)得到了治疗。报告最多的暴力类型是:心理暴力(17.4%;95%CI 16.9-17.9)、身体暴力(4.1%;95%CI 3.9-4.4)和性暴力(0.8%;95%CI 0.7-0.9)。男性更易遭受枪支或锐器的暴力,而女性则是所有其他类型和机制暴力的主要受害者。最常被引用的施害者是亲密伴侣,暴力发生的最常见地点是住所和公共街道/场所。

结论

在巴西,五分之一的成年人受到暴力的影响。女性、年轻人和皮肤黝黑的人是暴力暴露的主要人群,应将其作为预防行动的重点。

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