Soares Marcela Quaresma, Melo Cristiane Magalhães de, Pinto Isabella Vitral, Bevilacqua Paula Dias
Instituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brasil.
Secretaria Municipal de Saúde de Viçosa, Viçosa, Brasil.
Cad Saude Publica. 2023 Nov 10;39(10):e00012823. doi: 10.1590/0102-311XPT012823. eCollection 2023.
This study aimed to characterize the main causes of death of women with notification of interpersonal violence during pregnancy and to identify the factors associated with these deaths. This is a case-control study conducted based on relating data on violence to deaths that occurred in Brazil from 2011 to 2017. Data from the Braziliam Information System for Notificable Diseases and the Brazilian Mortality Information System were analyzed using multiple logistic regression. The results showed that 56.4% of the deaths were due to external causes, and 80.1% of which were due to femicide. The following risk factors associated with death were identified: age group from 30 to 39 years (OR = 2.53; 95%CI: 1.01-6.59); firearm assault (OR = 14.21; 95%CI: 4.58-31.86); and by piercing-cutting objects (OR = 4.45; 95%CI: 1.01-22.73). Being married/in a stable union (OR = 0.48; 95%CI: 0.24-0.93); having more than four years of schooling (OR = 0.21; 95%CI: 0.06-0.63); and living in municipalities with a population over 100,000 inhabitants (OR = 0.23; 95%CI: 0.10-0.52) were observed as protective factors. The study was important due to demonstrating the magnitude of femicide among women with notification of violence during pregnancy, as well as the weaknesses in producing information on the external causes of death in the pregnancy-puerperal period. The study also evinced the factors that make women vulnerable to death, reinforcing the urgent need for health professionals to screen for violence during pregnancy.
本研究旨在明确孕期有人际暴力通报的女性的主要死因,并确定与这些死亡相关的因素。这是一项病例对照研究,基于2011年至2017年巴西发生的暴力与死亡相关数据开展。使用多重逻辑回归分析了巴西法定传染病信息系统和巴西死亡率信息系统的数据。结果显示,56.4%的死亡是由外部原因导致的,其中80.1%是由于杀害女性。确定了以下与死亡相关的危险因素:30至39岁年龄组(比值比=2.53;95%置信区间:1.01-6.59);枪支袭击(比值比=14.21;95%置信区间:4.58-31.86);以及锐器切割物体(比值比=4.45;95%置信区间:1.01-22.73)。已婚/处于稳定伴侣关系(比值比=0.48;95%置信区间:0.24-0.93);接受过四年以上教育(比值比=0.21;95%置信区间:0.06-0.63);以及居住在人口超过10万居民的城市(比值比=0.23;95%置信区间:0.10-0.52)被视为保护因素。该研究很重要,因为它证明了孕期有暴力通报的女性中杀害女性行为的严重程度,以及在产褥期死亡外部原因信息提供方面的不足。该研究还表明了使女性易受死亡影响的因素,强化了卫生专业人员在孕期筛查暴力行为的迫切需求。