Universidade Federal do Piauí - Teresina (PI), Brazil.
Rev Bras Epidemiol. 2024 Jun 14;27:e240030. doi: 10.1590/1980-549720240030. eCollection 2024.
To analyze the trend and spatial pattern of intimate partner rape reports against women in Northeast Brazil.
Ecological time-series study and spatial analysis with secondary data from the Notifiable Diseases Information System between 2013 and 2022. Gross rape rates were calculated by type of intimate partner and by age group of the victim. Prais-Winsten regression was used to calculate the trend, and the global and local Moran indices were used for spatial analysis.
A total of 5,542 cases of intimate partner rape were reported. Spousal rates ranged from 0.34/100,000 women in 2013 to 0.51/100,000 in 2017, with greater increases between 2018 (1.04/100 thousand) and 2022 (1.28/100 thousand). There was an upward trend in the Northeast as a whole (APC=19.47; 95%CI 15.88-23.22) and in almost all states, except Paraíba and Sergipe. Cases perpetrated by boyfriends (APC=23.90; 95%CI 12.80-36.09) and among women aged 15 to 19 years (APC=22.63; 95%CI 4.18-44.35) showed the highest annual variation. A concentration of high rates was observed in several municipalities in the northwest of Ceará and southeast of Pernambuco.
The trend in intimate partner rape rates against women increased in the Northeast, especially among younger women and by boyfriends, with a greater agglomeration of notifications in Ceará and Pernambuco.
分析巴西东北部针对妇女的亲密伴侣强奸报告的趋势和空间模式。
对 2013 年至 2022 年期间可报告疾病信息系统的二次数据进行生态时间序列研究和空间分析。根据亲密伴侣的类型和受害者的年龄组计算总强奸率。采用普赖斯-温斯坦回归分析趋势,采用全局和局部莫兰指数进行空间分析。
共报告了 5542 例亲密伴侣强奸案。配偶强奸率从 2013 年的 0.34/10 万妇女降至 2017 年的 0.51/10 万,2018 年(1.04/10 万)和 2022 年(1.28/10 万)增幅较大。整个东北地区呈上升趋势(APC=19.47;95%CI 15.88-23.22),除帕拉伊巴和塞尔希培外,几乎所有州都呈上升趋势。由男友实施的强奸案(APC=23.90;95%CI 12.80-36.09)和 15 至 19 岁妇女(APC=22.63;95%CI 4.18-44.35)的年变化率最高。在塞阿拉西北部和伯南布哥东南部的几个城市,发现了高比率的集中现象。
针对妇女的亲密伴侣强奸率在东北地区呈上升趋势,尤其是在年轻妇女和男友之间,在塞阿拉和伯南布哥的报告更为集中。