Universidade Federal dos Vales do Jequitinhonha e Mucuri. Department of Dentistry, Diamantina, Minas Gerais, Brazil.
J Stomatol Oral Maxillofac Surg. 2023 Feb;124(1S):101321. doi: 10.1016/j.jormas.2022.10.020. Epub 2022 Nov 5.
Violence against women represents an urgent public health problem and has been an increasingly important topic in society's discussions and concerns. Although studies report a high prevalence of injuries to the face and head of women victims of intentional violence, this physical damage has never been investigated by grouped studies. Thus, the objective of this systematic review was to research the characteristics and the overall prevalence of oral-maxillofacial trauma in women victims of physical violence caused by men.
Searches were carried out on Medline (via PubMed) and Lilacs (via Virtual Health Library) and on gray literature until June 16, 2020 (updated on February 12, 2021) without restriction on the year of publication or language.
A total of 27 studies involving 9,318 women victims of aggression by men and 3,738 oral-maxillofacial traumas were included. The prevalence of oral-maxillofacial trauma among all injuries in women was 51% (95% CI 28% - 74%). There was no significant difference in the chance of occurrence between soft tissue injuries (bruises, lacerations, abrasions, edema, erythema, and epistaxis) and hard tissue injuries (OR: 1.44, 95% CI: 0.43 - 4.80). The relationship between the victims and the aggressors was mainly that of intimate partners and relatives.
These results highlight the need for political and ethical reflection to prevent oral-maxillofacial trauma and ensure women's health and human rights.
针对女性的暴力行为是一个紧迫的公共卫生问题，也是社会讨论和关注的一个日益重要的话题。尽管有研究报告称，蓄意暴力行为的女性受害者面部和头部受伤的发生率很高，但这些身体损伤从未通过分组研究进行过调查。因此，本系统评价的目的是研究男性对女性实施身体暴力行为导致的口腔颌面创伤的特征和总体发生率。
检索了 Medline（通过 PubMed）和 Lilacs（通过虚拟健康图书馆）以及灰色文献，检索时间截至 2020 年 6 月 16 日（2021 年 2 月 12 日更新），未对发表年份或语言进行限制。
共纳入了 27 项研究，涉及 9318 名遭受男性攻击的女性受害者和 3738 例口腔颌面创伤。在所有女性受伤中，口腔颌面创伤的发生率为 51%（95%CI 28%-74%）。软组织损伤（瘀伤、撕裂伤、擦伤、肿胀、红斑和鼻出血）和硬组织损伤（OR：1.44，95%CI：0.43-4.80）的发生几率没有显著差异。受害者与施害者之间的关系主要是亲密伴侣和亲属。
这些结果强调了需要进行政治和伦理反思，以预防口腔颌面创伤，确保妇女的健康和人权。
