de Baumont Angelica Cerveira, Oliveira Géssica Sá, de Figueiredo Juliana Bastos, Dos Santos Júlia Foschiera, Genro Bruna Pasqualini, Habigzang Luísa Fernanda, Manfro Gisele Gus
Programa de Transtornos de Ansiedade, Hospital de Clínicas de Porto Alegre (HCPA), Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil. Programa de Pós-Graduação em Psiquiatria e Ciências do Comportamento, Departamento de Psiquiatria, UFRGS, Porto Alegre, RS, Brazil.
Programa de Transtornos de Ansiedade, Hospital de Clínicas de Porto Alegre (HCPA), Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.
Trends Psychiatry Psychother. 2024;46:e20220594. doi: 10.47626/2237-6089-2022-0594. Epub 2023 Apr 17.
Intimate partner violence (IPV) increased extensively around the world during the pandemic, causing severe harm to women's mental health. However, there are no studies showing these effects in Brazil. The objectives of this study were to assess perpetration of IPV and presence of depression and suicidal ideation in women living in Brazil during the coronavirus disease 2019 (COVID-19) pandemic.
Cross-sectional online survey including women living in Brazil from July 2020 to June 2021. Participants answered a 43-item self-administered questionnaire exploring their characteristics and life changes due to the pandemic (CoRonavIruS Health Impact Survey [CRISIS]), IPV (World Health Organization Violence Against Women [WHO-VAW]), and depressive symptoms or suicidal ideation (Patient Health Questionnaire-9 [PHQ-9]). We used Poisson multiple regression analyses with robust variance to model associations between IPV and mental health outcomes, considering aspects of social vulnerability as covariates.
We found high frequencies of IPV (33.3%), depression (36.1%), and suicidal ideation (19.8%) among the participants. IPV was significantly associated with depression (prevalence ratio [PR] = 1.502, p = 0.001 for one type of IPV; PR = 2.702, p < 0.001 for two or three types of IPV) and with suicidal ideation (PR = 2.264, p < 0.001 for one type of VPI; PR = 3.272, p < 0.001 for two or three types of IPV). Food insecurity, being black, lower educational levels, and being in a relationship with a person of the same gender were associated with one or both mental health outcomes.
We demonstrated associations between IPV and higher frequencies of depression and suicidal ideation in women living in Brazil during the COVID-19 pandemic, highlighting the urgency of strengthening strategies to protect women during adversity.
在疫情期间，亲密伴侣暴力行为（IPV）在全球范围内广泛增加，对女性心理健康造成严重伤害。然而，巴西尚无研究表明这些影响。本研究的目的是评估2019年冠状病毒病（COVID - 19）大流行期间生活在巴西的女性中亲密伴侣暴力行为的发生率以及抑郁和自杀意念的存在情况。
2020年7月至2021年6月对生活在巴西的女性进行横断面在线调查。参与者回答一份43项的自填问卷，该问卷探讨了她们因疫情而产生的特征和生活变化（冠状病毒健康影响调查[CRISIS]）、亲密伴侣暴力行为（世界卫生组织针对妇女的暴力行为[WHO - VAW]）以及抑郁症状或自杀意念（患者健康问卷 - 9[PHQ - 9]）。我们使用具有稳健方差的泊松多元回归分析来模拟亲密伴侣暴力行为与心理健康结果之间的关联，将社会脆弱性方面作为协变量。
我们发现参与者中亲密伴侣暴力行为（33.3%）、抑郁（36.1%）和自杀意念（19.8%）的发生率很高。亲密伴侣暴力行为与抑郁显著相关（一种亲密伴侣暴力行为类型的患病率比值[PR] = 1.502，p = 0.001；两种或三种亲密伴侣暴力行为类型的PR = 2.702，p < 0.001），与自杀意念也显著相关（一种亲密伴侣暴力行为类型的PR = 2.264，p < 0.001；两种或三种亲密伴侣暴力行为类型的PR = 3.272，p < 0.001）。粮食不安全、黑人身份、较低的教育水平以及与同性别的人建立关系与一种或两种心理健康结果相关。
我们证明了在COVID - 19大流行期间，生活在巴西的女性中亲密伴侣暴力行为与更高频率的抑郁和自杀意念之间存在关联，突出了在逆境中加强保护妇女策略的紧迫性。
