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农村地区妇女遭受暴力的流行情况及相关因素:基于 2019 年国家健康调查的横断面研究。

Prevalence of violence against women living in rural areas and associated factors: a cross-sectional study based on the 2019 National Health Survey.

机构信息

Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz. R. Leopoldo Bulhões 1480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil.

出版信息

Cien Saude Colet. 2024 Jan;29(1):e20452022. doi: 10.1590/1413-81232024291.20452022. Epub 2023 Apr 12.

Abstract

The aim of this cross-sectional study was to estimate the prevalence of violence against women living in rural areas, explore associated factors, and characterize cases of violence according to perpetrator, place of occurrence, and frequency. Based on data from the 2019 National Health Survey, using Poisson's regression we calculated crude and adjusted prevalence ratios for violence committed during the last 12 months against women living in rural areas across Brazil, focusing on the following variables: sociodemographic characteristics, income, social support, and self-reported health status. The prevalence of psychological, physical, and sexual violence was 18%, 4.4%, and 1.5%, respectively. Perpetrators were mainly people known to the victim and violence was mainly committed at home and repeated over time. Prevalence was highest among young women (24.2%), single and divorced women (20% each), women who had complete elementary school till not complete higher education (22% each), women with very poor (34%) and poor (30%) self-perceived health status; and women with a mental health problem (30%). After adjustment, the following variables were retained in the model: women aged 30-39 years and 40-49 years; married women; women with very poor, poor, and fair perceived health; and women diagnosed with a mental health problem.

摘要

本横断面研究旨在估计农村地区妇女遭受暴力的流行率,探讨相关因素,并根据施害者、发生地点和频率对暴力案件进行特征描述。本研究基于 2019 年全国健康调查的数据,采用泊松回归分析计算了巴西农村地区妇女在过去 12 个月内遭受暴力的粗患病率和调整后患病率比,重点关注以下变量:社会人口特征、收入、社会支持和自我报告的健康状况。心理、身体和性暴力的流行率分别为 18%、4.4%和 1.5%。施害者主要是受害者认识的人,暴力主要发生在家里,且具有重复性。在青年妇女(24.2%)、单身和离婚妇女(各 20%)、完成小学至未完成高等教育的妇女(各 22%)、自我感知健康状况极差(34%)和差(30%)的妇女以及有心理健康问题的妇女(30%)中,患病率最高。调整后,以下变量保留在模型中:30-39 岁和 40-49 岁的妇女;已婚妇女;自我感知健康状况极差、差和一般的妇女;以及被诊断患有心理健康问题的妇女。

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