Universidade Federal de Pelotas, Programa de Pós-Graduação em Odontologia, Pelotas, RS, Brazil.
Universidade Federal de Pelotas, Faculdade de Odontologia, Pelotas, RS, Brazil.
Epidemiol Serv Saude. 2023 Nov 10;32(3):e2023246. doi: 10.1590/S2237-96222023000300016.en. eCollection 2023.
To describe the temporal trend of notifications of physical, sexual and emotional violence and neglect against children in Brazil between 2011 and 2019.
This was an ecological time-series study based on notifications of violence against children aged 0-9 years held on the Brazilian Notifiable Health Conditions Information System. Age-adjusted notification rates were calculated for Brazil as a whole, by national macro-region and by sex. Trends were assessed using Joinpoint Regression.
We analyzed 88,820 notifications of physical violence, 87,141 notifications of sexual violence, 52,359 notifications of emotional violence and 166,664 notifications of neglect. A rising trend was identified for notifications of physical, sexual and emotional violence and neglect for Brazil as a whole and for both sexes. Neglect accounted for the highest rate (95.24 notifications per 100,000 children in 2019). The Northeast and Southeast macro-regions had rising trends for all forms of violence.
Notifications of physical, sexual and emotional violence and neglect showed rising trends in Brazil in the period studied.
Increasing trends in notifications of violence against children highlight the continued need for capacity building in health services, crucial for early detection, effective prevention and coordinated intervention, taking regional variations into account.
Notification of violence against children by health services requires greater commitment by health workers. Future studies could combine multiple national databases and surveys to increase the accuracy of rates and trends.
描述 2011 年至 2019 年期间巴西儿童身体、性和情感暴力及忽视通知的时间趋势。
这是一项基于巴西可报告健康状况信息系统中 0-9 岁儿童暴力通知的生态时间序列研究。计算了巴西整体、国家大区和性别调整后的通知率。采用 Joinpoint 回归评估趋势。
我们分析了 88820 例身体暴力通知、87141 例性暴力通知、52359 例情感暴力通知和 166664 例忽视通知。巴西整体和两性的身体、性和情感暴力及忽视通知均呈上升趋势。忽视占比最高（2019 年每 10 万名儿童 95.24 例通知）。东北和东南大区所有形式的暴力均呈上升趋势。
在所研究期间，巴西儿童身体、性和情感暴力及忽视通知呈上升趋势。
针对儿童暴力通知的上升趋势突出表明，卫生服务部门需要继续加强能力建设，这对于早期发现、有效预防和协调干预至关重要，同时要考虑到区域差异。
卫生服务部门对儿童暴力的通知需要卫生工作者做出更大的承诺。未来的研究可以结合多个国家数据库和调查，以提高比率和趋势的准确性。
